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everett � �ONSTRUCTIQ� � 14855 <br /> CiTv OF <br /> CITY HALL 259-87�5 P E R M IT PERMIT NO. <br /> EVEREiT,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNEP MRIL AODRE55 CITY ZIP PNONE <br /> David Means 9330 lst Avenue S.E. Everett 98204 347-4240 <br /> �RCMITEGT OR DESIGNEN MAIL ADORF.55 dTY ZiP PMONE <br /> GENEHRLGONTRAGIOR MAIL��ORESS CITY ZIP PMONE IICEN5E1 <br /> Pac West Const. 10929 Highway 99 South Everett 98204 347-1491 <br /> MEGHRNICALGONiPRCTOR MAILAOORESS CIiY 21P PHONE LICENSE� <br /> PACWEC"150CN <br /> PLUMBINGCONiRACTOR MAILAD�PE55 CiTY Z�p PMONE L�('E�:SEI <br /> GU55 OF WOPN <br /> O NEW �I ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VAlUAT10N OF WOHK <br /> S BSOO.00 <br /> D[SCRIBE WORK � <br /> Construct 16'x30' Addition KX to existin residence <br /> PROPoSED USE OF BVILOING <br /> Sinqle Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL OESCRIPtION OF PROPERTY(SMOW BELOIY OR ATTRCM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 13 aiocK 4 oF Intercity Div. 1 �OVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> North 80' of Lot 13 PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> 4802 OU4 013-0207 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CpNSTRUCTION. <br /> JOB AOURE55 SIGNAT OF.; T CTOR AUTHONIZED RGENi DATE <br /> 9330 lst Avenue S.E. X G-G ._$3 <br /> PLUMBINO MEC L <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS— H.P.EA. <br /> DATHTUB REFHIGERATION UIJITS— H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KITCHEN SINK 8 DISF. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALLHEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— U.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEH� <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOl1NTAIN RANGE FIOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— 9AR,ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB 70TAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEF, f <br /> SIDE YARD SETBACK S'REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 20' 20' 85/14895 FFE4E1.43 I 7����'r No. <br /> USE ZONE LOT AREA VACANT SITE <br /> R_1 . :�ES X�� FEES VAI.UATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N Add'n R-3 1 eui�oir+c S 8500. 79 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD — <br /> Add'n 480 Sq. Ft 1 N A P�UMBING <br /> FIREZONE BASEMENi FIRESPflINKLERS MECMANICPL <br /> REOUIRED <br /> VES : NO <br /> APPNOVALS BV OATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.3031a1 <br /> 2.BUILOING PLANS <br /> 3.FIREMVDRANT TOTAL �4 SO <br /> d.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATE�pN THIS SPACE�THIS IS YO4R PEflM1T (,,'� <br /> 6.DRAINAGE Property Line to be established prior to � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT COT1StrUCtlOI1. � <br /> B.HEALTHDISTRICT Additional permits t0 be obtained for dll ^ <br /> APPLICATION ACC.BY PLANS CMECKEO BY APPR. FOR ISSUANCE BY finish work. �, , <br /> LC HWPS � <br /> ADDRE55 FIL� <br />