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Rwrgrven <br /> the <br /> C-INSTRUCTION q <br /> everett PERMIT PERMIT NQ: 183 1 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ® BUILDING L, MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL ADDRESS C11Y tiI PHONE <br /> Michael Hoyden 329 - 50th -'t Everett, WA 98203 355-7382 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAII ADDRESS CITY IIP PHONE LICENSE F <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSE <br /> CLASS OF WORK <br /> ❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑BUILDING RELOCATION <br /> VALUATION K <br /> 11,500 <br /> D CRIBE WORK <br /> /&ur foundation, frame up with sheeting and comp. roof= for family room addition <br /> HEAT SOURCE <br /> I ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> morosEoUSE OFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCMPTION OF PROPERTY(SIIOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> see attached PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL ThE OVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW RL' UL TING CONSTRUCTION OR <br /> THE PERFORMA O ON R CTION. <br /> JOB ADDRESS T RE OF CO A 0 A ORREpA T.OR OWNER DATE <br /> 329 60th St SE X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> l WATER CLOSET(TOILET) 5 DO AIC-AIHNOLG UNITS-H P. <br /> BATHTUB REFRIGEflATION UNITS-H .EA <br /> LAVATORY(WASH BASIN) BOILERS-B T.0 M P. <br /> SHOWER 5 00 GAS FIRED A.C.UNITS-B T.U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS-B T.U. M EA <br /> DISHWASHER WALL HEATERS-B.T.0 M <br /> LAUNDRYTRAY UNIT HEATERS-B.T.0 M <br /> CLOTHES WASHER 5707 EVAPORATIVE COOLERS <br /> URINAL 1 CLOTHES DRYERS <br /> DRINKING FOUNTAIN Z VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER HEATER <br /> 6 SU <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR.ETC) METAL FIREPLACE 6 CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP _ <br /> GAS PIPING <br /> EXHAUSTFAN <br /> BUB TOTALf 1 OO BUB TOTAL f 7 <br /> PERMIT f - PERMIT f . - <br /> TOTALFEE f 15 OO TOTALFEE —171-50— <br /> FRONT SETBACK REAR SE•BADK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> 201 201 51 87/18301 35.10 86800 <br /> USE ZONE I OT AREA VACANT SITEFEES VALUATION FEE <br /> R_2 16 800 Sf DYES jj NO ,(('IIIh„r A <br /> TYPE OF CORBY OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING V"rjF1}aD 135 00 <br /> V-N R-3 l PLUMBING {100018301 15 00 <br /> SIIE OF BLDG NO OF STORIES MAKOCC._OAD BLDG ♦13 I.DD 17 50 <br /> 576 sf addn 1 I11 MECHANICAL <br /> P6PG 4; <br /> j&V4,ftWlanCh c .304(x) `1 ,50 52 65 <br /> FIRESPRI UIRED CIYES MNO STATE BUILDING SURCHARGE I'LN CH 71 .•5• 1 50 <br /> E STATE ENERGY SURCHARGE CHf--N $2. <br /> APPLICATION ACC BY PLANS CHECKED BY APPR FDR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> He 221 GS <br /> SH L.C. TOTAL <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> r� <br /> r7 <br /> 00 <br /> ADDRESS FILE <br />