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d�e Erer,¢,-ren <br />`��°°� ' CC�►NS�'RUCTIi?y <br />ever��t PE�MIT PERMIT N0. 141%7 <br />CITV HALL 25�3�8745 <br />�VERETT, WA g8201 � �pMBINATION Cy� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER h1AILApOPESS r CItY ZIP PMONE <br />Kathleen J. Campbell 132 SOth Street S.W, Everett 98203 252-12t <br />ARCMITECT OR DESIGNER IAAIL ADGRE55 CITY 'JP PHONE <br />GENERAI CONTRAGTOR MFIL ADDREGS CITY ZIP PHONE LICENSE M <br />Same <br />MECHANICAL CONTflqCTOR MAIL AUORESS 'ITV ZIP PMONE LICENSE X <br />PLUMBINGCONTRACTOR � MAILADONESS CITV ZIP PMONE LICENS"x <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE I] SIGN ❑ WOOD S70VEIFIFEPLACE INSEiiT <br />S 18,000,00 <br />OESCRIFIE WORN <br />Convert Carport into gnragP <br />PPOPOSED USE OF PUILDING <br />single family residence <br />IEGAL �ESCRIPTION OF PROPERTY �SHO1Y BEI.OW OR ATTACH FOUF <br />LOT_BLOCN _OF <br />36-79-4 <br />JOB A�OHES$ <br />132 SOth Street S.W. <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />'AVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ET41 <br />R-1 <br />V-N <br />sua rora� <br />PERMIT <br />TO7AL FEE <br />R-3 <br />aice ur e�uci. I rvo. oF S70F <br />12'x24' Garage <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK L!ST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIpE PROTECTiON SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.:NVIRONMEN7ALIMPACTSTATEMENT <br />B. HEALTH DIS�FIC7 <br />APPLICATIOI: ACC. BY PIANS CHE <br />FB <br />FEE <br />� <br />E <br />f <br />REAR YARD SETE <br />VACANT SITE <br />..YES }{]{NO <br />NO. OF DNJELLIN <br />1 <br />MA%.00G LOAD <br />BY <br />8Y �APPR.FOR <br />JSF <br />OATE <br />LC <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALI_ PROVISIONS OF LAWS AND ORDINANCES <br />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 <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATIIRE 9F CONTf`qCiOR OR AUT�HORIZED AGENT DATE <br />X i�/m� , �% /A����i�� //-2�-� <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. 'eA. <br />P=FRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />CAS FI�ED A.C. UNITS — TONNAGE EA. <br />FORGED AIR SYSTEPAS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.�.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PU:AP <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />FEE RECEIP7 NO. <br />84/14177 21.13 ����Z_ <br />FEES VALUATION FEE <br />BUIIDING S 1800, 29 50 <br />PLUId81NG <br />MECHANICAL <br />OTF;L'F <br />PENALTY U.B C. <br />SEC. 303 (a) <br />TOTAL 29 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SFACE) THIS IS YOUR pERM1T � <br />, . , ^ (' . � . ._. "' �.. <br />�� <br />�' <br />�"'� <br />1 <br />i <br />ADCRESS FILE <br />z <br />0 <br />� <br />:-� <br />� <br />m <br />�, �. <br />�--I �t <br />..� <br />cn x <br />0 <br />m <br />co <br />mo <br />c� <br />O 3 <br />m <br />s -�i <br />m <br />.. <br />cZ <br />D —i <br />rx <br />.. ... <br />< ��. <br />O A <br />'*1 b <br />3 <br />--i m <br />2 <br />m .. <br />N <br />O <br />om <br />C tn <br />3 tn <br />�*1 <br />= f'� <br />-i r <br />• m <br />a <br />A <br />� <br />x <br />D <br />--I <br />x <br />.-� <br />� <br />z <br />0 <br />-1 <br />� <br />m <br />