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— the "4TLM/1 ''ONSTRUCTfOI� <br /> L,ITY GI <br /> everett PERMIT PERMIT N0. 13500 <br /> CITY HALL 7538745 r��� <br /> EVERETT.WA 90201 ❑ COMBINATION IXk BUILDING a MECHANICAL El PLUMBING <br /> PHONE <br /> OWNER MAIL ADDRESS <br /> CITY 21^ <br /> Rose Dodson 8817 147th Avenue N.E. Granite Falls 98252 691-7552 <br /> CITY PHONE <br /> ARCHITECT OGNER MAIL ADDRESS <br /> " 21P <br /> R DESI <br /> GENERAL CONTRACTOR MAIL ADDRESS <br /> - CITY ZIP - - PHONE LICENSE A <br /> Sable CITY <br /> Zip PHONE LICENSE A <br /> MECHANICAL CONTPACTOR MAIL ADDRESS <br /> PLUMBING CONTRACTOR MAIL ADDRESS <br /> CITY ZIP PHONE LICENSE A <br /> CLASS OF WORK <br /> ❑NEW $1AD01TION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD BTOVEIFIREPLACE INSERT <br /> VALUATION OF WORN <br /> 4,000.00 <br /> DESCRIBE WORK <br /> 206PoSquare foot addition to existin residence <br /> PROSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family Residence APPLICATIO14 AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL GESCRIPTION OF <br /> _V_ <br /> NOPERTY ISHON BELOW OR ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> Pinehurst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT 1 BLDCK OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OH OF ANY OTHEROR <br /> LLOCALNCEL LAW H EGULATINGS CONSTRUCTIONSTATE <br /> THE <br /> PERFORMANCE OF CONSTRUCTION. DATE <br /> SIGNATURE OF 7RA OIYAUTH RIZEDAGEN7 _�� <br /> JOB ADDRESS X <br /> 2304 60th Street <br /> MECHANICAL <br /> PLUMBINGTYpE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. <br /> AIR COND.UNITS-H.P.EA. <br /> WATER CLOSET ITOILET) <br /> P'FRIGERATION UNITS-H.P.EA <br /> -` <br /> BATHTUB BOILERS-H.P.EA, - <br /> LAVATORY(WASH BASIN) <br /> GAS FIRED A.C.UNITS- TONNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS- B.T.U. M EA. <br /> KITCHEN(INK&DISP, WALL HEATERS-B.T.U. M <br /> DISHWASHER <br /> UNIT HEATERS- B.T.U. M <br /> LAUNDRY TRAY EVAPORATIVE COOLI <br /> CLOTHESWASHER CLOTHES LAYERS <br /> WATER HEATER <br /> VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT <br /> FLOOR DRAIN <br /> STOVE -WOOD <br /> VACUUM BREAKERStrj <br /> METAL FIREPLACE&CHIMNEY <br /> ROOF DRAINS-RAINLEADERS FIREPLACE INSERT <br /> SINK(SERVICE-BAR.ETC.) HEAT PUMP y <br /> H ~ <br /> rr <br /> SUBTOTAL H . <br /> SUF f & PERMIT & F <br /> PERMIT 5 TOTAL FEE 5 <br /> TOTAL FEE & PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER RECEIPT NO. (p' <br /> 51 201 201 84/13500 FEE 19.18 <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES 00 ,... <br /> R-2 <br /> TYPE OF CONS . OCCUPANCY GROUP NO.OF DWELLING UNITS 44 50 <br /> V-N R-3 1 BUILDING 541000. y t <br /> SIZE OF BLDG. NO.OF STORIES MAX.UCC.LOAD PLUMBING _ •i UI <br /> 206 S Ft. Addi 1 �I <br /> FIRE ZONE FIRE SPRINKLERS - M • <br /> BASEMENT MECHANICAL <br /> REQUIRED FI <br /> None YES )OD OTHER <br /> APPROVALS BY DATE U.8 C. vi <br /> I.ENVIRONMENTAL CHECK LIST PENALTY SEC.303(B) <br /> 44 50 <br /> 2.BUILDING PLANS TOTAL <br /> r <br /> 3.FIRE HYDRANT PERMIT VALIDATION 1p11S IS JOyR�""IIIPg11,,HM17<1[[ --O <br /> 77�l <br /> A.FIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED TIN THIS SAA�G�1 <br /> C) <br /> &GRADING Ln r <br /> & DRAINAGE <br /> 7.ENVIRONMENTAL IMPACT STATEMENT � R�A i <br /> B.HEALTH DI STRICT I� <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE By <br /> STG RWM LJC <br /> r <br /> ADDRESS FILE <br />