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3NONSTRUCTIOt " <br /> everett PERMIT PERMIT NO. 14084 <br /> CITY HALL 259s745 <br /> rl ImTTuWg'r' ; ❑ COMMINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br /> OWNER MAIL ADDRESS CIT) zw PHONE <br /> Jay Kachloian 2809 Cedar Street Everett 98201 259-2530 <br /> ARCHITECT OR DESIGNER MAIL 40DRE3S CITY ?w PHONE <br /> OEN RAL CONTRAC-1`5 MAIL ADDRESS CITY Zip PHONE LICENSE <br /> Tekoa Construction 2809 Cedar Street Everett 98201 TEKOAC176KD <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br /> CLASS OF WORK <br /> ❑NEW ❑ ADDITION ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ 910N ❑ W000 STOVEZFIREPLACE INSERT <br /> VALUATION OF WORK <br /> 1 7,000.00 <br /> DESCRIBE WORK <br /> Alteration of Single Family Residence <br /> PROPOSED USE OF BUILDING <br /> CERTIFY THAT I HAVE READ AND <br /> EXAMINED <br /> Single Family REsidence APPLICAT ON ANDKNOW THE SAME TO BE TI <br /> RUE AND <br /> LEGAL DESCRIP110N OF PROPERTY(SHOW BELOW OR ATTACH FOUR COMES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOf_BLUCK-OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS RUCTION. <br /> JOB AQO-R 860th Street SIGNATURE OF CONTRACTORORAU OHIZF AGE T TE <br /> 3L <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS— H.P.EA. <br /> SHOWEV GAS FIRED A.C.UNITS —TONNAGE EA. <br /> 1 KITCHEN SINK 6 DISP. 2 FORCED AIR SYSTEMS—B.T.U. M EA <br /> 1 DISHWASHER 2 00 WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M <br /> 1 CLOTHESWASHER 2 OO EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKRIG FOUNTAIN I RANGE HOOD <br /> 4 _454- <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOtiD �. <br /> ROOF DRAINS—RAINLEADERS MF TAL FIREPLACE 6 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIF EPLACE INSERT , <br /> HEATPUMP <br /> M f, <br /> SUBTOTAL 1 6 00 SUBTOTAL f 9 00 "3 <br /> PERMIT $1 PERMIT B En <br /> TOTAL FEE $1 6 00 TOTAL FEE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 5- <br /> 84/14084 FEE 41.63 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT S1TE 72532 <br /> YES ;.'NO FEES VALUATION FEE F. <br /> TYPE OF CONS . OCCUPANCY GROUP NO.OF DWELLING UNITS ,. <br /> V-N Alter A-3 1 BUILDING $ 7,000. 56 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD I <br /> N A PLUMBING 6 00 ' <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIRED 9 00 <br /> - YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LISTU.B.C. <br /> PENALTY SEC.103(A) Ui <br /> 2.BUILDING PLANS <br /> 3.FIRE HYDRANT TOTAL 71 50 t[, <br /> A.FIRE PROTECTION SY6TEM PERMIT VALIDATION —_ U <br /> 5 GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS ES YgUR PF(1iMIT <br /> 1 B.DRAINAGE ( ' <br /> 7.ENVIRONMENTAL IMPACT STATEMENT q::r <br /> S.HEALTH DISTRICT 1; <br /> T R,..+ ' <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> r <br /> r <br /> 'I EB HWM LC <br /> r <br /> (A L I <br /> ADDRESS FILE <br /> r <br />