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/ <br />U�e Erer(n•en <br />everett �Q�ST�?�Gi'10! " <br />PERMIT �ERMir N�. 14580 <br />CITY HALL 259�8745 <br />EVERLiT,lNA9B201 �] COMBINATION � BUILDING n MECHANICAL �] PLUMBING <br />OYfNER MAIL ADDRE55 CITY ZIP PHONE <br />Thomas MCKee Box 5366 Everett 98206 252-2726 <br />FRCMITECi OR �ESIGNER MAIL AODRE55 CITV ZIP PHONE <br />GEKERAL CONiRACtOR MA�L qU0FE55 CITV ZIP PMONE LICENSE M <br />Same <br />IAELMAMCAL CDNiRACtOfi MA�L ADDRE55 CITY ZIP PHONE LIGENSE a <br />PLUMBING CONTRACTOR MAIL ADDPE55 CITY ZIP PHONE LICENSE • <br />❑ NEW ❑ ADOITION �{ALTERATION �¢iEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W00� STOVEIFIREPLACE INSERT <br />t 1.5����.�� <br />Fire repair and add two dormers <br />Single Family Residence <br />�0.15��1C��o�h 771 aF Everett Division H <br />1203 33rd Street <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />1 NJATERCLOSET�TOILEn <br />BATHTUB <br />j LAVA70RY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 UISP. <br />LAUNORVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DflAIN <br />VACWM BHEAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVIGE — BAR, E7C 1 <br />SUB 70TAL <br />PERMIT <br />TOTAL FEE <br />IYARD SETBACK S7REE7 SETBACK <br />ZONE ILOT AREA <br />2 OF CONST. OCCUPANCV GRO <br />V—N R-3 <br />OF BL�G. NO. OF STOiilES <br />N/A <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIIDING PLANS <br />3.FIREHYDRANT -' <br />4. FIRE PROTECTION SYSTE�d <br />5, GRADING <br />6, DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />B.HEALTHOISTRICT _ <br />EB <br />� <br />� <br />FEE <br />+ 4 00 <br />S <br />s 4 00 <br />REAR YARO SE7BACK <br />VACANT SITE <br />YES .NO <br />NO. OF DWELUNG UNITS <br />�dA%. OCG LOAD <br />N/A <br />FIRE SPRINNLERS <br />REQUIRED <br />YES X}NO <br />tlY DATE <br />APPR.FORISSUANCE BY <br />LC <br />I HEREBY CERTIFY TriA'f I HAVE FEAD AND tXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AN� <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIN�NCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIL•D �NITH <br />WHETHER SPECIFIED HEREIN OR NOi. THE GAANTING OF A <br />PERMIT DOES NOT PRESUMe TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PP.OVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOh1RAANCE OF CON�IRUCTION. <br />SIGNAillfi� OA r.�encroa o� nv}HOAizEo.Lcfru. i � oare. � <br />MECHANICAL <br />N0. TYPE CF EDUIPMENT <br />AIR COND. UNIiS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREU A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEIdS — B.T.U. IA EA. <br />WALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — 81�.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />1 VENTILATION FAN <br />RANGEri00D <br />AIR HANDLING UNIT — C.P.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIlANEY <br />--� FIl7EPLACE INSEFT <br />i nEAT PUMP <br />SUB 70TAL <br />PEqM1T <br />TOTALFEE <br />85,'19580 FEE 71.83 <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />PENALTY <br />g 15 , 000 <br />303 <br />FEE <br />s i <br />S <br />5 3 00 <br />�HECK FEE <br />RECEIPT NO. <br />75896 <br />FEE <br />110 50 <br />4 00 <br />3 00 <br />TOTAL I I 117 I 50 <br />PF.RMIT VALIDATION <br />WHEN P!iOPERLY VALIDATEU QN THI3 SPAGE) THIS IS Y04N RERMIt G <br />. i 1,.. � _.__' � <br />� 7 <br />.. . . ._ . . �' <br />_ r..a <br />�J <br />ADDRESS FILC <br />� <br />