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!hc /_�ccrl'n'c:i � �V��� ���� � � <br /> C:TY G� ' � <br /> �tf������ PER11� � 1 PERMIT NO. 24173 <br /> ar r Hr.i.�25i�E�aS <br /> eveaen.vusezoi [f COMBINATION � BUILDING � MECHANICAL ❑ PLUMBING <br /> OVJNER MAILHDOrE55 LRY ZIP PM04E . <br /> Theron Gilbertson 1512 45th Street Everett 98201 259-3580 <br /> pRf,HITEGi OR DESIGNEP MAIL AODRE55 CiT1' 21P PHONE <br /> GENERALCONTPACTOR MAR AD�NE55 CRY 21P PHONE UGENSEI <br /> Solie Builders 7514 Juniper DRive Everett 353-2331 <br /> MECHANIGALJONiRACTOR MFILADDRESS GIiY ZIP PH04E LICENSE! <br /> PLUMBING CONTRACTOP IdAR AODRE55 GITY Zlr' PHOIIE �IGENSE X <br /> CLASS OF WORK <br /> C NEW �ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAIUATION Of Y�ORK <br /> y 16,OOO.QO <br /> OESCHIBE WOFK <br /> Construct addition to existing residence-bath and garage <br /> PROPOSED USEOF Bl1IL011JG I HEfiEBY CFt�l-IFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family REsidence qppLICATiON AND KNOW THE SAME TO BE TRUE AND <br /> �ec4ioescaiatioNOFnnoaea.v�sNowoe�owoRnrrncHFouncoaiesi CORRFCT. ALL PROVISIONS OF LAWS AND OP.DINANCES <br />� 1-2-3 10 Central Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �nr_owcK_oF !,UHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GiVE AUTHORITY TO VIOLATE <br /> OR CANC�� THE PROVISIONS OF ANY UTHER STATE OR <br /> LOCAL LAW REGULATING CO STRUCTION OR ThIE <br /> PERFO A E CO 'TRUCTI '. ., <br /> JOB AO�RESS SIGNA F. F C NTfiA R OR AU H RE GE �A <br /> 1512 45th Street X � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET�TOILE� 2 OO NIR COND.UNITS— H.P. EA. <br /> 1 BATHTUB 2 OO F7EFRIGERATION UNITS— H.P. EA. <br /> 1 LAVATORYIWASH BASINI 2 OO BOILERS — H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. bS EA. <br /> DISHWASHER WALL HEATERS — B.T.II. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M _ <br />. CLOTHES WASHER EVAPORATIVE COOLERS <br />, VJATER HEATER CLOTNES DRYEPS <br /> URINAL VENTILATIUN F.4N , <br /> �RINKING FOUNTAIN _ RANGE HOOD ._ <br /> FLOOR DflAIN AIR HANDLING UNIT — C.F.M. _ <br /> I VACl1UM BREAKERS STOVE — WOOD _ �� , <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY _ �: ' <br /> SINK!SERVICE— dAR,ETG) FIREPLACE WSEFT __ � I <br /> HEAT PUMP _ <br /> SUB TOTAL S 6 00 SUB TO7AL S a r� <br /> PERMIT f PERMIT s H r� <br /> TOTAL FEE S 6 OO TUTAL FEE f � �� <br /> SIDE YAR�SETBACK STREET SETBACK RLAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE � ,. <br /> EXlstlR 84/14173 FEE75.73 R^aQIPTNo. ra _ <br /> USE ZONE LOT AREA VACANT SITE pEES VALUATI6N �� �tt � '� <br /> R_l YES XxiO --- ' <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS [; � <br /> V-N R-3 1 BUILDING b1E7�OOO. 12B SO <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCQ LOAD � (� OO - <br /> 1 PLUMBING . <br /> 26'x25' Ar'.r.' -- <br /> FIRE ZONE BASEMEY.T FIRE SPRINKLEHS MECHANICAL ' <br /> REOUIRED <br /> �.:YES . �NO � -. <br /> APPflOVALS BY DATE OTHEP _ � <br /> 1. ENVIRONMENTAI CHECK U5T PENP.LTV U.B.0 <br /> SEC.303(a� <br /> 2.�UILDING PLANS TOTAL 134 50 � <br /> 3.FIREHY�RAN7 � � <br /> 4.FIRE PROTECTION SYSTEM� PEFMIT VALIDATION <br /> S.GRADING WHEN PROPERL�VALIDATED�IN THIS SPACE)iHIS,ISIVOUR PERfAT M <br /> - ' _ �. <br /> G.DRAINAGE � <br /> �7.ENVIRONMENThLIMPACTS7ATEMENT � <br /> .B.HEALTHDISTRICT - � <br /> j1PPLICATION ACG. BY ,.ELANS CHECKED BY APPR. FORISSUANCE BY <br /> -� � L.C. - JEF L,C. <br />