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rheEveCrR on ,� ,,�ONSTRUCTIOP', � <br /> everett � PERMlT PERMIT N0. 12�56 <br /> CITV MALI 25987<5 <br /> EVERETT.WA 9830' � COMBINATION 0 BUILDING �rj MECHANICAL � PLUMBING <br /> OWNER � MRIL ApORE55 CITV ZIP PHONE <br /> N.W. Building consultants P.O. Box 8�9 Lake Stevens 98258 334-8785 <br /> {RCMITECTORDESiGNER MpILADORE55 GTY ZIP PMONE <br /> GENER�LGONTR�GTOR MMLADDRESS CIiY ZIP PMONE LILENSE� <br /> Same <br /> NO Rm a 7B Nn <br /> MECH�NIC�L GONTRACTOR MRIL AODRE55 GTY 21P pMpNE 4CENSE• <br /> PLUMBINGWNTH�CTOR MRIL�DORESS QTY 21P PMONE LICENSEI <br /> GU55 OF WORN <br /> H}CNEW ❑ ADOITION ❑ ALTERATION ❑R�PAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> WLUATION OF WORK <br /> s 161,000.00 <br /> DESr,q�gE WORN <br /> Conetruct Single Family Residence <br /> VROPOSE�USE OF BUILDING <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 /> LEGAL�ESCRIPTION OF PROVERTY ISHOW BELOW OR ATfACN FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT Z�BLOCK_OF Edqewater GOVERNING THIS TYPE OF 6YORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> V 34 39 4 LOCq�RE LATING CONSTRUCTION OR THE <br /> PERF MAN 0 CONSTRUCTION. <br /> J08 AODRE55 SiGNRTUR CONT R R OR AUTNORIZED AGENT DATE <br /> 3829 Shore Avenue x - 3/8/84 <br /> PLUMBINO MEGHANICAL <br /> NO. TYPE OF FIXTURE OR�TEM FEE NO. TYPE OF EOUIpMENT FEE <br /> WATEFCLOSET�TOILET) E OO AIR COND.UNITS — H.P. EA. <br /> 3 BATHTUB ( OO REFRIGERATIp��UNITS — H.P.EA. <br /> LAVATORV�VYASH BASIN) BOILERS—H.P.EA. <br /> 1 SHOWER GAS FIRED A.C.UNITS—70MNnGE EA. <br /> j KITCHEN SINKd DISP. 1 FORCED AIR SYSTEMS— B.T.U. M EA. <br /> 1 DISHWASNER WALL HEATEFS— B.T.U. M <br /> 1 LAUNDRY TRAY UNIT MEATERS— B.T.U. M <br /> j CLOTHES WASMER EVAPORFTIVE COOLERS <br /> Z W�TER HEATER 1 CLOTHES DRYeRS <br /> URINRL Q VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE MOOD <br /> FLOOq DHAIN AIR HAN�LING UIJIT— C.F.M. <br /> VACUUM BPEAKERS STOVE—WOOD <br /> S ROOF DRAINS— RAINLEAOERS 10 METAI FIREPLACE&CHIMNEY <br /> 1 SINK(SERVICE— BAR, ETC.) 2 Q FIREPLACE INSERT <br /> 1 Bidet Z HEATPUMP <br /> SUB TOTAL 5 SO OO SUB TOTAL f 2] OO <br /> PERMIT f PERMIT f <br /> TOTAL FEE S Sp Q TOTAL FEE S 27 OO <br /> SIDE VhRD SETBACK STREET SETBA:K REAR 1'ARD SETBACK PLAN CHECK NUTABER PLAN CHECK FEE <br /> �5 ZS Z�- . 84/12956 FEE 362.70 67114Pr No. <br /> USE ZONE LOT AREA VACANT SITE <br /> R—S .$}�S . .NO FEES VpLUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N R-3 1 BUILDING $161,000. 585 50 <br /> H 40l3 Sq.�Ft. No.oF STOaiEs MA%.OCQ LOAD — <br /> 2 13 PLUM9ING $O OO <br /> C' Z ' BASEMENT FIRE SPRINNLERS <br /> flEOUiq�p MECHANICAL Z�I OO <br /> YeS �,-.yES XXNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAI CHECK LIST PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.3031a1 <br /> 3.FIREHYDRANT ^� TOTAL 662 50 <br /> d.FIRE PROTECTION SVSTEM PERMIT VALIDATION <br /> S.GRADING 1 � ,^ ^ WHEN;PAO�RGY�VAi-fDRTE�y N TH�SrSP �E�THI ,I V{qj�Cp� P[ERMIT ({� <br /> B.DRAINAGE ��" �" �' � �1 l• J O :.�� <br /> =�0.ENVIRONMENTAL IMPACT STATEMENT � <br /> �';�8.MEALTM OISTRICT � -' `�: I r�� �v <br /> "APPLICATION ACC.BY �PLANS CHECKED BV APPR.FOR ISSUANCE BY . � - � . . .!,.:��I i�I �� <br /> �._ <br /> �- STG ; -, yWM LC � � �� . � �. U <br /> i <br /> �, .. � i <br /> i. � <br /> �-=� ADDRESS FILE <br />