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, - �he !: ce.qreen <br />�,,�: <br />everett <br />CITY HALL 259�97d5 <br />� ^ONSTRUCTIOI� <br />PERMIT <br />PERMIT NO. 1454� <br />G E�EfiEn'..W^98za� ;� COMBINATION �J BUILDING y� MECHANICAL � PLUMBING <br />OWNER MAIL A�DRE55 diV ZIP PHONE <br />Ellen Rounds 6108 Sycamore Everett 98203 <br />ARCMrtEGT OR OESIGNER MRI� RDDPE55 GTT ZiP PHONE <br />GENERnLGONTRACTOR MAILADDRE55 GITY 21P PNONE LICENSE� <br />Residen�tial Energy Homes 80 Columbia Marysville 98270 259-1616 <br />MECHRNIGRL CONTRAGTON MRIL Ap�PE55 G�tt 21P PHONE LICENSE � <br />PLUMBING GONTRRGTOR MqIL ADORE55 CrtY ZIP PMONE UGENSE � <br />GUSS OF WORN <br />❑ NEW ❑ AOOITION �(ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERT <br />s 9,000.00 <br />DESCRIBE WORN <br />Convert garage into family room and bathroom <br />PROPOSED USE OF BUILDING <br />Sinqle Family Residence 1 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION A;1D KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRiPT10N OF PROPERTV �SHOW BEL0IYOR RTfACH fOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORD�NANCES <br />�or l� BIOCK_OF Highlacd Estates GOVERNING THIS TYPF OF WORK WILL BE COMPLIFD WITH <br />6108 Sycamore <br />PLUMBIN6 <br />N0. TYPE OF FIXTI <br />1 WATERLLOSET�TOILET <br />BATHTUB <br />1 LAVATORY(WASM BASIN <br />1 SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHEP <br />LAUNDRYTRAV <br />1 CLOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />fIOOR DRAIIJ <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEAOEHS <br />SINK (SERVICE - BAR, ETC.� <br />SUB TOTAL <br />PERMIT <br />TOT�L FEE <br />�� <br />V—N <br />384 Sq. Ft. <br />R-3 <br />1 <br />APPPOVALS <br />1. ENVIRONMENTAL CNECK LIST <br />2.8UILOING PLANS <br />]. FIRE HYORANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRAOING <br />fi. DRAINAGE � <br />STATEMENT <br />STG <br />f <br />f <br />S $ <br />REAH YAflO SETBA� <br />20' <br />VACANT SITE <br />YES j��NO <br />NO. OF �WELLING <br />1 <br />MA%. OCG LOAD <br />N/A <br />FIRE SPRINKLEFS <br />REOUIRED <br />YES NO <br />8� <br />D BV APPR. FOF ISSI <br />tiwnt r,c <br />WHETHER SFECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM�T DOFS NOT PRESUME TO GIVE AIiTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF I:nNSTRUCTION. <br />S�GNATUREOFG�q+iRACiCdOFRUTMOR2EDAGENT OATE <br />X .6(n,.f,1i /,�%�Y�s ,�-/.?^�.�� <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - HP. EA. <br />BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCE� AIR StSTEMS - B.T.U. M EA. <br />\NALL NEATERS - B.T.U. M <br />UNIT HEATERS - 9.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES CRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR F7ANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN LHECK NUMBER <br />85/14543 <br />FEES <br />oui�oivc <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENALTY <br />TOTAL <br />SUB TOT�L f <br />VERMIT f <br />TOTRL FEE f <br />PLFN CI <br />FEE 48.4.i I <br />VALUATION <br />5 9,000. <br />RECEIPT NO. <br />5g57 <br />FEE <br />�— <br />74 50 <br />8 00 <br />3 00 <br />85 50 <br />PERMIT VALIOATION <br />WNEN PROPERLY VAIIDATED QN THIS SPACE� TMIS IS YOUR PERMIi (Y� <br />: i ' �� -.._ � <br />l �? <br />�' <br />� � <br />n���r.;���� �,�� <br />� <br />� <br />H H <br />H �+7 <br />� � <br />� <br />O � <br />� <br />H <br />�yz <br />T <br />� � <br />'+1 � <br />� N <br />N <br />� �n��.17 <br />. A <br />� <br />5 <br />H <br />N <br />�i <br />�*1 <br />