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`'"`°�TY�oF �� ONSTRU�TION <br /> everett PERMI� pERMIT NO. 09697 <br /> CITY HALL 259�8745 <br /> eve�+err. �n �ezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O\'JNEB MAILAO�Hh55 CIiY 21P PNONE <br /> Neil LeClaire 1309 Rockefeller <br /> ARCNIiEGi OR DESGNER M..l ADDRESS CITY 7.IP i i I.'::'_ <br /> GENERAL CONiRAGTOii MAIL ADORES$ QTY ZIP VMONE LIGENSE/ <br /> Snohomish County Home Improvement Lake Stevens 98258 334-3683 <br /> M[CHANICAICANTpACiOP MAILADDRE55 CItY ZIG PIIONE LICENSE• <br /> SN OH OC H308DZ <br /> 1'LUAI�ING LONTRACiOR MAIL AppRESS QTY ZIP PNOtiE UGENSC� <br /> CLA55 OF\VORN <br /> ❑NEW ❑ADDITION ❑ALTERATION L��EPAIR ❑DEMOIITION ❑FENCE ❑SIGN C.iARNGE <br /> VAIUATION OF W�RN <br /> y 4600.00 <br /> DESCRIBE WORK <br /> Re-side house with vinvl siding <br /> PROPOSFD USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LWFLDESGRIPiIONOFPROPERTY�5110W0ELOWORATTACMFOIIPCOPlE51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORREOT. <br /> 4 248 14th Street Addition ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior o�ceK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> - PRESUME TO GIVE AUTHORITY TO VIOLI�TE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION THE FO ANCE OF CONSTRUCTION. <br /> J00 AD�RE55 SIGNPiU �0 'CONi t0 OR U HO 12E �FqIT OA1E <br /> 1309 Rockefeller X �� 8 25 81 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CAND.UNITS—N.P.EA <br /> BATHTU� REFRIGERATION UNITS—H.P.EA <br /> IAVATORY(WASH BA:•IN) BOILERS—HP EA. <br /> SNOWER GAS FIRED AA.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYST`h1S—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—8 T.LL N <br /> LAUNDRY TRAV UNIT HEATEPS—B T.U. M <br /> CLOTHES WASHER EVAPOF7ATIVE CJOLEHS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILA710N FAN <br /> DRINKING�OUNiAIN RANG[HOOD <br /> FLOOR DRAIN AIR HANDUNG UNIT— C EIA, <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS—RP.INLEADERS METAL PIREPLACE 8 CHIMNE� <br /> SINK�SERVICE—BAF,ETC,) <br /> SUBTOTAL SUBTOTAL S <br /> PEHMIT S PERMIT S <br /> TO7ALFEE S TOTALFEE S <br /> SIOE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE FIECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> f]YES ❑NO FEES VALUATION FEE <br /> NPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING b9600.00 50 50 <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC.IOAD <br /> PlUM01NG <br /> FIRE ZONE BASEMENT FIRL SPRINKLERS <br /> REOUIRED MECHANICAL <br /> I-�YES IlNO <br /> APPAOVALS BY DATE OTHER <br /> 1. ENVIRONMENTAI CHECK UST PENALTY U 8 C. <br /> SEC.303(a) <br /> 2. �UILDING PIANS <br /> - TOTAI S 0 S O <br /> 3. fIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDAI�ION <br /> WHEN PROPCF�Y VALIDATED QN THIS$PPCE�i HIS IS YOl1ij�PE(�RMIT ` � <br /> 5. GRADING � �- � l . �, .. — <br /> G. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> B. HEALTH DISTRICT � ` !� � � <br /> APPLICATION ACC.BY PLANS CHECKED DY APPR.FOR ISSUANCE BV � ' ' O <br /> � <br /> ADDRESS FILE <br />