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r,•F7 ' *CONSTRUCTION <br /> everett PERMIT PERMIT NO. 15429 <br /> CITY HALL 259.8745 <br /> EVERETT,WA 98201 COMBINATION 91 BUILDING --j MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS CITY SIP PHONE <br /> JOHN PETERSON 612 - 60th Everett WA 98203 353-2853 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> RICHARD SULLIVAN <br /> GENERAL�C�ONTRACTOR MPHONE LICENSEE <br /> AIL ADDRESS CITY ZIP <br /> MECHANICAL CALL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE E <br /> CLASS OF WORK <br /> ❑NEW ['(ADDITION ❑ ALTERATION ❑REPAIR El DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> $1500. 00 <br /> DESCRIBE WORK <br /> Garage addition <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> garage APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 1 Snoh Land Ca GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> Lor_eLocK_oF_ - anWHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> Lots 3 ,4 , 5,6 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 CONSTRUCTION. <br /> JOB <br /> 6 DRESS 60th SIGNATU OFC TRA <br /> ECTORM AUTH 12ED AGENT DATE <br /> PLUMBING MEC NICAL �� <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS- M.P.EA. <br /> BATMTUT REFRIGERATION UNITS-H.P.EA, <br /> LAVATC BY(WASH BASIN) BOILERS-H.P.EA. _ <br /> SHOWER OAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 9 DISP. FORCED AIR SYSTEMS-B.T.U. M EA, <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS-B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATERCLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. _ <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE B CHIMNEY <br /> SINK(SERVICE-BAR,ETC.) FIREPLACE INSERT _ <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL 4 <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE _ <br /> SIDE YARD SETBACK STREET SETBACK HEAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 5 1 201 <br /> 51 FEE RECEIPT NO. <br /> 85115429 10 40 –4a742-- <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-2 14,160 sf YES .x10 <br /> TYPE OF CONST. O GUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N M-1 BUILDING : <br /> SIZE OF BLDG. NO.OF STORIES MAK.OCC.LOAD PLUMBING <br /> 12 x 22 add 1 — <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIRED <br /> YES NO <br /> APPROVALS BY DATE <br /> OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.003(A) <br /> 2.BUILDING PLANS TOTAL 25 00 <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION J/ 8'� � <br /> WHEN PROPERLY VALIDATED(IN i S EI TH )¢YOUR MIT `r <br /> 5.GRADING �J ( ((�) �1`� <br /> B.DRAINAGE _ $5 .85 due on plan Check d' <br /> T.ENVIRONMENTAL IMPACTSTATEMENT Ln <br /> B.HEALTH DISTRICT YOUR RECEIPT <br /> APPLICATION ACC.BY PIANS CHECKED BY APPR.FOR ISSUANCE BY THAM, YO U <br /> stg jef lc <br /> - ] t>i:i 85 <br /> ADDRESS FILE <br />