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lhrl_l-rrcrr��n �V �V�■ lu����• . <br /> �-.�iY I�: I �� I <br /> � ��1 ��'" P'ERMIT PERMITNO. ! �3 �% � �, <br /> CITV HALL 25987d5 <br /> EVERETT,WA 98207 � COMBINATION C� BUILDING ❑ MECHl�NICAL ❑ PLUMBING <br /> C:JNEN MAIt AO�RESS CITY ZIP PMONE <br /> Jule VanDerMeersche 4330 South 3rd Avenue Everett 98203 a- ,42 <br /> :�;�CHItEQ Oq OESIGNER MAIL�1DDRE55 CiTY ZIP PHONE <br /> GEn[F�l CONTRACTOR MAIL APORE55 CITV ZIY PHOVE IICENSE d <br /> Same <br /> f.tLCHANICAL CONTFACTOR MAIL AOOFESS GITY ZIP PHONE LICENSE n <br /> PLUMBiNG CJNTHALTOR MAI�AppRE55 �ITY ZIP PHONE IICENSE I <br /> CLF55 OF\YOHK <br /> ❑ NLW O ADDI710N ❑ AL'ERATION ❑REPAIR ❑ DEMOLI710N O FENCE ❑ SIGN ❑ WOOD STOYGJFIREPLACE INSCRT <br /> vr.wnrioN oF woHn - <br /> S 35,000.00 <br /> OESCRI9E WORK � <br /> Bring single family residence up to code <br /> oi�u�oseo use oF ouii�u�s z <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single :amily Residence -+ <br /> LEGAL�ESCRIV'10'.OFPROPERTY�SHOLY�ELOWORAT7ACHFOURGOPiES� APPLICATION AND KNOW THE SAME TO fiE TRUE AND � <br /> CORRECT. AL� PRO`/ISIONS OF LAWS AND ORDINANCES m <br /> �or17=1�LOCK�aF1iOwell Div A COVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH " <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A � � <br /> House moved from 3214 Norton PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE .-i � <br /> OR CANCEL THE PROVISIONS OF ANY O'HER S�ATE OR �, ,.� <br /> L LAW R GUL ING CONSTRUCTION OR THE y = <br /> PEP.F RM OF TFlUCT N. o m <br /> JOB ADORE55 SIGNAT E N ACTO U M E GENT OATE C O <br /> 4329 South 4th Avenue � '/�� m o <br /> - --i c <br /> PLUMBING M ANICAL � m <br /> -I z <br /> NO. TYPE OF FIXTURE OR ITEM FEE TYPE OF EOUIPMENT FEE m "'i <br /> ], WATERCLOSET�TOILET) 2 OO AIR COND. UNITS- H.P. eA. p 7 <br /> 1 BATHTUB 2 00 fiEFRIGERAT10N UNITS - M.P. EA. _ � _ <br /> ], LAVATORV�WASHBASIN) Z OG BOILERS - H.P. EA. <br /> SHOWER GAS FIflED A.G UNITS - TONNAGE EA. � N <br /> -_ < <br /> KI7CHEN SINK 8 DISP. FORCED AIR SYSTEMS - B.T.U. M EA. T <br /> �ISHWASHER WALL HEATERS- B.T.U. M � D <br /> � <br /> LAUNDRYTRAV UNIT HEATERS - B.T.U. M � m <br /> ___ x <br /> 1 CLOTHES WASHER z pp EVAPORATIVE COOLERS m � <br /> ___ N <br /> _1 WAIER HEATER 2 00 1 CLOTHES DRYERS 4 SO O r' <br /> UFINAL VENTILATION FAN n m <br /> __ C l/� <br /> ORINKING FOUNTAIN RANGE HOOD 3 v' <br /> __ m <br /> _ FLOOR ORAIN AIR HANOLING UNIT- QF.M. � r <br /> VACUUNiBREAKERa S70VE - WOOD � m <br /> D <br /> fi00F�RAINS- RAINLEADERS METAL FIREPLACE 8 CMIMNEV A <br /> SINK(SEFVICE - BAR, ETQ) FIREPLACE INSERT � <br /> S• <br /> HEAT PUMP 9 <br /> _ Z I <br /> _ __ � 1 <br /> .. � <br /> N <br /> SUB TOTAL i 12 OO SUB TOTAL 5 �I SU O I <br /> PERMI7 5 PERMIT S � � <br /> �. <br /> � TOTAL FEE 5 ZZ OO TOT�L FEE f 4 SO ��+j I <br /> SIDE YAFD SETBACK STREET SETBACK REAR VAR�SETBACK PLAN CHECK NUMBBF PLAN CHECK FEE � <br /> � <br /> I.O� (S� & S� (N� ZO� 20� gq/13350 FE[ RECEIPTNO. � <br /> USE ZONE LOT AREA VACANT SITE — ' <br /> R-2 X}{ES ;�NO FEES VALUA710N FEE � <br /> ___— 1 <br /> iVPE OF CONST. OGCUPANCY GROUP NO.OF�WELLING UNITS <br /> RX� V-N R-3 1 pUILGING �5,000. 215 50 '� <br /> SIZE OF BI.DG. NO.OF STORIES MA%.OCC. LOAD � <br /> 35'x37' 1 PLUMBING 12 00 � <br /> FiFE ZONE OHSEh1ENT FIRE SPFINKLERS MECHANICAL <br /> RE�UIRED 4 SO J <br /> YES . O <br /> 1 <br /> APPROVALS BY DATE aTHEq , <br /> 1. ENVIPONMENTAL CHECK LIST PENAI.TY U.B.G. I <br /> 2.9WLOIYG PLANS SEC.309(s� , <br /> 3.PIREHYDRANT `-� TOTAL 132 OO <br /> 4 FIRE PROTECTION SVSTEM� PEpMIT VALIDATION <br /> WHEN PR PFALY LIDATED IIN TH'S'SRAGE)THI$I�Y�IT�i NEfIMIL_ � � <br /> 5.GRADING - . Q ! VP ,.� ; <br /> 6.DRAINAGE " � � ' � I L ` ��] � <br /> 7.ENVIflONM�NTALIMPACTSTATEMENT M � <br /> m i <br /> B.HEALTH DISTRICT . � , . i,�I � <br /> APPLI�ATION ACC. BV � PLANS CMECKED AY APPR. FORISSUANCE BY � � � � <br /> , � <br /> . _ BB � DAD LC � . . � <br /> � <br /> .'�..�t,. . i-L.� � � �. � , 1 <br /> f <br />