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0 7— <br />F <br />A <br />L <br />no), ANVI-li <br />,AbW,rTho, CONSTRUCTION <br />eve�ar�.ett,� PERMIT PERMIT NO.10999 <br />E' VVEREiT"WA 8201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Richard Stencil 514 47th Street Everett 98203 252-6737 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE I <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />LICENSE <br />CLASS OF WORN <br />❑NEW 21ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ 20,000.00 <br />DESCRIBE WORK <br />Construct addition to existing residence <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />N <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF .ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X „//GrJI(p d3 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW 01 ATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />Sec. 31 - 29 - 5E <br />JOB ADDRESS <br />514 47th Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />1 <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 13 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />1 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE MOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />6 <br />00 <br />SUB TOTAL S12 <br />on <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />a <br />6 <br />00 <br />TOTAL <br />FEE $ <br />1200 <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />62/3.0999 <br />PLAN CHECK <br />FEE 91.33 <br />FEE <br />RECEIPT NO. <br />59240 <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />EYES X �NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />Add'n R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$ 20,000. <br />140 <br />$ 0 <br />SIZE OF BLDG. <br />id'n 697 SQ. <br />NO. OF STORIES <br />IFT. 1 <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />LINES <br />YES DMID <br />MECHANICAL <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />158 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION S)"EM <br />40 <br />5. GRADING 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />e Q <br />7898 <br />0 7e e 0 $ 1 4 O. 5 O— a <br />YOUR RECEIPT <br />THANK YOU <br />7. <br />ENgV ON(1ENTAL IMW4T STATEMENT <br />S. H IE ewRICT <br />Col <br />APPLICZ71009 C. BY PLANS CHECKED BY <br />O m HWM <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />7 1 Sp 82 <br />