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ll,�.(_,.�.rArCt•r, �O N ST�R U CT I O f'� � <br /> <�,;�,: �� <br /> everett PERMIT PERMIT �O. 1574� <br /> CITV HALL 259�8745 <br /> EVERETT.S"JA98201 OO COMBINATION � BUILDING L� M[CHANICAL � PLUMBING <br /> 01YNEP MAIL AO�FtSS CIiY IIP PNONE <br /> Cornelia Shuller:berg 2310 Wetmore Everett 98201 252-7540 <br /> AFCMIiEGiOH0E514NEF � !1AILApDRE55 CiiY ZIP PHONE <br /> GENEHPLCONIRAGiOR MAiLFODRE55 CITY ZiP PMONE IICENSE� <br /> T. fVoolsey Construction 19828 BOtli Avenue S.E. Snohomish 98290 481-7314 <br /> MECMANICAI GONTRAGTOR Mldl qpORE55 CITY ZIP PHONE UCENSE� <br /> WOOLSC19305 <br /> PLUNBING CONiPACTON MFIL pC�RE55 CITV ZIP PNONE UCENSE� I <br /> LLASS OF WORR <br /> ❑NEW ❑ ADDITION ❑ ALTERATION j�REPAIR � OEMOLITION O FENCE C] SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> S 15�4��.�� <br /> DESLRIBE lYORN <br /> Chip Rehab <br /> PROPOSED USE OF BUI�OING - <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCPIPiIONOFPROPC9iY�5HOlVpELOWORATiACNFOUPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 28-29 490 Everett GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF <br /> WHETHER SPECIFIED FfEREIN OR NOT.THE GRANTING OF A <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF GONSTRUCTION. <br /> JOB Ap0�E55 SIGN F CONiRqCiOR AUiMOP12ED AGENT <br /> 2310 Wetmore X _�J�� 1�`j�/85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM fEE N0. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET�TOILET) Z OO .4�R COND.UIJ11S— HP. EA. <br /> 1 UATHTUB Z OO REFRIGERATION UNITS— M.P.EA. <br /> 1 LAVATORY�WASH BASIN) 2 OO BOILERS— N.P.EA. <br /> SHOWER GAS FI4CD 4.C.UNITS— TONNAGE EA. <br /> j KITCHEN SINK 8 DISP. Z �0 FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER VJALL HEATEHS— U.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.i.U. M <br /> 1 CLOTHES WASHER Z p� EVAPORATIVE COOLERS <br /> 1 WATER NEATE� Z �� CLOTHES DRVERS <br /> URINpL VENTILATION FAN <br /> DRINKING FOUN'AIN RANGE HOO� <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKER:i STOVE—WOOD <br /> ROOF DRAINS— RAI'iLEA0ER5 METAL FIHEPLACE 8 CHIMNEY <br /> SINK�SERVICE — BFR,ETQ� FIFEPLACE iNSERT <br /> HEAT PUMP <br /> _ sueTorn� 5 12 00 SUBTOTAL s 9 0 <br /> PERMIT S PERMIT S <br /> TOTAL fEE S ZZ OO TOTAL FEE = J OO <br /> S�DE YARD SETBACK STREET SETBACK FEAR YARD SET6ACK PLAN CMECK Nl1Mf3ER PLAN CHECK FEE <br /> FEE RECEIPT I10. <br /> USF ZONE LOT AREA VACANT SITE <br /> VES . .NO FEES VALUATION FEE <br /> TYPE OP GONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUIL�RJG S 116 SQ <br /> SRE OF BLDG. NO.OF STUPIES MA%.OCG LOAD <br /> PLUMOING LZ OO <br /> FIRE ZONE BA3FM[NT qE0U5RED KLERS ME. ANICAL i <br /> . VES NO — 9 �� <br /> APPROVALS 6Y DATE O7MER <br /> 1. ENVIHONMENTAI CHECK LIST U B.C. <br /> PENALTY SEC.303�B) <br /> 2.BUILDiNG PLANS — <br /> 3.FIREHYDRANT TOTAL 13� SO <br /> d.FIREPROTECTIONSVSTEM— � lA'EHENIPROI'�L1 ALIDATED�INTHI��SP/�iE�TMI�S�YQU� P€{�AIT ,..�. <br /> 5.GRPDING ` <br /> 6. RAINAGE � �� � � 7 � <br />, l.ENVIHONMENTALIMPACTSTATEMENT � i ! �i <br /> B.NEALTHDISTRICT �J � � � <br /> APPLICATION ACC.BY 'PLANS CHECKED BY APPR.FOR ISSUANCE BY .. � �- �� `!I^ �J t� I��_'�. i ,; I ` ' <br /> C . � <br /> " . _� ' �d': 1�� :J <br /> - - ; ��,;��; :'� <br /> I� - ;� ,�C � � <br /> ADDRE55 FILE <br />