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- -: <br /> „'r`�l�r1Y`��F � CONSTRUCTIC N <br /> ever�tt PERMIT PERMIT NO. � 3 � 01 <br /> CITV HALL 259�8745 <br /> EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMB;NG <br /> OWNER h1AIL AD�RE55 GITV ZIP PHONE <br /> Jerry & Helen Oss 4314 Ridgemont Drive Everett 98203 <br /> AfiLMITECT OR�ESIGNER MAII AD�FESS CIiY ZIP PHONE <br /> GENERALCONTRACiOR MAILAD�RE55 GTY ZIP PMONE LICENSE� <br /> Quality Buildexs 2030 106th Place S.E. Everett 982C4 337-2420 <br /> NECMANICAL CONTRACTOH MAIL AppFESS GTY 21P PHONE ULENSE• <br /> QUALIB*169CD1 <br /> PLUMBING GONTFAGTOR MAIL ADDRE55 GTY ZIP PMONE LILENSE M <br /> CLASS OF WORK ' <br /> �}[JEW ❑ ADDITION ❑ ALiERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF 1YORN <br /> j �.2�0��.0� <br /> OESCRIBE WORN <br /> Construct garage-Driveway-Retaining t9a11 <br /> PROPOSED USE OF BUILOING <br /> Single Family Residential Garage I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn�oescaiariorvoFvaovearrisnowoeiowoRnrrncHFouacoaiesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or ��BLOCK_OF Harbor View GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A o <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �-. <br /> OR CANCEL THE PRO`/ISIOho OF ANY OTHER STATE OR " <br /> m <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE •• <br /> PERF�RMANCE OF CONSTFUCTION. <br /> JOB AODRE55 SiGNATURE OF CONTFACTOR OR/UTM RIZED FGENT DATE � <br /> 4314 Ridgemont Drive X �� , � � �-��� - �l � " <br /> ., ._.� <br /> PLUMBING MECHANICAI �_ <br /> m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE c o <br /> mo <br /> N'ATER CLOSEi(TOILEn AIR COND.UNITS- H.P.EA n <br /> BATHTl1B REFRIGERATION UNITS- H.P.EA. p 4 <br /> LAVATORY(WASHBASIN) BOILERS- M.P. EA. m <br /> � 2 <br /> SHOVJER GAS FIRED A.Q UNITS-TONNAGE EA. m � <br /> KI7CHEN SINK 8 DISP. FORrED AIR S1'StEMS- B.T.0 M EA. ,p � <br /> �ISHWASHER WALL HEATERS- B.T.U. M � _ <br /> LAUNDRY iRAY UNIT HEATERS- B.T.U. M i-. .-. <br /> CLOTHES WASHER EVAPORA7IVE COOLERS � N <br /> < <br /> � <br /> WATER HEATEF CLOTHES URYERS O A <br /> URINAL VENTILATION FAN T n <br /> � m <br /> DRINKING FOUNTAIN RANGE HOOD 2 <br /> FLOOR LRAIN AIR HANDLING UNIT- G.F.M. m � <br /> N <br /> O <br /> VACUUM BREAKERS STOVE -WOOD O r' <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY C N <br /> 3 V+ <br /> SINK(SERVICE- BAR, ETC.) FIRLPLACE INSERT m <br /> � HOSe bl b _ HEAT PUMP —Zi m <br /> n <br /> � <br /> -i <br /> x <br /> SUB TOTAL S SU9 TOTAL 5 z <br /> PERMIT S PERMIT S � <br /> TO7AL FEE S � TOTAL FEE S ._. <br /> SIDE YARD SETOACK STflEET SETBACK REAR YARD SETBACK PLAN CHECK NUMUER PLAN CMECK FEE � <br /> 8 � 6� 20� 6� (GOYd E 0111 ) 84�13501 F�E60.13 RECEIPTWO. � <br /> 0 <br /> USE ZONE LOT AREA VACANT SITE 9BBZ— �-. <br /> R-1 .YES XMO FEES VALUATION FEE n <br /> m <br /> fYPE OF CONSi. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> V-IJ M � _ BUILDING 512,000. 97. 50 <br /> SIZE OF BLDG. NO. OF STORIES MA%. OCQ LOAD <br /> BGA SQ. Ft.. 1 PWMBING 2 � <br /> � FIRE TONE BASEIdENi PIRE SPRINHLERS MECMANICAL <br /> FEOUIRE� <br /> none YES $I}�O <br /> APPROVALS BY �ATE OTHEH <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> �_ SEC.3031a1 94 50 <br /> 2.BUIIDING PLANS �( <br /> 3.FIPE HYDRANT �� TOTAL <br /> a.FIRL PROTECTION SYST � PEFMIT VALI�ATiUN <br /> 5.GRADING WMEN PROPERLY VALIDATED(IN THI�SPACIE)THIS�SnY�I�P�A�IT__ � <br /> / <br /> _b.ORAINAGE � t,n , <br /> ,y- <br /> 7.ENVIRONMENiAUMPACT$TATEMENT � <br /> �.B.HEf.LTND�STRICT " " .. . � . <br /> �_APPLICATIO[J ACC. BY PLANS CHECKED BY AhPR. FOR ISSUANCE BY ' � � � � ' � <br /> ` � -'� <br /> -' sTc. . -' x���n� Lc <br /> _ -:; <br /> C,J <br /> ,^,o��,�zr��:.� ��ii.t: <br /> 1 <br />