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Ihr FYer�reen <br />CITY OF <br />everett <br />CITY HALL 2596745 <br />EVERETT, WA 98201 <br />�ONSTRUCT101 <br />PERMIT <br />❑ COMBINATION jj BUILDING MECHANICAL <br />PERMIT NO. 14497 <br />PLUMBING <br />OWNER MAIL ADDRESS C11Y PHONE <br />Kenneth Bailey 4621 West View Drive Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />Steinke Construction Route I Box 132 Granite Falls 98252 691-7342 <br />MECHAKICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />O NEW ',ADDITION G ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />$ 30,000.00 <br />Addition and cover over existing swim pool <br />PROPOSED USE OF BUILDING <br />single family residence <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 COMPLIED WITH <br />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 />LOCA LAW 1 ATING,CONSTRUCTION OR THE <br />PERF MAN�_'CTION. <br />SIGMA ED AGENT DATE <br />X � 3/l/85 <br />LEGAL DESCRIPTION OF PROPER" (SHOW BELOW OR ATTACH FOUR COPIES) <br />37 View Acres Div. 2 <br />LOT _BLOCK _OF <br />JOB ADDRESS <br />4621 West View Drive <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S. <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />85/14497 <br />PLAN <br />FEG2S.4S <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES -NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$ 30,000. <br />193 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />N/A <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />. YES IINO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.R.C. <br />SEC. 303(A) <br />2. BUILDING PLANS <br />TOTAL <br />193100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACQJHIS IS YOUR AERMIT j <br />, <br />y <br />5. GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />LC <br />T <br />ADDRESS FRE <br />