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!pc Errrc�errt ^,O N ST R U CT I O f� - <br /> everett f PERMIT PEHMIT P;o. 1?4 r0 <br /> GTV HALL 259�B7d5 <br /> EVEREiT,I"JA98201 ❑ COMBINATION � BUILDIHG ❑ MECNANICAL ❑ PLUMBING <br /> OIYNER MAiL AD�RE55 CITY ZIF PMONE <br /> A. Shadoff 2120 Rockefeller ec .:ett 98201 259-6276 <br /> RFGnITEGi ON OESIGNEP MAIL nDDRESS GITY Z�P PNONE <br /> GErvERAL GONiRACiOR MPIL POOflE55 CITY ZIP PMONE LIGENSE� <br /> Everett Builders Inc. 5606 Evergreen Way Lverett 98203 353-7161 <br /> MELHRNIGNL CONIRPCTOR MAIL A�DRE55 CIiY 21P PNONE LIGENSE� <br /> EV ER EB 301PH <br /> PWMBING CONTRRLTOR MAiL ADOflE55 CITY ZIP PMONE 4GENSE r <br /> CL^$$OF YlORN <br /> ❑NEW j(,�ADDIiION ❑ PL?ERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WORN <br /> f 68�0.�� <br /> DESCHIBE WORK <br /> Add 8' x 7' to existing residence <br /> PROPOSE�USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIQN AND KNOW THr SAME TO B'c TRUE AND <br /> LEGALOESGRiPT10NOFPROPEPiY�SMOWBEL0IYOPATTALMFOURCOPIES� CORRECT. ALL PROVISIONS OF �AWS AND ORDINANCES <br /> iat 23 Bio�K 436 oF Everett GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED FiEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL W GULATING CONSTRUCTION OR THE <br /> PERFOR NC CONSTRU TI N. <br /> JOO n00NE55 SIGN TUR F COh1R i0R OR AUiHOR � [NT �/TE <br /> 2120 Rockefeller X b-� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE E�UIPMENT FEE <br /> 1 WATERCLOSET�TOILEn Z � AIP COND.UNITS—M.P.EA. <br /> 1 BATMTUB Z OO PEFRIGERATION UNITS— H.P.EA. <br /> 1 LAVATOflY�WASH BASIN) Z OO BOILERS— H.P.EA. <br /> SMOWER GAS FIRED 1.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK d DISP. FORCE�AIR SVSTEMS— B.T.U. M EA, <br /> DISMWASMER WALLMEATERS— BT.U. M <br /> LAUNDRViFiAY UNITHEAIERS— B.T.U. M <br /> CLOTHES WASMER EVAPORAi1VE COOLERS <br /> WATER MEATEF CLOTMES OflYERS <br /> URINAL VENTILATION FAN <br /> DRINKINCa FOUNTAIN FANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREANFRS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADER$ METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVILE — BAR,ETC.) FIREPLACE INSEPT <br /> MEAT PUMP <br /> SUB TOTAL i G OO SUB TOTAL S <br /> PERMIT S PEflM1T S <br /> TOTAL FEE 6 6 OO TOTAL FEE f <br /> SIDE VARD SETBACN STREEi SETBACK REAR VARO SST�ACK PLAN CMECK NUMBER PLAN CHECN FEE � <br /> S' 20� 2�� 83�12470 FEE 40.63 RECEIPTNO. <br /> USE ZONE lOT AREA VACANT SITE �85 . <br /> R-2 - YES XTNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS _ <br /> V-N Add'n R-3 1 BUILOING s 6800.00 62 �0 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> Add�R SE SQ. Ft. ]. �LUMBING C> 00 <br /> FIRE ZONE BASEMENT FIRE SPRINNLEPS MEGHANICAL <br /> REOUIflED <br /> YES J <br /> APPPOVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B C. <br /> SEC.907�a) <br /> 2.BUILDING PLANS w <br /> rora� 68 50 <br /> 9.FIRENY�RANT � <br /> 4.FIRF PROTE�TX7N SYSTQAI PEPMIT VALIOATION <br /> S.GRADIMG. � ; WMEN PROPERLV VALIDATED�IN THIS}SiA7 E�THIS�S�(O�IR�E�N�T�(;-+ <br /> WUb U I <br /> —6.ORAINAOE (-: � , <br /> � . �NVIRONMEN�LIMPA6T�TATEMENT �-�.i <br /> .MEALTHIDSTAI T �— <br /> APPLICATION ppp.BV PLANS CHECKEO BY APPR.FOR ISSUANCE BV i �. : �,.I �; �^C L I PT� ' <br /> 00 '.� �7 .> � �/. ...J.. � :� U <br /> l�gm HWM LC <br /> � -C� <br /> �— � ( <br /> .J _ � `� L'.1 U� <br /> f ' <br /> P.i�[`i2�z,, i`II`. <br />