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`''r '". � � CONSTRUCTI�I � <br /> X�IY'!1 ' <br /> �i � ' <br /> � � � �Ef1MIT PERMIT NO. �- � � �'O <br /> e���ret�- �, <br /> CITY HALL 259�8�C5 <br /> t7 �E�T{}'��`��Z� � ❑ f381G�INATION � BUILDING ri MECHANICAL ❑ PLUMBING <br /> OWNEH �AAIL ADDRE55 GIiV 21P PMONE <br /> Janice Parker 3620 Upland Avenue Everett 98203 397-0196 <br /> qRCM1iEGT OR OE9GNER �dnR F�ORE55 GIiV ZIP PMO4E <br /> GENERnI COt1iRnCiOR MAR AODi[55 ��11' Z�P PHONE UCENSE� <br /> Same <br /> MECHRNiCPL GONTRACTOR MAIL/`DRE55 CITY ZIP PIIONE UCENSE• <br /> PlUM91NG GONtPACiOR MAii.qD�RE55 GITY ZiP PMONE LILENSE� <br /> C1A55 OF WORK <br /> ❑ NEW C�,�¢DDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF\YORK <br /> SZOrO��.�� <br /> DESCRIDE 1YORK <br /> Add garage, basement staircase, patio cleck, <br /> PROPOSED USE OF BUILDING <br /> I HERtBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> Sinqle Family Residence APPLICATION AND KNOW THE SAME TO 8E TRUc AND <br /> LEGFLOESCRiPiiONOPGROPERTYI5H01YBELOWORATiFCMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEAEIN OR NOT.THE GPANTI�JG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OH CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OFCONSTRUCTION. <br /> JOp AO�RESS SiGNAiI1RE OF CONiRACTOP OR AUiMORIZEO AGENT OATE <br /> 3620 Upland Avenue x <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE _ <br /> WALERCLOSETQOILET, AIR COND. UNIiS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS - H.P. LA. <br /> LAVATORY�WASH BASIN) BOILERS - H.P. EA. __ <br /> SH0INER GAS FIREO A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOflCED AIR SYSTEMS- B.T.U. Id EA. <br /> DISNWASIIER WALL HEAiEHS- B.T.U. M <br /> LAUNDPY TRAY UNIT MEATERS- B7.0 M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER 1 CLOTHES DRYERS <br /> 11RINAL Z VENTILAT10�1 FAN <br /> ORINKING FOUNTAIN 1 RANGE H000 <br /> FLOOR ORAIN Alfl HANDLING UNIi- C.F.M. <br /> VACUUM BREAKEPS STOVE -WOOD <br /> FOOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE - BAR,ETQ) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL � SUB707AL 5 15 <br /> PERMIT 5 PEflMIT S <br /> TOTAL FEE S TOTAL FEE f .�.5 OO <br /> SIDE YAHD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECN FEE <br /> p��x �t�� n7/A N/A 85/15380 FeE91.33 RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE FEES VFLUATION FE 3z <br /> R-S .YES XMO <br /> TVPE OF CONST. OCWPANCV GROUP NO.OF OWELLING UNITS <br /> V_N g_g 1 <br /> BUILDING 5 20,000. 19O SO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC, LOAD <br /> PLUMBING SO OO <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS �,�ECMANICAL ],S OO <br /> REOUIRED <br /> YES NO <br /> APPROVALS 9Y DATE OTMER <br /> 1. [NVIPONMENTAL CHECK LIST PENAL?Y U.BC. <br /> SEC.�W(W <br /> 2.BUILOING PLANS N TOTAL ZGS SO <br /> 3.FIREHY�RANT p <br /> 4.FIRE PP0T8CTION SY51'fM PEHMIi VALIOATION o <br /> 5.GRADING � WHEN PROPERLY VALIDATED�1N TMI��AOCC)THIS IS I G OP S OT— `^� <br /> 6.DRAINAGE � E,.q � � � <br /> 7.ENVIRONMENYALIMPAGFSTATEMENT � � <br /> �c _ n <br /> L':8.HEAITN DISTPICT , ,� -'•- .` �:I I I � � <br /> APPLICATIOIJ ACC.BV • PLANS CHECKED UY APPR.FOR ISSUANCE BV � � '` �"-�" <br /> � _ � � U <br /> � -,i JEF . � . ., �i ', <br /> �- -�i <br /> CJ I '�J �r.�' �� <br /> ADDkESS `9Lf <br />