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d�PErCrArrCn � �ONSTRUCTIC)� . <br /> 07rp� � <br /> everett PERMIT PERMIT NO. 12514 <br /> CITY HALL 259�B7a5 <br /> EVERET7,WA98201 ❑ COMBINATION IX�[ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRE55 CITY 21P PHONE <br /> John Mac7Qod 1731 Rucker Avenue Everett 98201 259-1206 <br /> qRGNITECT OR OESIGNER MAIL A0f1RE55 CITY ZIP PHONE <br /> GENERAL GONiRACTOF MAIL AODRESS CITY ZIP PMONE L�CENSE� <br /> Same <br /> MECMRNICnL CONtRAGTOR MAIL RODRESS CITY 21P GHONE LICENSE I <br /> PIUMBING CONTRACTOR MAiL ADORESS CITY ZIP PNONE LiCENSE� <br /> GLR55 UF :;ORR <br /> ❑NEW C�j(�DOITION ❑ ALTERATION ❑PEPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUAiION OF WOPK <br /> s 30,000.00 <br /> OESCRIBE WOHK <br /> Addition to existiny residence and kitchen remodel <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I fiAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG/L�ESCRIPTIONOFPROPEPTY�SMOW6ELOWONATTACHFOl1RCOPIES� CORRECT. ALL PROVISIOIJS OF LAWS AND ORDINANCES <br /> 14-�-16 �,o�K 34�� Everett Div. L GOVEFNING THIS TYPE UF WORK WiLL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NUT.THE GRANTING OF A <br /> PERMIT DOES NOT PRE:�UME TO GIVE AUTHORiTY TO VIOLATE <br /> OR CANCEL THE PRO'JISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PE OR ANCE OF CCNSTRUCTIO <br /> JOB AOORE55 SIG AT R CONTRA R AUTMOP12ED RG T �AT <br /> 1731 Rucker Avenue X � /d 7 y3 <br /> PLUMBING M ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATENCLOSET�TOILEn AIR COND.UNITS — H.P.EA. <br /> 1 BATHTUB 2 OO REFRIGERATION UNITS— N.P.EA. <br /> Z LAVATORY(WASH BASIN) Q OO BOILERS— H.P. EA. <br /> 1 SNON'ER Z OO GAS PIREO A.C.UNITS —iONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> OISNWASHER 1YALL HEATERS— B.T.U. M <br /> LAUNORY TRAV UNIT MEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR OHAIN AIR HANDUNG UNIT— QF.M. <br /> VACUUM 6REAKERS STOVE—WOOD <br /> FOOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) PIREPLACE INSERT <br /> MEAT PUMP <br /> SUBTOTA� + 12 00 SUB 70TAL f <br /> PERMIT f PEPMIT f <br /> TOTALFEE f 12 OO TOTALFEE f <br /> SIDE YARD SETBACK STREET SEIOACK REAR VARD SETBACK PLAN CMECK NUMBER PLAN CMECK FEE <br /> B3�LZSZG FEE ],ZS./IS /'R� <br /> USE ZONE LOT AREA 'lACANT SITE �� <br /> .:VES � .NO FEES VAIUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> aui�oiNc E 30,000. 193 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCG LOA� <br /> PLUMUINf- ZZ OO <br /> FIRE ZONE BASEMENT FIRE SPpINNLERS MECMANICAL <br /> REOUIFEO <br /> YES NO <br /> APPROVALS BY OATE �THER <br /> 1.ENVIRONMENTAI CHECK LIST PENALTY U.B.C. <br /> SEC.303 lal <br /> 2.BUILDING PLANS �y <br /> 3.FIREHYDRANT o TOTAL ?OS OO <br /> 4.FIREPROT[CTIONSYST M PENMITVAL�DATION �p <br /> �5.GRADING. ` WHEN PROPEflLY VALIDATEO pN THI9�5P!¢!�1 THIS�tO�R3P�r{�T--� <br /> / I <br /> `§.DflAINAGE `-- � � <br /> �j.ENVIRON— MEN AL�L�STATEMENT � <br /> < < � � p�� [IP� <br /> .MEALTHOISiRICT , ) JI� �`r`�' <br /> pAPPLICATION ALC. BY �=PLANS CMECKEO BV APPR.FOR ISSUANCE BY ` � �� Y O U <br /> l..i - . l . ,;�1N�. <br /> � <br /> L.C� '_�-� DAB DAB <br /> v <br /> w - jl::T %i� <br /> nooFess rn.F <br />