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��EV� ('7NSTRUCTION <br />CITVOF ��` r+it� -.+n„ �"`K`' <br />everett PERMIT PERMITNQ:_�� H�U� <br />259-8745 <br />❑ DEMOLITION � COMBINATION O BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER M�ILADOH655 CI1Y ZIP PlIONE <br />Roy Al1en McCutchen 5031 Rockefeller Everett, WA 98203 355-1933 <br />ARCMITEGT OR DESIGNEH MAIL ADDRESS CITY � l �21P _;�,, . pHONE <br />� f�� Z. S � . .. � <br />MAIL AppqE55 CITV LP FMONE LICENSE � <br />Owner <br />b1ECMANICAL CONTRACTOR IdA1L AOORESS CIiY ZIP PHONE LICENSE • <br />PLUMBING CONTR�CT00 1,IAIL 4�ORF55 CrtY 21P PnONE UCENSE � <br />CLFSS Of N'ORN <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br />VRIUFT10N OF WORN <br />$ ZQi��O. <br />Adding bedrooms and eating area <br />HEATSOURCE <br />❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence I HEREBY CERTIFY THAT I HAVE fiEAD AND E�AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />.EGRLOESCRiPTIONOFPROPERTY�5H01Vl3ELOWOR�TTACMfOUflCOP1E51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />15 & 16 1 E�-�-" "' ^ ^'"-Addition GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH <br />�or _ e�ocK _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />d�Ks s taT • <br />PERMIT DOES NOT P9ESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTFUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />O�AO�RE55 SIGNITUP�CONTRFCT q,nGT NZE�,=nG[Ni,rOf10V:NER DATE <br />6031 Rockefeller J( /i �:,� �( �_ /,� � ��S- �� � <br />PLUMBING MECHANICA <br />NO. TYPE OF FIXTURE OR ITEM <br />� Z WA7ER CLOSET (TOILET� <br />1 BATHTUB <br />2 LAVATORY�WASHBASIN) <br />1 SMOWER <br />.1 KITCIiEN SINK 8 DISP <br />DISHWASHER <br />LAUKDRYTRAV <br />�. CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />OACKFLOW PREVENTERS <br />ROOF ORAINS - HAINLEADERS <br />SINK (SERVICE - BAR. ETCJ <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />rt SEi�ACN REAR SEID�CN <br />20' 20' <br />USEZONE IOTAREA <br />R-2 6000 sf <br />TYPE Of CONSi OCCUPANCY Gf <br />V-N R-3 <br />S12E OF OLDG NO 06 STOfilES <br />Z�I��� 1 <br />RPPLICATION ACC OY I �L4NS CMECNEO DY <br />SH I IIe <br />FEE NO. TYPE OF EOUIPMEN� FEE <br />O O A:�-A�HNDIGUNITS�-HP. <br />S OO REFRIGERATION UNITS �- M P. EA. <br />LO OO �OILERS-OT.U:HP <br />S OO GASFIREDA�C.UNITS-L'TU <br />OO FORCED AIR SVSTE6IS - � T U M EA. <br />WALLHEATERS-BTU M <br />UNIT HEATERS - 87 U. M <br />O EVAPORATIVECOOLERS <br />]. CLOTHESDRYERS <br />2 VENTILnTION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />IdETAL FIREPLACE 8 CHIMNEY <br />PiREPLACEINSERT <br />HEAi PUA1P <br />GAS PIPING <br />E%HAUSTFAN <br />5� <br />VPCANT SITE <br />❑ vEs Cir+o <br />NO OF OIYELLMG 11Nii5 <br />1 <br />M�N OCC LOAD <br />NA. <br />t.PPR fOR ISSUANCE �Y <br />L.C. <br />PLAN CHECK NUM�Efi <br />87/18269 <br />FEES <br />SUB TOTAL 3 15 50 <br />PEHMIT - - <br />TOTALFEE 5 ZS SO <br />FEE RECEIPTt�O. <br />139.55 86773 <br />oUILDING $ 20;000 207.00 <br />u i,���.:. �_., . <br />PLUMBING <br />u=. <br />MECHANICAL _ _ - �. -1J <br />INVESTIGATION FEE � � ,Sec, 304�e) � ; -,,��i <br />STATEBUILDINGSURCHARGE -.�� �. .. ,O' <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEHMIT VALIDATION <br />WHEN P(iOPERLV VnLIDATBD �W THIS SPAC[) THIS IS VOUR PERMIT <br />`,���, ,li r,g � I... <br />no <br />15 <br />1 <br />2G4100 <br />