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� rhr l:cCrl'�rCrt <br />everett � � O N ST R U CT I O��~�- - <br />PERMIT PERMITNO. -� �'-�� <br />GITY HALL 259�fi145 <br />i�' EVEREjJ:}Y�91�'qi ;�J �0�'I�INATION ❑ BUILDING ❑ MECHANICAL ❑ PLUM6ING <br />OWN[N MAItADDP[55 Lltt ZI� PNONE <br />MATTE�ON CONSTRUCTION 156 E. Vista Del Mar Camano Island WA 98292 552-0575 <br />A9CHrtEGi OH pE51GNEP MRIL ApDRE55 CITY ZiG PMONE <br />GENERAL GONTFAGiOR MAIL ADDRE55 UTY ZiP PHONE LICENSE / <br />Same <br />MECMFNICFL CONTflAGTOR MAIL AOOflES$ GITY 21P PHONE IICENSE M <br />PLUMBING CONTHAGTOR MAIL A�ORE55 GITY ZIP PMONE IICENSE � <br />IJ� NEW O ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLAGE INSERT <br />S 5����0. <br />New single family residence <br />)SED USE OF BWLDING <br />Single family residence <br />BELOW OR ATiACH FOl1H COPIE51 <br />�or �Q_ eiocn _—oF <br />03 - 4th Ave SE <br />PLUMBING <br />TYPE OF FIXYURE OF <br />W A7ER CLOSET (TOI LEn <br />BATMTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WA�ER HEATER <br />UHIhAL <br />OR'NKING FOUNTAIN <br />FI.00R ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. E7C.) <br />6' <br />ZONE <br />R-1 <br />E OF CO� <br />V-N <br />3 OF HLD( <br />R-1235 <br />SUB TOT/�L S <br />PEflMIT S <br />707AL FEE S <br />EF:TSETOACK RE <br />2�� <br />7440 sf <br />GCCUPANCY GRI <br />R- 3 <br />NO. OP STOHIES <br />1 <br />BASEf.1ENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS . <br />3.FIflEHYDRANT — <br />4.FIREPROTECTION STEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONN <br />B. MEALTM DISTRICT,_., <br />APPLICATION ACC. 9Y <br />sg -" <br />STATEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TY'PE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. Ttie GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTriORITY TO VIOLATF <br />OP CANCEL THE PROVISIONS OF ANY UTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />S}BflAjURE OF LONTHACTOR OR AUiHORIZ[D9�jE.Ni— DRiE <br />M E� <br />FEE NO. <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — M.R EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNiTS — TONNAGE EA. <br />FORCED AIR SYS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFC� — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATI�N FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — QF.M. <br />STOVE — WO00 <br />IdETAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSER7 <br />HE UMP <br />YARD SETBACK PLAN CMECKP <br />20'_ 86/16305 <br />�ES NO <br />1 <br />MAX.00C.LOAD <br />YES <br />BY <br />PLANS CMECKED BV APPR.FOR <br />jef ]c <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE �d51C <br />VALUATION <br />f ZZ_ <br />S ZZ <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />BUILOING � a5� Q��. z83 �Q <br />PLUMBING ZO OO <br />MECHANICAL Z2 �� <br />OTHEF <br />PENALTY U.B.C. <br />SEC. J03 �a) <br />TOTAL 325 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISISPAI E� THIS I$ YOj�RfEAMfT __� <br />" � �` / � � �� � � � <br />��� <br />l'_ � <br />i . . <br />_J - ,; , ,, <br />,1DDRE55 FIL[ <br />