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!he Eve�grepn <br />Ci i Y 0� <br />everett <br />CITY HALL YSW7745 <br />r� �ONSTRUGTf01� � <br />PERMIT PERMIT NO. 15140 <br />EVERETT. WA96201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />C'4NFR MRIL RODRE55 CITY ZIP PHONE <br />Margazet Mattson 5116 4th Avenue South Everett 98203 252-9073 <br />•RC9ITEGT OR OESIGNER MRIL AOORE55 CIiY 21P PMONE <br />GENERAI GONiRACTOR MRIL AODRE55 GTY ZIP PMONE LIGENSE • <br />Star Home Improvement Co. 5314 2nd Avenue Everett 98203 353-9278 <br />MECHANICRLCOMRRCTOP MAILPDDRE55 dTV 21P PHONE LICENSEY <br />STAR177RB <br />FLUI.IBINGCONIRRCTOR MMLAOORE55 CIiY ZIP PMONE LIGENSE� <br />❑ NEW }�j ADDIiION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ YJOOD STOVFJFIREPLACE INSERT <br />VALWITION UF WOFN <br />S 11��0�.�� <br />12'x29 Addition to existing residence <br />Single Family Residence <br />�or_eiocn 17 oF Lowell <br />32-29-5 <br />5116 4th Avenue South <br />PLUMBING <br />N0. TYPE OF FIXTI <br />WATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY�WASH BASIN <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />�ISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FL��OR DRAIN <br />ROOF DRAINS - RAINLEAOERS <br />SINK (SERVICE - BAR, ETC; <br />SUB TOTAL i <br />PERMIT f <br />TOTAI FEE S <br />i0 SETBACK STREET SEiBACK RE <br />$' 20' <br />R-2 <br />V-N <br />Add'n 288 Sq. <br />FIRE ZONE <br />VACANT SITE <br />�. VES $�(JC+ <br />Y GROUP NO. 9F JWE:LI4 <br />R-3 :. <br />�RIES MAX. OCC. iOAD <br />1 N/A <br />APPROVALS <br />1. ENVIRONMENTNL CMECK LIST <br />2. BUILOING P�ANS <br />3. FIP� HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7. ENVIRONMENTAI.IMPACT STATEMENT <br />8. NEALTM DISTRICT <br />APPLICATION ACC. BY PLANS CME <br />i.l.l���T <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMHLIED WITH <br />WHE'H�R SPECIFIED HEREIN OR NnT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CAIJCEL THE PROVISIONS UF ANY OTHER STPTE OR <br />LOCAL LAW� LAJIN�G�RUCTION OR THE <br />PEFFORM.�CNCE OF COaSX U ON <br />SIGNATURE OFIg6nr cto oqS4u�Hoe� nc t onre <br />X /\ N.,u 7:.�2�� <br />TYPE OF EOUIPMENT <br />AIR COND, UNITS - HP. EA. <br />REFRIGeRAt�ON UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL MEATERS - B.T.U. M <br />UNIT MEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILAl10N FAN <br />RANGEMOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />PLAN CMECN NUMOER <br />85/15140 <br />FEES <br />BUILDING <br />PLUMBING <br />MECF'.NICAL <br />OTHER <br />PENALT'i <br />SUB TOTAL S <br />PEflMIT S <br />TOTAL FEE S <br />PLAN CH <br />FEE5�.23 <br />VALUATION <br />$ Lli���. <br />J.B.C. <br />SEC. J031a1 <br />FEE <br />9ECEIFT NO. <br />FEE <br />� <br />tota� I I 6G <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATEO pN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />