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the f]L'r7(FrOFl <br /> CRr or ^TONSTRUCTION <br /> everett PERMIT PERMIT NO. 10280 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION ki BUILDING -1 MECHANICAL PLUMBING <br /> MAIL AD355-0534 <br /> DRESS CITY ZIP " '•I <br /> 1 98201 <br /> Bradley Martin 2Ct4iC$ Everett 61st Street _ <br /> AIICNRELI OA DESIGNED <br /> I,MIL ADDRESS CRY ZIP NgNE <br /> GENERAL CONTRALig1 <br /> MAIL ADDRESS CRY ZIP PIgNE IK:ENSE I <br /> same <br /> MECHANICAL CONTRACTOR <br /> MAR ADDRESS CITY ZIP PNOt1E LICENSE P <br /> ONE LICENSED <br /> PLUMBING CONIRAOOR <br /> MAIL ADDRE65 CRY Z'P PN <br /> CLASS OF WORK <br /> ❑NEW $]GDDITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE 061ON GARAGE <br /> VALUATION OF WORK <br /> E 11,000.00 <br /> DESCRIBE WORK <br /> Addition to existing residence <br /> MPOSED UK OF BUILDINGAND <br /> AP- <br /> single family residence I HEREBYCERTIFYAND K THATHE SA EETO BE TRE AND COR <br /> LEGAL DEWRIPIKIN OF PRGPERTY TSNOW BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE BE TRUE AND CORRECT. <br /> Pinehurst Div. A ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LDT 15 BLMK_l OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 91ONA1 OONTMCT AU DATE <br /> 21CBCIC 61st Street <br /> X <br /> PLUMBING MECHANICAL <br /> FEF. NO. TYPE OF EQUIPMENT FEE <br /> N0. TYPE OF-FIXTURE OR ITEM _ <br /> 2 00 AIR COND.UNITS—H P.EA. <br /> 1 WATER CLOSET(TOILET) REFRIGERATION UNITS—H P.EA <br /> BATHTUB BOILERS—H.P.EA. <br /> 1 LAVATORY(WASH BASIN) 2 00 <br /> GAS FIRED AC UNITE—TONNM7E EA <br /> SHOWERCa FORCED AIR SYSTEMS-8T.0 MEA <br /> KITCHEN SINK 8 DISP. WALL HEATERS—R T.0 M <br /> DISHWASHERM <br /> UNIT HEATERS—B.T.U. <br /> LAUNDRY TRAY EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT— C FyL� <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR,ETC) <br /> SUBTOTAL S <br /> SUB TOTAL PERMIT S <br /> PERMIT <br /> TAL EE TOTAL FEE <br /> PLAN CHECK FEE <br /> EIDE YARD SETBACK STREET SET 0; REAR YARDSETBACK PLAN CHECK NUMBER FEE 56,2 3 RECEIPT NO. <br /> SI 82/10280 57028-57047 <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-2 1]VES Ej(JR <br /> TYPE OF CON6T. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N Addition R-3 BUILDING $11,000. 86 50 <br /> SIZE OF BLDG NO OF STORIES MAX OCC'LOAD PLUMBING 6 OO <br /> 504 sq. Ft. Add tion 1 <br /> FIRE ZONE BASEMENT EIRE SPRINKLERS MECHANICAL <br /> RE RED <br /> L None ['YES IINO <br /> APPROVAEs <br /> SY DATE OTHER <br /> I <br /> ENVIRONMENTAL CHECK LIST PENALTY SEC 903 IAT <br /> 2. BUILDING PIANS TOTAL ]EE92]50 <br /> 0. FIRE HYDRANT <br /> PERMIT VALIDATION <br /> A. FIRE PROTECTION SYSTEM WNEN PROPERLY VALIDATED IN THIS SPACE(THIS IS YOUR PERMIT <br /> 5. GRADING 7 11 R t0- 4- 00 3 9 7 3 8 $ 0 86.50 F--+*atl <br /> B DRAINAGE C-I <br /> 7. ENVIRONMENTAL IMPACT STATEMENT C:) <br /> B. HEALTH DISTRICT '! ? R FCEIPT YOUR RECEIPT <br /> APPLICATION ACC BY7PLANSECKED BY APPR FOR ISSUANCE BY �.`; U11', IY14�l W <br /> E.B. L.C. <br /> l d MAR 8 2 ►�P 0 L <br /> ADDRESS FILE <br />