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,hP£,�p.R,�� � �ONSTRUCTIO� � <br />UTv OF <br />everett PERMIT PERMIT NO. 16Z2H <br />CITY MALL 25987�5 <br />EVERETT, WA 98201 [� COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBIN(i <br />OWNEH MAR ApDNE55 CITY 21P PNONE <br />Donald Raines 8117 Xavier Way Everett, WA 98203 355-1572 <br />11RGNITECT OR D SIONER MAIL RDORESS CITY ZIP PMONE <br />GENERAL CONTR�GTOR MAIL RDDRE55 LITY ZIP PHONE LICENSE � <br />Everett Builders 5606 Evergreen Way Everett, WA 98203 353-7161 EVEREB*311L3 <br />MECH�NICRLGONTR�LTOfl MAILADORE55 dTY ZIP PHONE LIGENSE• <br />FLUMBIN6 CONTR�GTOR M�IL AODRESS CITY ZIP PMONE LICENSE � <br />❑ NEW � AODITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSEHT <br />VRLUATION OF WORN <br />5 19,335.00 <br />26' x 34'10" Upper Addition, rough in only, no <br />residence <br />LOT ZD BLOCK Z OF <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WAT�R I,LOSET (TOILEIj <br />BATMTUB <br />IAVATORY�WASMBASIN) <br />SHOWER <br />KITCMEN SINK 6 DISP. <br />LAUNDRVTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SEPVICE — BAR, ETC.) <br />TOTAL FEE <br />SIOE YARD SETBACK STREET SETBACK <br />6' 20' <br />USE ZONE LOT AREA <br />R-1 N.A. <br />TYPE OF CONST. OCCUPANGY GROUP <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORIES <br />906 sf addn 2 <br />FIREZONE BASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH OiSTRICT <br />APPLICATION ACC. BY PLANS CMECKED BY <br />SG JEF <br />FEE <br />iring, insulation, sheetrock or trim <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 �_AWS 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION GR THE <br />PCRFORMANCF. OF CONSTRUCTION. <br />SIGNRTURE OF CONTRRCTOR OR AUTNOR12 AGENT DAiE <br />���1 � � G y� <br />MECMANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNIiS — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVt — WOOD <br />ME7AL FIREPLACE 6 CHIMNEY <br />FIREPLACE INSERT <br />MEATPUMP <br />f <br />f <br />REAR YARD SETBACK PLAN CMECK NUN <br />20� 86/16228 <br />VACANT SITE <br />..YES XNO FEES <br />BY <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE S <br />FE RECEIPT NO. <br />1.33 � <br />VALUATION FEE <br />1 aui�oiNc s19,335.00 140 50 <br />CC.LOAD <br />PLUMBING <br />�RINKLERS MECHANICAL <br />IED <br />7W0 <br />DATE OTHER <br />PENALTY U B C. <br />SEG �03 (a) <br />TOTAL 140 SO <br />L.C. <br />PERMIT VRLIDATION <br />WHEN PROPERLV VALIDATE� QN THIS $PAC€) TMIS t6 W P T <br />1':5•i .���I`�. �-_'� <br />BY <br />ADDRE55 FILE <br />: REC�If I�. . <br />I . ti � � <br />�- ' 1 J o <br />