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rhPE,.�� °F 'i �ONSTRUCTIOI� � � ; `=� �° <br />u� .i i ro <br />everett c <br />CI?YHALL25987e5 PERMIT PERMIT N9. �.��b9 � <br />0 <br />EVERETT, WA 98201 � COMBINATION � BUILDING X❑ MECHANICAL X❑ PLUMBING � � — <br />OWNER MNIL �OORE55 CITY ZIV tI� PHONE" <br />Inarum & Sons Construction 2312 136th P1 SW Lynnwood 98037 �?45-9704 <br />ARCNITEGT OR pE51GNER MRIL AODRi:55 CITV ZIP p PMONE <br />Jamie Johnson <br />GENENRL GONiqACTOR MAIL AD' RE55 CITY 2iP PHONE IICEM1SE • <br />Ingrum & Sons Construction Corp. INGRUS150DM <br />MEG`IqNICAL CONTPACTOR MAII AODRESS CITY 21P PHONE LICENSE • <br />Same as above <br />VLUMBING CONTRRCTOR MAIL ApORE55 QTY iIP PHONE LICENSE � <br />Shamrock P1umUing 5207 90th P1 NE nl�rysville, WA 98270 653-7208 <br />cuss oF woHK <br />C�NEW ❑ ADDITI01: C�LTERATION O R[PAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VFLUAiION OF WORK <br />f4,000.00 <br />Building of 1080 sq ft rambler <br />Single fami'_y residence <br />22 Westcreek Div #2 <br />LOt_BLOCK_OF <br />Ave SE <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />Z WATERCLOSET�TOILET) <br />1 BATMTUB <br />2 LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />1 DISMWASHER <br />LAUNDRYTRAV <br />1 CLOTHES WASMER <br />1 WATER IIEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETG) <br />6' <br />ISE ZONE <br />R-1 <br />YPE OP G <br />V-N <br />iIZE OF BL <br />R-3 = <br />M = 4 <br />'IFiE ZO4E <br />I HEREBY CERTIFY T�.1AT I HAVE READ nND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIOIJS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W�TH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY i0 VIOLATE <br />OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW RcGULATING CON6TRUCTION OR THE <br />PERFORM 'C1E OF CONSTRUCTION. <br />SIGNATURj, f,OpiP4CIDF OR gV�yI0N12E0 AGENT , OATE <br />MECHANICAL <br />FEE N0. <br />i <br />SUBTOTAL f 18 <br />PERMIT S - <br />TOTAL FEE S ].$ <br />EET SETBACK REAR YARD SETB� <br />20' 20' <br />7520 SF <br />GCW PANCY G <br />R-3 <br />NO. OF STORIE <br />BAS MENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � <br />7.fIREMYDRANT "- <br />4. FIRE PFOTECTION SYSTEMi <br />5. GRADING <br />-7 DRAINAGE <br />�}'ENVIRONMENTALIMPAGL$TAT <br />-BHEALTMDISTRICT — <br />'APPLICATfON ACC. BV " LA <br />C] — <br />�� EB 1 <br />0 <br />_J <br />YES AO <br />O. OF DwELLING <br />1 <br />IAX.00C.IOAD <br />IRE SPRINKLERS <br />EOUIREO <br />YES NO <br />BY OATE <br />NS CHECKED BV APPR.FORI�� <br />STG L.C. <br />i <br />1 <br />1 <br />Alfl COND. UNITS - M.P. EA. <br />REFflIGERATION UNITS - N.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIF SYSTEIdS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. �0 <br />UNIT HEATEFS - B T.U. M <br />EVAPORATIVE COOlERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT - C.F.M. <br />STOVE - WOOD <br />METAI FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />AN CHECK NUMBER <br />86/16109 <br />BUILOING <br />PLUMBiNG <br />MECHANICAL <br />OTMER <br />PENALTY <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE S <br />PLAN CI <br />FEE 198.85 <br />VALUATION <br />s94,000.00 <br />IlB.C. <br />! 'C. J07 (a) <br />ret <br />i <br />zi <br />22 <br />K FEE <br />RECEIPT NO. <br />i 32 <br />FEE <br />256 <br />16 <br />22 <br />roTni I � 296 �50 <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATED �1N TMIS S l�CF.) FHIS IS Y fj�P�R T _(� <br />�i.�>> � .)�.'�0 0l <br />ldditional Plan Check i'ee Required = 517.55 � <br />teceipt #78512 � <br />i; <br />� „ i:i.'-'i.�iY� <br />� �V � <br />: C� I ' <br />ADJRESS FILE <br />� c J <br />