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lln•Ll'rr¢rern ,.� �0 N ST R U CT I O� • <br /> U',(Y <br /> everett PERMIT PERMIT NO. 1�'� 05 <br /> CITY MALL P59-B7d5 <br /> EVERETT.IVA 98201 � COMBINATION XI�X BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWIIER IdAll ADORE55 CITY ZIP PMONE <br /> H. M. Gilmore 4908 Doqwocd Dr. Everett 98203 252-8243 <br /> ARGMIiECT OR OESIGNER N.AIL AGDRE55 CITY ZIP PNONE <br /> Terry Rakestraw 528 Med/Dent Bl.dn. Everett 98203 252-6932 <br /> GEHF.flAL LONiRnGiOR MAIL AODRE55 GTY 21P PHONE LICENSE� <br /> Elwood Barker <br /> ME�NPNICALCONTRACTOR MAILAODRESS CITY ZIP PMONE LICENSE• <br /> PLUMBING CONTRAGTOR MAIL ADOPE55 CITY ZiP PyONE LIGENSE� <br /> CL455 OG 1YORN <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITIOM ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEIiT <br /> VP WATION OF 1YORN <br /> 3 rJr�O�.�� <br /> DESCRIBE 1NORN <br /> Add 11>>'x 15§' bedroom to house <br /> PROPOS[0 USE OF�UILDING <br /> Bedroom I HEREBY CERTIFY THAT� HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL�ESCPIPTIONOFPPOPERIY�SMOWBELOINCRATTACMFOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND OROINANCES <br /> i�,12�13o�ocK 294 oF Hilton's First Flddition GOVERNING TH�S 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 /> � OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB F�DRE$$ ATU�PE F�CpNTRA^ Op OR AUTMORIZED AGENi DRtE <br /> 1425 Rucker X `�i�s�--�_,_ �$�� �� <br /> PLUMBING CHAYIChL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV�WASMBACIN� BOILERS— H.P. EA. <br /> SHOWER GAS fb :D A.C. UNITS —iONNAGE EA. <br /> KITCHEN S�NK 8 DISP. FOPCE�Alfl SYSTEMS— �.T.U. M EA <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNURY TRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORAIIVE COOLEflS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR ORAIN AIR HANDUNG UNIT— C F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINN�Sc?VICE— BAR, ETC.) FIREPLACE INSGRT <br /> HEAT PUMP <br /> 5!18 TOTAL S SUB TOTAL S <br /> VE1IMIT 5 PERMIT S <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YAR�SETBACK STREET SETBACK qEAR YAfiD SE7BACK PLAN CHECK NGMBER PLAk CHECK FEE <br /> S� ZO� ZO� FEE �iECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE 86/16905 $32.83 � <br /> YBS NL` FEES VALUIITION fEE <br /> x-z 6zoo s.F. x — <br /> TVPC OF CONST. OCCUPANCY GROUP NO.CF DWELIMG UNITS <br /> V—N R-3 1 <br /> BUILOING 3 <br /> SIZE OF BL�G. NO.OF STORIES MA%.OCC. LOAO S�-Q-�Q-• <br /> L�S S.F. 1 ___ PLUMBING <br /> FIHE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> VES $NO - — <br /> APPROVALS BY OATE OTHER <br /> 1.ENVIRONMENTAL CH[CK LIST PENALTV U.B.C. <br /> SEC.303�a) <br /> 2.BUILDING PLANS -- <br /> 3.FIREMYDRANT TOTAL SO SO <br /> d.FIRE PFOTECTION SYSTEM PEHMI�VALIDATION <br /> WMEN PNOPERLY VALIDATE�pN TMIS SPACE�THISdS-YOJ P R�AIT ' <br /> 5.GRADING _ � J !, 7 , , � U _ ._ -] <br /> fi.DRAINAGE k <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> i <br /> B.HEALTM DISTRICT � , <br /> APPLICATION ACC.BY PLANS CHECKED BY �PPR. �JR ISSUANJE BY ' ' ( <br /> M.M. J.E.P. L.C. <br /> ADDF:ES:, I�Ii.E . ' . ., <br />