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dir licer,�reen <br />everett <br />�ONSTRUCTION <br />PERMIT PERMIT N0. i�5�� <br />CITY HALL 259�87C5 <br />EVERETT, WA 98201 ❑ COMBINATION i� Bl11LDING ❑ MECHANICAL �}� PLUMBING <br />OWNER MAiL A�DRE55 GRY ZIP PMONE <br />J,D, Iv�ns 7811 60th Drive N.E. Marysville 98270 _ <br />AFGMIiELT OR �ESIGNEF A1AR Ap09E55 GTY 21P PMONi <br />GENEiVAL LONTRr1GTOF MAiL Ap]RE55 CITY 21P PHONF LICENS'_ � <br />Same <br />MEGNAYICAL WNTFACTCF M1IAIL ADDRESS CITY 21P PHONE LICENSE � <br />PLUMBING CONiRACTOR MAIL RODRE55 CITY 21P PHONE LICENSE I <br />❑ NEW �}(FDDITION ❑ ALTERATION ❑ REPAIR � DEMOUTION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE !NSERT <br />SIATION OF YIORK <br />S Z�����e�� <br />Addition to existing residence-Kitchen with green house <br />aosen usEOF em�oiNc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence AppLICATION AND KNOW THE SAME TO BE TFiUE AtJD <br />12 3 Bridal Park <br />LOT_BLOCN_OF <br />5301 33rd West <br />PIUMBING <br />N0. TYPE OF FIXTI <br />1 WATERCLOSET�iOILEn <br />—�-BATHTUB <br />1 1 LA`/ATORY (WASh BASIN <br />SIIOWEF <br />KITCHEN SINK & DISP. <br />DISHNJASHER <br />LAU�JDRYTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RA�NLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />7�' <br />�� <br />V-N <br />SIZE OF BLDG. NO. <br />207 Sq. Ft.rt Deck <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />',EE7 SETBA <br />25' <br />AREA <br />�UPANCY G <br />R-3 <br />OF STORIE <br />1 <br />APPROVf.LS <br />i. ENVIRONMENTAL CMECK LIST <br />2. 8 W LDI NG PLANS <br />3. FIRE NYDRANT <br />4. fIRE PROTECTION SYSTEht <br />S.GRAOING <br />� 6. DRAINAGE � <br />7.ENVIRONMENTALIMPACTSTAI <br />""B.HEALTM DISTRICT <br />' APPLICATION ACC. BY ` PLA <br />STG <br />9WM <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK �NILL BE COMPLIED WITH <br />WHETHEiZ SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMF_TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAVV FEGULATING CONSTRUCTION Ofj THE <br />PERFORPAANCE OF CONSTRUCTION. %/� �$S <br />SIGNFTURE OF COHTRACTOR OR AUiHyORIZ[0 AGEy�N+T � /4ATE <br />X l.�i/n-.J�//. /!1 �'M l.(n - "Y. �.l � _ _B,C1� <br />FEE N0. TYPE OF EOUIPMENT FEE <br />z QD AIR CONO. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. ___ <br />2 Q� BOILERS - HP. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. __ <br />Z Qp FOFCED AIR SYSiEMS - e.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERfi - � T U. M _ <br />EVAPOHATIVE COOLERS _ <br />CLO7HES DRYERS <br />�� VENTILATION FAN <br />pANGEHOOD _ <br />AIR HANDLING U.'JIT - C.F.M. <br />STOVE - WO00 <br />IdETA� FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S 6 00 <br />S <br />t 6 00 <br />REAR VARO SETOACK <br />25' <br />VACANT SITE <br />VES ?{j{�0 <br />NO. OF �WEILING UNI' <br />1 <br />MA%.00Q LOAD <br />N/A <br />FIRE SPRINKLERS <br />FEO SIREDwO <br />X <br />BY OATE <br />APPR. FO�� <br />LC <br />SUB TOTAL 3 <br />PERMIT 5 <br />TOTAL FEE S <br />°CK NUIdBER PLAN GHhUK Ftt <br />85/14553 FEE 113,75 aECEIP7NO. <br />75871 <br />FEES VALUATION FEE <br />BUILDING 5 26,000. 175 00 <br />PL'Jh181WG % �� <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 309 lal . <br />-' 10TAL I I 161I00 <br />PERMIT VALIDATION M <br />N�HEN PROPER! Y VALICATED QN THIS SPACE) THIS IS'YOUR FBRMIT____ <br />� <br />_ � <br />, . � <br />� � <br />PY <br />taDD!'•ESS i=1LF. <br />z <br />0 <br />� <br />� <br />m <br />.. .. <br />-i -n <br />�--i y <br />N 2 <br />m <br />co <br />mo <br />� <br />O 3 <br />-i z <br />2 --i <br />m <br />.. <br />.O Z <br />r_ <br />D -1 <br />rx <br />�--i r. <br />—1 N <br />t <br />�l <br />O 7� <br />TI D <br />3 <br />-i fTt <br />2 <br />m .� <br />� <br />O <br />or <br />c� m <br />C f/� <br />3 v� <br />m <br />Z (7 <br />-i r <br />. m <br />n <br />A <br />� <br />2. <br />➢ <br />Z <br />-{ <br />S <br />H <br />ti � <br />z <br />O <br />-1 <br />�-. <br />n <br />m <br />