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�,,��°�,R���n C=�NSTRUCTION <br /> ��r�oF <br /> everett PERMIT pERMIT NO. 09465 <br /> qTV HALI 259�8745 <br /> eveaerr.wn 9ezo+ ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MNLAUDRE55 LIiY 2iP PMONC <br /> Steve poleshell 1901 Rucker Everett 98201 252-0841 <br /> ARLNIiFCLORDE5IGNCR NAILp�CRC55 CIiV IIP �ONE <br /> GENERAICONTRnCLOR MAIIApOFE55 CIiY ZIP PNONE IICCNSEi <br /> Blakely/Camp Homes P.O. Hox 3035 Everett BL AK EC H2O2PC <br /> MECIIANIC0.L CO4iRACiOR MAII AODFE55 CIiY ZIP PMONE LIGENSE I <br /> PLUMBINGCCNiRAG�DR MA�lA0DPE55 CILT ZIP PNONE 110EN5E1 <br /> G1A550F WOPK <br /> ❑NEW �CC�IADDITION ❑ALTERAiION ❑REPAIR ❑DEMO�ITION ❑FENC[ ❑SIGN �GARAGE <br /> VALUPiION Ci WORR <br /> i 615��.�� <br /> OESCPIBE W�aK <br /> Addition to existing residence <br /> vnorosco use or ouaowc <br /> aingle family residence I HEREBY CERTIFY THAT I HAVE READ AND ExAMINED THIS AP� <br /> �ecaioescamruHovraoreetrrsnowne�owoanitncHrouacoriesi PUCATION AND KNOW fHE SAME TO BE TRUE AND CORRECT. <br /> W5 of 1 and 2 377 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior o�an_or TYPE OF WORK WIL�BE COMPLIED WITH WHETHER SPECIFIED <br /> 11EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAP�CEL THE PRO� <br /> VISIONS.OF P.NY OTHER STATE OR LOCAL LAW REGULATING <br /> CO TPUC710N OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRE55 <�GHAtURL FCONLRACiOPORhU � RIZCDRGCNt AATE <br /> 1901 Rucker \ <br /> PLUMBINC M ANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> ]. WATER CLOSET(TOILEn AIP COND.UNITS—HP.EA <br /> BATIITUI3 RE�RIGEHATION UNIiS—M P.EA <br /> Z LAVATORY(WASH pA51N) �OILERS—HP.EA. <br /> 1 SHOWEfi GASFIREDAG UNITS-10NNAGEEA. <br /> NITGMEN SINK&DISP. FORCED AIR SYST[M$—�TL. M EA <br /> DISHWASHER WALI HE�TERS—BTL. M <br /> LAUNDRV TRAY UNIT H�ATE��S—D T U M <br /> CLOTHES WASHER LVAPORATNE GOOlERS <br /> WATER HEATEF GLOTHES DRY[RF <br /> URINAL 1 VENTIATION FAN <br /> DRINKING F(�UNTAIN RANG[NOOD _ <br /> FLOOR DRAIN AIP HANDIING UNIi— C F.M <br /> VACUUM BREAKERS STOVE <br /> ROOP DRAINS--RAINLEADEFS METAL HREPLACE 8 GIIIMNEY <br /> SINK�SERVICE—OAR.[TC) <br /> SUBTOTAL B 00 SUBTOTAL • <br /> PEPMIT f PEPMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBAGK STR[H SET�ACK REAR YAPO SEiBACN PLAN GIECK NUMBEP �'LhN CHECK FEE <br /> 20' 81/9465 ���g6. 73 r+eceiarNo. <br /> 54503 <br /> USE ZONE LOT AR[F �?YESNT�� FEES VALUATION FEE <br /> R-2 <br /> TYPE OL CANST. OGCUPANCY GROUP N0.OF�WELLING UNITS <br /> V-N AddiL'n R-3 I BUILDING 5500. 62 50 <br /> SIZC OF BIDG. NO.OF SiORIES MAX.00C.LOAD <br /> 4ZO Ada�il 1 PLUMBING B OO <br /> FIRE ZONE BASEMCNT REOUIF[D NLERS MECMANICAL J OO <br /> None nves x <br /> APPROVALS BY DATE QTHER <br /> L ENVIRONMANTAL CNECK LIST pENALTV U BC. <br /> SEC.303�a) <br /> 2. BUILDING PIANS � �3 0 <br /> ,TOTAL <br /> 3. FIRE MYDRANT <br /> a FlRE PROTECTIOI.SYSiEM PERMIT VALItl�T10N <br /> WNEN PROP[RLV VALIDFTED(IN TMIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADIIJG . f ' �] � / � � /. ']. C !1 _ � <br /> � 6. DRAINAGE � ' — �J � <br /> � L GNVIRONMENTALIMPAC!6TATEMENT � <br /> i - <br /> � B. HEALTH DISTIiICi ,` . i� � Q <br /> . ..�PLICATION ACC.BY .PLANS LHECKED B1' APPR.FOR ISSUANCE BY �� � , ��� J <br /> :n i <br /> � HWM LC ' <br /> � <br /> 1� , I ! �._ ;, I <br /> ADDRESS�FILE- ` ' <br />