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.. tneEvtrgreen � ��NSTRUCTI�� • .. � ���;i'� <br /> arr oF <br /> everett PERMlT PERMITNO. �-4889 l <br /> CITV HALL 25&8715 <br /> EYERETT,WA982p1 � COMBINATION � BUILDIN�3 ❑ MECHANICAL ❑ PLUMBIWQ � <br /> OWNER MAILADDRE55 CIiY 21P PNONE , <br /> Dr. Davideon 5010 23rd Avenue Weet Everett <br /> ARCHITECT OH DESIONER � MAIL AODRESS CITY ZIP VHONE <br /> 4EhERALCONTflACfOfl MA!LR�DRE55 CRY 21P PNONE LICENSEII I <br /> James Gaffney Const. Inc. 3323 Hill Stieet Everett 98201 334-2114 <br /> MECH4NICRL CONTRACTOR MAII ADDPE55 CITY ZIP PNONE LICENSE� ' <br /> JA ME SG C256QK <br /> PLUMBING CONTNAGTOF MAI�ADOflESS CIfY ZIP PMONii LICENSE M I <br /> CLOSS OF WORN <br /> ❑ NEW �XAODITION O ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE O SIGN ❑ WOOD STOVEIFIREPUiCE INSERT <br /> VALUATION OF WOF1K <br /> = 20�000.00 <br /> DES(:HIBE WORN <br /> Construct i:ack and 12'x14' Solarium <br /> PROPOSED USE OF Ol:ILO NG <br /> Single Family Residence I HEREBY CERTIFY THAT ! HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO HE TRUE AND <br /> LEGAL DESCflIPiION OF PROPERTY�SHOW BELOW OR ARACM FUUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT 14 BLOCK_OF �ranada #1 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEU HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTH6HITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> L CAL LAW REGULATING CONSTRUCTION Ok THE <br /> E ORMANCE OF O T TI.�h. <br /> JGBAOORESS S NFUREOFWNTRAGT R RI GENT OAiF <br /> 5010 23rd Avenue west 6' ��./��` <br /> PI.UMBIN� fMECHANICAL / <br /> i � <br /> N0. TYPE OF FIXiURE OR ITEM FEE TYPE OF E UIPME FEE <br /> WATEP.CLOSET�TOILEn AIR COND. UNITS— H.P. EA. ^ <br /> BATHTUB FlEFRIGERATION UNITS — H.P. F.�. � <br /> LAVATORY�W45H BASIN) BOILERS-- H.P. EA. —T <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. V <br /> KITCHEN SINK&�ISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER 1VALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— 9.T.U. M <br /> � CLOTHES WASHER EVAPORATIeE COOLERS <br /> WATER HEHTER CLOTHES DRYERS <br /> i URINAL VENTILATION FAN <br /> DRiNKING FOUNTA�N RANGE HOOD <br /> � FLOOR ORAIN AIR HANDLING UNIT— QF.M. <br /> � VqCUUM BREAKERS STOVE—WOOD <br /> P.00F DRA�NS— RAINLEADERS METAL FIREPLACE 8 GHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIRFpLpCE INSERT � <br /> i — <br /> HEAT PUMP I <br /> 1 ' ""�. <br />,I SUB TOTAL _ f 2 00 _ SUB TOTAL S <br />',� PERMIT _ S __ PEHMIT S <br />:� TOTAL FEE f 2 UO TOTALPEE S <br /> SIOE VARD SETBACK STREET S�TBACK REAR YARD SETBACI; PLAN CHECK NUMBER PLAtd CHECK FEE <br /> 6� 2�� 2�� 85/19689 FEF91.33 AECEIPT WO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-S N�A ::YES }(](O FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPF.NCY GROUP N0.OF DWELIING UNITS <br /> V-N R-3 1 BWLDING $ 20,000.0 140 $0 <br /> SIZE OF BLUG. NO.OF STORIES MAX.OCQ LOAD - — — <br /> 168 5 . F�Deck 1 N/A PLUMBING 2 00 <br />, FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANIL'AL <br /> REOUIRF.G <br /> ��YES C:NO — <br /> APPNOVALS BY OATE OTHER <br /> t.ENVIRONMENTAL CHECK LIS7 pENALTV U.B.C. <br /> - SEC.303 Ia) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL EII�O SO <br /> 1.FIRE PHOTECTION SYSTEM PEAMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)TH�B I�b YOI�Ei PEP.MIT _ � <br /> 6.DRAINFGE �`1 <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � �- � <br /> B.HEA'_1HDISTRICT ` � � - �� . <br /> i r-'� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY � � • ' <br /> EB JEF LC � � � � <br /> ADDRE55 FILE <br />