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Ihe L�rergrePrt <br />c�r� ur <br />e�erett <br />CITV HALL 259�6745 <br />EVERETT, WA 98201 <br />:ONa�TRUCi�O��a� <br />PEF��IIiT <br />CJ� COMBINATION u BUILDING ❑ MECHANICAL <br />PERr�rr r�o. 16669 <br />❑ PLUMBING <br />OWNER ldAIL ApDRE55 CITV ZIP PHONE <br />Bert Cronin 9113 - 9th Ave SE Everett tJA 98204 353-4223 <br />ARCMITECi Ofl OES�GNER MAIL ADORESS CIiY ZIP PHONE <br />GENEHAL CONTRACTOR 1dAIL A��RE55 CITY 21P PHONE LICENSE N <br />Cronin Custom Homes 713 SE Everett t4a11 Way Everett 4!A 98204 ?53-6500 <br />MEf,MANICAL CONTRdGiOR MAIL ADDRESS CI:Y 1 PMONE IICENSE N <br />PLUM9ING G 1NTRAC'OR MAIL AO�RE55 CIiY 21P PMONE �'CENSE F <br />�R NEW ❑ ADDITION J ALTERATION ❑ REP.41R ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOG S70VE1FIREPLACE INSEF7 <br />VALUATpION OF WJflK <br />5 UO�OOO.00 <br />New single family residence <br />e family residence <br />LOT 5 BLOCK_OF <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATEN CLOSET (TOI LEn <br />j BATHTUB <br />3 LAVHTORY�WASH6ASIN) <br />j ShIOWER <br />� itITCHEN5INKGDISP. <br />j DISHWASHER <br />LAUNDRY'aAY <br />� CLOTHESIYASHEF <br />� WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINN dFRVICF — HAR.FTC1 <br />YARD SETBACK <br />FEE <br />I HEREBY Cc^nTIFY TH^ f I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRU[ AND <br />CORRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF `NORK WILL BE COMPLIED WITH <br />'vvhIETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />P�RMIT DOES NOT PRLSUME TO GIVE AUTY,ORITY TO VIOLAT'= <br />C�R CANCEL THE PROVISIONS OF ANY OTHER STATE OPi <br />LOCAL LAW REGULATING CONSTRUCTIUN OR THE <br />PERFORMANCE OF CO�/NSTRUCTION. <br />S,GNP'URE'��C�NTR^CiOB�AULHORIZE�aGENT + DNTE <br />�� lJ <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFHIGERATIUN UNITS — H.P. EA. <br />BCILERS — H.P. EA. <br />GAS FIRED A.C. UNI f5 — TONNAGE [A. <br />FORCED AIR SVSTEMS — B.T.U. Id EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEA7ER5 — B7.U. M <br />EVAPORATIVE COOLeRS <br />CLOTHES ORYERS <br />VENTILAIION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIR�PLACE 8 ChIIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP <br />sue rorn� s 65 00 <br />PEHMIT S <br />TOTAL FEE 5 (5 QQ <br />EET SETBACK FE.AR YARD SETBACK PLAN CHECK NUMB�R <br />20' 20' 86/B-12 <br />AREF VACAIJT SITE <br />� YES . NO FEES <br />5 PANCV GROUP NO. OF DWELLING UNITS State Bl dg Surch <br />SIZE OF BLDG. N0. OF STORIES MAX. OCG L( <br />2201 a•572 1 <br />FIRE ZONE BASEMENT FIRE SPRINKI <br />REC7UIRED <br />YES NO <br />APPROVALS BY <br />1. ENVIRONMENTAL CHeCK LIST _ <br />2. B111L01NG PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PFO7ECTION SVS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />HEALTH DISTRICT <br />�PLICATION ACC. BY <br />mm <br />PLANS CHECKED BY APPR. FOR ISSUD.JCE BY <br />jf �C <br />PLUMBING <br />SUBTOTAL S <br />PERMIT S <br />TO7AL FEE S <br />Fee 327 . 93 <br />VAl.UA710N <br />FEE <br />804�C[IPT NO. <br />FEE <br />MECHANICAL I E SRCH SIB.00 <br />OTHER Driv <br />PENALTY Hddl Plan Ch��oa�a� '�p•pp 29 <br />rorn� � a u ts� s�� a5 702 �25 <br />WHENTPflOPIERLY�ALIDATED�1NTN��PAC[�T}fl�T�yOURPFRMIT � <br />$.SU lJli � <br />9!M'III �330.00 � <br />1171-5 FII13.00 �,p <br />CHrt�; 51935.25 .--� <br />ADDRESS FILE <br />