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(he £vrrxreen <br />��i�°F r� -�;ONSTRUCTION�-- '� <br />everett PER�AIT PERMIT NO. 16477 <br />GTV HALL 259�B7d5 <br />EVERETT,WA90207 � COMBINATfON ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 QTY ZIP PHONE <br />PATRICK MC CAULLEY 1014 - 35th Street Everett WA 9i�201 252-686R <br />ARCHITECT OR DESIGNER MAIL ApDRESS QTY ZIP PHONE <br />GENERAL CONTRACTOR MAIL F�DRE55 QTY ZIP PHONE UCENSE M <br />Same <br />MECNANICAI CONTPACTOR MAIL AD�flE55 CITV ZIP PMONE LICENSE M <br />PWM9ING CONTRAQOR MAIL AODRE55 CITY ZIP PHONE LICENSE N <br />❑ NEW C`� ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />f �3����. <br />Add kitchen, bath and bedroom and workroom <br />Singie family dwelling <br />LOT,u51L�LOCK 5 oF�.�d� <br />JOB ADOFESS <br />1014 - 35th St <br />PLUMBING <br />TYPE OF FIXTI <br />WATER ClOSET (TOI LE7) <br />8ATH7UE <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLO7HES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />DIIIX 6' <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OF 9LDG. <br />addn 24'x26' <br />FIRE ZONE <br />FEE <br />SUB TOTAL S CtS U <br />PERMIT S <br />TOTAL FEE S H O <br />IEETSETBACK REAR YARD SETBACK <br />20' BX 20' <br />7500 sf <br />R-3 <br />NO. OF STORIES <br />1 <br />APPHOVALS <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTl.TEMENT <br />8. HEALTH OISTRICT <br />APPLICAI'ION ACC. 81' <br />sg <br />YES XNO <br />� <br />MAX. OCC. <br />i�[�7 <br />PLAN5 CHECK"eD BY APFR. FOR <br />sg lc <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SA�dE TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LA1NS 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 PRESUMF. TO GIVE AUTHORITY TO VIOLATE <br />OR t;ANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNA.T�"� OF C4NTflACTOR OCR�AUTHORIZE AGENi DaTE <br />X�.��,ai�/1 LQJl��.LG� SXXX� 5/14 <br />N0. � TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N 11NI7S — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEA7ER5 — B.T.U. M <br />EVAPORATIVE COOLE(iS <br />CLO7HES DRYERS <br />VEN7ILATION FAN <br />RANGEMOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHI <br />FIREPiACEINSERT <br />HEAT PUMP <br />PLAN CHEGK NUM <br />86/16477 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB SlRat <br />PEHMI7 <br />TOTAL FEE <br />S <br />5 <br />rte <br />FEE 64.03 I 791 1iECEIPT NO. <br />5� <br />VALUATION FEE <br />�13,000 <br />TOTAL I I �QQ <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 7HIS IS YOUR PERMI7 <br />ADDRE55 FILE <br />J <br />