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rhe £vergreen <br />CI7V OF <br />everett <br />cin r+n�� xssa��s <br />� e CONSTRUCTIC�1 � <br />PERMIT PERMIT NO. 1320� <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECMANICAL ❑ PLUMBING <br />pWNER MFIL ADDflE55 CITY 21P PHONE <br />Don R. Womack 2717 21st Street Everett 98201 252-7464 <br />ARCNITECT OR DESIGNER MAIL ADDRESS CITY ZIP 7HONE <br />GENERNL GONTRAQOR MAIL ADORE55 CITY ZIP PNONE LILENSE � <br />Same <br />MECHANICALCONTRACTOR MAILAUORE55 CR": ZIP PMONE UCENSEP <br />PLUMBING CONTFACTOR MAIL ADORESS CITY ZIP PHONE UCENSE � <br />CLA55 OF WOFK <br />❑ NEW O ADDITION �CALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE O SIGN O WOOD S70VE/FIREPLAGE INSERT <br />_UATION OF WOflK <br />f 7�000.00 <br />Addition of ground floor bedroom and extend second floor bedroom <br />Single Family Residence <br />L0T 20_2 BIOCN 9 OF <br />ITY (SMOW BELOW OR ATfACM FOUR COPIES� <br />Ready Land Company lst <br />2717 21st Street <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WATEFi CLOSET (701LEn <br />BATHTUB <br />LAVATORY (NlP.SH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />ROOF DfiAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />5' � 2�' <br />R-2 <br />TYPE OF CONST. OCCUf <br />V-N <br />SIZE OF BL�G. NO. OI <br />Add'n <br />FIRE ZONG BASEA <br />APPHOVAlS <br />1. ENVIRONMENTAL CHECK LI57 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />6. DRAINAGE , <br />7.ENVIRONMENTALIMPACTSTAI <br />8. HEALTH DISTRICT <br />EB <br />R-3 <br />2 <br />None <br />PLANS <br />HWM <br />FEE <br />� <br />S <br />S <br />9EAR YARD SETE <br />20' <br />VACANT SITE <br />�, .YES }(}�10 <br />NO. OF DWELLIN <br />1 <br />MAX.00C.LOAD <br />FIRE SPRINKLER <br />RE�UIRED <br />VES @}NO <br />BY DA <br />FOR <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. ALL 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 NOT PHESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUG710N OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE ONTRAC,Tv, R O�F� A�ITHORI2ED AGEN7 DAiE <br />X .�„�j�7,i2a�CL(J� 5'� ��6 -8i�` <br />�E <br />MECFiANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNIT3 — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS - 70NNAGE EA. <br />FORCED AIR SYSTEMS — U.T.U. M EA. <br />WALL HEA7EF5 — B.T.U. M <br />UNIT HEATeRS — B.T.U. M <br />EVAPORATIVE �pOLERS <br />CLOTHES DRVEFiS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP — — <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />84/13201 IFEE 40.63 <br />FEES VALUA710N <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />57,000.00 <br />� <br />f <br />5 <br />:HECK FEE <br />RECEIPT NO. <br />6q0� <br />FEE <br />62 50 <br />PENALTY SEG. 303 (a� <br />TOTAL 62 $0 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED (1N THIS SPACE) THIS1Sy0U P r,q�T <br />CG73 �U��.�U - <br />N <br />M <br />-; �"CI IPI `� <br />'.':: l`C U <br />ADDRESS FILE <br />I 7 ;I� G'i <br />