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dir Ccrrgrern <br /> everett � C�NSTRUCTI�JN - � <br /> CITYHALL259�87a5 PERMIT PERMIT NO. 145a5 <br /> EVEflETT,WA 98201 [� COMBINATION L� BUILDING � MECHANICAL � PLUMBING <br /> OWNER MAIL?DDRE55 GITY 21P PHONE <br /> Richard L. Fowler 3513 95th Drive S.E. Everett 98205 334-1883 <br /> RRCMIiEGT OR OESIGNEP MAIL PDORE55 GTV ZIP PMONE <br /> GENERAL CONTR�OiOR Mql�AODRE55 CITY Zip PNONE UCENSE� <br /> $d1110 <br /> MECHRNICnL CONTNRGiOR MAIL q[fORE55 CITV 21P PHONE LICENSE� <br /> PIUMBING GONTRPCTOR M�IL AODRESS CITY Z�p PMONE L�CENSE� <br /> CLA55 OF WOqR <br /> ❑NEW X$ADDITION ❑ A�TERATION ❑REPAIR O DEMOLIiION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALURTION O:WORK <br /> S t}�i���.0� <br /> DESGPIBE WORR � <br /> Addition to existing Residence <br /> PROPOSED USi OF BUIL�ING ~ <br /> Single Family Reaidence I HEREBY CERTIFY THA'f I HAVE READ AND EXAMINED THIS ,�', <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL pESGRIPTION OF PROPERTY�SMOW BELOW OF RTTAGM FOUN GC^IES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 39 e�ocK D oF Edqewater 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 H M <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR ''3 "'� <br /> IOCAL LAW RCGULATING CONSTRUCTION OR THE N y <br /> PERFORMhNCE OF CONSTRUCTION. � �� <br /> JOB FDORESS SiGNRTURE OF CONiRAGTOR ON PIITHOqIZEO AGENT OATE <br /> 4906 Sound Avenue j( — � <br /> PLUMBINO MECHANICAL � <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE � � <br /> WATERGlOSET�TOIiET) AIR COND.UNITS- M.P. EA. H <br /> 1 BATHTUB Z 00 REFRIGERFTION UNITS- N.P.EA. � Z <br /> 1 LAVATORY(WASM BASIN� 2 00 901LER5- H.P.EA. "�' <br /> SHON'ER GAS FIflED A.C. UNITS-TONNAGE EA. y ~ <br /> KITCMEN SINKB DISP. FORC�ED AIP SYSTEMS- B.T.U. M EA. �Z y'�'�'�'''+++ <br /> 1 DISHWASMER WAL_HEPtERS- B.T.U. M � � <br /> LAUNDRY TRAY UNIT MEATERS- B.T.U. M � <br /> CIOTHES WASMER EVAI'ORATIVE COOLERS H <br /> ] WAT[R HEATER CL0IHES ORYERS N <br /> URINAL VENIILATION FpN � �j <br /> DRINKING FOUNTAIN RANG�HOOD V� <br /> FLOOfl ORAIN AIR HANDLING UNIT- C.F.M. . � <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE 8 CMIMNEY <br /> SINK�SERVIGE- BAR.ETC.) FIREPLACE INSERT _^ � <br /> MEAT PUMP <br /> . � <br /> H <br /> N <br /> sue toT�� s 14 00 sue rora� s �5 <br /> PERMI7 f PERMIT f �.`�j. <br /> TOTAL FEE f 14 OO TOTAL FEE f 19 SO (] <br /> SIDE VARD SETBACK STREET SETBACK qEAR YARD SETBACK PLAN CHECK NUMOER PLAN CHECK FEE ��� <br /> HS�14S$S FEE 154.70 RECEIPT NO. <br /> USE ZONE LOi AREA VACANT SITE g�g� <br /> R-S <br /> ..VES ��{O FEES VALUATION �5 FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> �-N R-3 1 -- — <br /> SIZE OF BLOG. NO.OF STORIES MAX.00C.LOAD BUILOING 540,000. 238 �0 <br /> 1032 Sq. Ft. Add' 2 5 PLUMBING 14 00 <br /> FIPE ZONE BASEMENT PIRE SPRINKlERS MELHANICAL <br /> REOUIREO ZJ �$Q <br /> YES NO — <br /> APPHOVALS BY DRiE OTHER <br /> 1.ENVIRONMENTA!.CNECK LIST pENALTV U.8 C. <br /> 2.BUILDING PLANS SEC.J0�(a) <br /> 3.FIREHYDRANT TOTAL Z�1 SO <br /> 4.FIRE PflOTECiION SYSTEM pERMIT VqLI�qTION <br /> 5.GRAOING WHEN PROPERLV VALIDATED pN TMIS SPACEI TMIS IS�VqI�R PFRMIT LIl <br /> 6.DRAINAGE I ' - - l . -- � <br /> 7.ENVIfiONMENTAL IMPACT STATEMENT � <br /> .8.HEALTH DISTRICT � <br /> .APPLICATION ACC.BV PlANS CMECKEO BY APPp.PpR ISSUANCE BY • � � ' '� � � <br /> EB JEF LC � . �. �.i <br /> ADDR[SS FlLE ' ' <br />