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the G'�rr,�reen <br />GTY OF <br />everett <br />CITY HALL 259�8745 <br />'�'` �';ONSTRUCTIO�� � <br />PERMIT PERMIT NO. 1658� <br />EVEREIT, Wq 98201 [� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />UWNER MAILA�DRE55 CIiY ZIP PHONE <br />M. MC CORD 5034 - 33rd Ave West Everett WA <br />AflCHITECT OR DESIGNER MAIL AD�RE55 CITV ZIP PIIONE <br />GENERAL CONTRACTOR MAIL ADORESS CITY ZIP PMONE UCENSE � <br />K-Four Construction 10109 Kenwanda Dr. Snohomish 4!A 668-2000 KFOURC2190W <br />MECMANICAI CONTRAGTOR MAIL AOORE55 GIiY ZIP PMONE LICENSE M <br />PLUMBING CONTRAGTOR MAIL AODRE55 CITV z�p PHONE LICENSE M <br />O NEW CX ADDI710N ❑ ALTERA710N � REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIFEPLACE INSER7 <br />f 3����� <br />Add 3/4 bath and utility room and sun room <br />L0T 7 BLOCK 3 OF <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />� WA7ERCLOSET�701LEn <br />BATNTUB <br />LAYATORY�WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY7RAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, E7Q1 <br />SUB TOTAL ; <br />PERMIT 5 <br />TOTAL FEE � <br />7 z� � 25' <br />R-3 <br />V-N <br />NA <br />IPA!JCV <br />R-3 <br />448 sf addn 1 <br />FIRE ZONE BASEh1EN7 <br />APPROVAL5 <br />1. ENVIRONMENTAL CHECK LIS7 <br />2. BUILDING PLANS <br />3. FIRE HYORAN7 <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICA710N ACC. BY PLANS CHECKED BV <br />sg <br />jef <br />FEE <br />25' <br />VACANT SITE <br />�.�.YES XNO <br />NO. OF DWELLIN <br />1 <br />MA%.00C.LOAD <br />BY <br />lc <br />I 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 NUT PFESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEii STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE 06 CONSSHUCTION. <br />AGENT DATE <br />� <br />MECHANICAL <br />NO. <br />FEE <br />AIR COND. UNITS - H.P. E.4. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.7.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNI7 HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />FANGEHOOD <br />AIR HANDLING UNIT - <br />STOVE - WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />8E/16582 <br />FEES <br />BUILDING <br />PLUMBING <br />1dECHANICAL <br />�AT� OTHER <br />PENALTY <br />C.F.M. <br />SUB TOTAL S I J <br />PEHMIT S <br />TOTAL FEE S � <br />PLAN CHECK FEE <br />FEE 125.45 79,PFGEIPT NO. <br />UJU <br />VALUATION FEE <br />5 30,000 <br />284 50 <br />25 00 <br />13 00 <br />70TAL "' ""' 3`� <br />� / <br />PERMIT VALIDATION j�[p(�16� <br />WHEN PROPERLV VALIDA7ED (IN�FiIS,SPACE1s���UR PERMIT <br />W <br />PLBC f25.1� <br />i£CFI f13.00 <br />B 6RCH 41,50 <br />CHECK f324.00 <br />ADDRESS FILE <br />