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`�,, ""�,�"`„ , �C 0 N ST R U CT I O� � <br /> e�erett PERMIT PERMIT N0. l�l `� } L <br /> CITY HALL 259 3745 <br /> eveRtrr,wn�azo� [� COMBINATION Q BUILDING GU MECHANICAL nX PLUMBING <br /> O�VNERQ, J, G � �. �JC MAIL AUOAE55 Cii1 Z�P PMONE <br /> .Idm.—B_-3ai3es 724 Tulalip Road N.E. Marysville 96270 653-1324 <br /> ARCIIITECi OR DFSIGlIER MAIL nDDRE55 p1Y ZIP b�C�NONE_y ,� Zry_ <br /> u i r- .��o <br /> GENEHAL CONiHAGIOR MAIL RDORE55 ��TY ZIP PHONE UCEIL�E� <br /> MEGMAI:IGAL WNLF+GTOR MAiL ppDRESS Cli'r ZIP PMONE UCENSE�. <br /> PWI�BiNGCONTRACTOf� MAiLADORE05 CiTv ZIP PHONE UCENSE� <br /> CLR55 OF INOPH <br /> FSDWEW ❑ AL'DITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSENT <br /> VRLUATION OF�YO <br /> 3 ?O�OOO.00 <br /> oEscNio���•oHn <br /> Construct Single Family Residence <br /> PI+OPOSED USE OF BUIl01NG <br /> Single Family Re�idence I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �Eea�ocscaiarionoFaaoaeRrrisNowee�owoRnrrncNFouacoaiEs� CORRECT. ALL PROVISIONS OF LAWS FND ORDINANCES <br /> l 9 Severly Hills Div. 1 GOVERNING THIS TYPE OF WORK WILL BE CONIPLIED\NIl'H <br /> wr_e�ocK_oF — WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> � 7 Zg q LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFURMANCE OF CONSTRUCTION. <br /> JOB RDDRE55 SIGNNUii�.OF�ONTFAGIOR OR All IZED AGLVT DAIE <br /> 1410 Ttereve Drive X /� � y� i 'd�.� <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF c^vUIPMENT FEE <br /> Z WATERCLOSET�TOILEn Q OO AIR COND.UNITS - H.P. A. <br /> ], BATHTUB Z OO REFRIGERATION UNIiS- H.P.EA. <br /> z LAVAtORY(WASH BASIN� � OO BOILERS- H.P.EA. <br /> 1 SHOWER 2 OO GAS FIRED A.C.UNITS- TONNAGE EA. <br /> ], KITCHEN SINK 8 DISP. Z OO FORCED AIN SYSTEMS- B.T.U. M EA. <br /> 1 DISMWASHER Z OO WA�L HEATERS- B.T.U. M <br /> LAUNORYTflAY UNR HEAiERS- B.T.U. M <br /> ]. GLOTHES WASMER Q I�� EVAPORATIVE COOLERS <br /> 1 WATER HEATER Z OO CLOTMESORYERS <br /> URINAL 1 VENTILATION FAN ' OO <br /> DRINKING FOUNTAIN j R4NGE HO00 A SO <br /> 1 FLOOR DRAIN 2 AIR HANDLING UNIT- C.F.M. <br /> VACUUM BP.EAKERS STOVE -WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK�SERVICE- BAR,ETC.) FIPEPLACE INSERi <br /> HEAT PUMP <br /> SUB TOTAL S �� SUO TOTAL S 15 0 _ <br /> PEPMIT 5 PERMIT S <br /> TOTAL FEE 5 Zz OO TOTAL FEE 5 1S O <br /> SIDE VARD SETBACK STREET SETBACK PEAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> 6, � ��� 85/14441 FEF154.70 ?5EZ3No.— <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 x�'Es . wo — <br /> TYPE OF CONST. OCCUPANCV GROUP N0.OF DWELLING UNITS <br /> V-N R-3� M 1 BUILDING S �0�000. 393 00 <br /> 5IZED F 0G NO.OF STORIES MAX.OCQ LOAD <br /> R-3--15� Sq. Ft. PLUMB�NG 72 00 <br /> M 420 S . I't. 1 5 <br /> RPEZONE BASEMENT FIRESPFINK.ERS MECHANICAL LS OO <br /> Yl'S AEOUIR <br /> VES O <br /> APPROVAL5 BY DATE ViHER <br /> 1. ENVIRONMENiAL CNEGK LIST PENALTY U B C. <br /> SEC.3031�1 <br /> 2.BUILDING PLANS _ TOTA� 380 00 <br /> 9.FIRL HY7P.ANT _,_ — <br /> d.PIRL PROTECTION SVSTEM PERMIT VALIDATION <br /> -- — 1NHEN PROPERLV VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT � <br /> 5.GRA�ING � ._ .� <br /> fi.ORAINAGE � <br /> Z ENVIRON/dFN iAL IMPACT STATEMENI � <br /> 8.MEALIH�ISTRICT . r'I <br /> APPLICATION ACC. BY PLANS CHECKEO BY APPR.FORISSUANCE BV . i <br /> ES HWM L(: <br /> ADUh_SS f IL( <br />