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u,r £crr.ereen ,►� s � � 1 f`i� � i �� �• <br /> r:it�r c� <br /> �`'��le�l. pER�1I`f PERMIT N0. I �O3 � <br /> :iTv Hn��2s9�tf7a, <br /> eve�err.wn�azo, I� COMBINATION � BUILDING � MECHANICAL � PLUMBIVG <br /> 01':!:'�: MAILAD�PE�S CITI' Z�P PMONE <br /> Robert C. Priede 221 S.E. Everett Mall {9ay M-2 Everett 98204 776-7594 <br /> A4CHI1ECt O�i OESIGNEF IAFtL ADORESS GTY ZIV PHONE <br /> GEIIERAL CONiflAGTOR MAIL ADDRE55 QTY ZIP PMONE LIGENSE x <br /> Robert C. Friede 221 S.E Everett Pfall Way M-2 ' Everett 98204 776-7594 <br /> 1AECH�NICFL CONiFAGTOR IdAIL ApDRESS CITY 21P PHONE LiCENSE x <br /> WE ST GR 348LS <br /> PINApING CONTRACiOR �r/IL ADORESS CRY ZIP PMONE LiGENSE 1 <br /> CLF55 OF WORN <br /> X� NEW O ADDITICN ❑ ALTERAT70N O REPAIP ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VBFIREPLAGE INSERT <br /> VALU�TION OF WORH <br /> _ 55,000.00 <br /> oEscaioE waRK <br /> ConsY.ruct Single Family Residence <br /> PROPOSED USE OF OUILDING <br /> Single Pamily Residence I HEREBv CERTIFY THAT I HAVE READ NND EXAMINED THIS <br /> APPLICHTION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPqOPERiY�SHOVl9ELOWOflATfACHFOURCOPIES� COHRECT. ALL PROVISIONS OF LA�VS AND ORDINANCES � <br /> 21 Firever GOVERNING THIS TYPE OF WORI:WILL BE COMPLIED WITH , <br /> LOT BLOGK __OF _ <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTWG OF A <br /> PERMIT DOES NOT PRE5UME TO GIVE AUTHORITY TO VIOLATE II <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> L 19 28 5 LOCAL LAW REGULATING CONSIRUCTION OR THE <br /> PFRF NCE OF A\NST UC ION. I <br /> JOA ALIDRESS I ATUR F CONiHAC T T DAi" <br /> 10603 lOth Drive S.E. �/ ��� � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIxTUR� OR ITEM FEE NO. TVPc OF EDUIPMENT FEE <br /> WATERCLOSET(TOILEn A�R COIJD. UNITS- HP. EA. <br /> ], �ATHTUB Z � RFFFIGEf?AT:ON UNITS- H.P. EA. <br /> 3 LAVATORV(WASHBASIN) ( OO 601LERS - 4.P. EA. <br /> 1 SHOWER z 00 GAS FIflFD A.C.UNITS-TONNAGE EA. <br /> ], KITCHEN SINk 8 I]ISP. 2 OO ]. FORCED AIF SYSTEMS - B.T.U. M EA. (j OO <br /> j DISHtrVAoHER z OO N!A'_L HEATERS- B.T.U. M <br /> L4UNORYTRAY UPU'� HEATERS- B.T.U. M <br /> CiATHES WASHER i EVAPORATIVE COOLERS <br /> WATEH HEATER j CLOTHES DRYERS <br /> URINAL 1 VENTILATION FAN <br /> �RINKING FOUNTAIN 1 RANGE HOOD �Q <br /> FLOOR ORAIN AIR HANDUNG UNIT - C.F.M. � <br /> VACUU�d BREAKERS STOVE -- WOOD � <br /> _—_ � <br /> ROOF ORAINS- RAINLEADERS IdETAL FIREPLACE 8 CHIMNEV �� <br /> Gi <br /> 1 SINK�SERVICE- BAF. ETC.) 2 00 FIi7EPLACE INSERT " <br /> HEAT PUMP <br /> H F <br /> ti `: <br /> SUB 70TAL S 26 00 SUB TOTAL S 18 00 H �, <br /> PEfiMIT 5 PERMIT S � <br /> � <br /> 70TALFEE 5 z TOTAL FEE 5 18 00 d �� <br /> SIDE YARD SETBACK STREET SET9ACK REAR VARD SETBhCK PWN CHECK NUMBEA PLAN CHECK FEE �= � <br /> 6� z0� 2�' 84/13031 I FEE 193.70 RECEIPT NO. N '� <br /> I f <br /> 11SE ZONE LOT AREA VACANT SITE � <br /> R-1 XYES ._NO FEES VALUATION FEE _ <br /> I TYPE OF CONST. OCCUPANCY GROUP NO. OF�WELLING UNITS <br /> V-N R-3 1 l <br /> SIZE OF BLDG. NO.OF STOFIf_5 Y1A%.OCC. LOAO BUILDING S SS�OOO. ?9B OO � ; <br /> PLUMBING ZG OO '� <br /> r -. <br /> FIRE ZOh![ 6ASEMENT FIRE SPRINKLERS MECHANICAL � 1, <br /> REOUIFED 18 00 <br /> VES NO <br /> APPROVALS BY OATE �THER ;' <br /> t. ENVIflONMENTAL CHECK LIST U.B.C. �" � � <br /> PENALTY SEC.3031a) <br /> 2.BUILDING PLANS �� '��� <br /> 3.FIREHYORANT '�' TOTAL 342 �� !`, <br /> 4.FIRE PROTECTION SYS7E1�7„ PERMIT YALIQATION . i� <br /> 5.GRADING . , �YHEN PflOpEfiLY VAIJDkiEO(It�'�i ILS 6PPG�)THI�I�YQU�P$RMIT � �; <br /> 7 � :, i M <br /> fi.DRAINAGE <br /> _ r-' <br /> 7.ENVIRONMENTALIMPACTSTATEMEN7 ��;� <br /> � <br />. B..HEALTHDISIRICT — � i- I � - � , , �`� � �_� <br /> APPLICATION ACC. BY �YCANS CHECKED BY APPR. FOR ISSUANCE BY , <br /> "' EB � , " JEF LC � � <br /> _- ' <br /> _ I <br /> ..-- PDDf:.L=S� i�i'. <br />