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�hPE,.e�X�P�n '� �CONSTRUCTIO� � <br />��,� aF <br />everett PERMIT PERMIT N0. 14345 <br />QTV MALL :59AT�5 <br />eveAerr, wn 9en;; � CQMBINATION ❑ BUILDINO ❑ MECHAh;CAI. ❑ PLUMBING <br />OWNER M�IL ADORES'v Clit Zi' PMONE <br />LARRY CRONIN/LINDA WEST 5612 �Qp�h lst St Everett WA 252-17A0 <br />�RCMITECT ON OESIGNER MAII AODRE55 CITY 2�P PMONE <br />GENERRL CONTflACTOR MRIL AODRE55 GIiY 21P PMONE LIGENSE � <br />Same <br />MECNAN�LAL CONTflAGTOP MAII AODRESS CIiV Zlp PMONE 4CENSE • <br />PWMBINGCONTNACTOR MAILADORE55 CIiY zlP P110NE IICcNSE� <br />C�NEVJ ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE i SIGN O WOOD STOVFJFIREPLACE INSERT <br />VRLUATIGN OF WORK <br />frJ���O�.�� <br />DESGRIBE WORN <br />New single family residence <br />residence <br />OR ATiRLH FOl1R COPIE51 <br />LOT_BLOGK_OF <br />Beg SW cor 2nd Springs Sts Smiths lst Add to <br />W 292.5 ft th North 50 ft to TPB <br />5820 South 2nd Avenue <br />PLUMBING <br />NO. T' <br />2 WATERCI <br />1 BATHTUB <br />2 LAVATOR' <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAI <br />SINK (SERVICE - BA <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />6' 20' <br />USE ZONE LOT AREA <br />R-1 <br />TYPE OF CONST. OCCUPANCVi <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORI <br />1391 sf 2 <br />FIRG ZONE BASEMENT <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PqOTECTION SY;iTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALfHDISTRICT . ,. <br />APPUCATION ACC. BY <br />EB <br />I HEREBY CERTIFY THAT � HAVE RFAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SNME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIPJ OH NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY 0'f�HER STATE OR <br />LOCAL LAW REGULATINC+ CONSTRUCTION OR THE <br />PERFORMANCE OF COYSTRUCTION. <br />SIGNAT�UR/E�DFCONTRRCTOflOR9 UIMORRED�A�'iENT�/ OATE <br />i� .� n i / )/�i. '�C "/, / „ �� _-L <br />M�CFIANI�.AL <br />FEE N0. TYPE OF EOUIPMENT <br />4 OO All .:OND. UNITS - H.P. EA. <br />Z OO REFRIGElIATION UNITS - H.P. EA. <br />4 OO BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />Z � FOACED AIP SVSTEMS - 9.T.U. M EA. <br />2 � WAL HEATERS-B.T.U. M <br />UNIT HEATEPS - B.T.U. M <br />2 Q EVAPORATIVE COOLERS <br />Z Q CLOTHES DRYERS <br />VENTIIATION FAN <br />RANGF.MOOD <br />AIR HANDIING UNIT - C.F.M. <br />], STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEflT <br />20� <br />VACANT SITE <br />YES . NO <br />NO.OF DWELIING <br />1 <br />MAX. OCC. LOAD <br />5 <br />FIRE SPRINNLERS <br />REOUIRED <br />YES NO <br />BY DATE <br />PLANS CHECKED BY IAPPR.FORISSUANCE BV <br />fiWM <br />� <br />85/14345 <br />FEES <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTMER <br />PENALTY <br />SUB TOTAL <br />TOTAL FEE <br />f <br />S <br />S <br />FEE <br />FEE 1ZS. QS 'Jz��CEIPT N0. <br />VALUATION FEE <br />TOTAL � � 320 I50 <br />PERMIT VALIDATION <br />WHEN PROPEflLY VAl10ATED (IN. TMIS SPACE) THIS IS YOUii PERMIT _� � <br />ADDRESS FILE <br />0 <br />