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3 <br />7A(tLe,RTE.,. <br />(: CITY of <br />( <br />000NSTRUCTIO16 <br />• <br />Lf\ <br />°u <br />���rett <br />PERMIT <br />PERMIT lyca. 151�02 <br />CITY HALL 25V8745 <br />EVERETTfIWA Qt201 <br />v — J t <br />COMBINATION BUILDING IJ MECHANICAL <br />® PLUMBING <br />IP <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />Don S. Darrow <br />1714 <br />62nd Street Everett <br />98203 353-6932 <br />ARCHITECT OR UP IGNER <br />MM( ADDRESS CITY <br />Zlf PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS I' r 21P PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAILADDRESS �,�lY ZIP PHONE LICENSE, <br />PLUMBING CONTRACTOR MAIL ADDRESS I ZIP PHONE LICENSE II <br />❑ NEW IkADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />t 11,000.00 <br />DESCRIBE WORK <br />Construct bathroom and bedroom addition <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 GULATING CONSTRUCTION OR THE <br />PERF MAN OF CONSTRUCTION. <br />SIONAT E OF TRACTOR OR AUTHORIZED AGENT DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />13 Mountain View <br />LOT__SLOCK_OF <br />JOB ADDRESS <br />1714 62nd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET ITOILE7) <br />AIR COND. UNITS — N.P. EA. <br />1 <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />2 <br />LAVATORY IWASH BASIN) <br />BOILERS — H.P. EA. <br />1 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />I <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />10 <br />00 <br />TOTAL FEE t <br />SIDE YARD SETBACK <br />51 <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />85/15102 <br />PLAN <br />FEE 56.23 <br />CHECK FEE <br />RECEIPT NO. <br />7n90 <br />USE ZONE <br />R-2 <br />LOT AREA <br />8700 Sq. Ft. <br />VACANT SITE <br />:'YES 3[KO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />t 11,000. <br />86 <br />50 <br />SIZE OF BLDG. <br />B'x28' Add'n <br />NO, OF STORIES <br />2 <br />MAX. OCC. LOAD <br />N/A <br />PLUMBING <br />10 <br />00 <br />FIRE ZONE CiSEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES <br />MECHANICAL <br />3 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303IAI <br />2. BUILDING PLANS <br />_ <br />TOTAL <br />99 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT _CV <br />O <br />T-A <br />LO <br />&GRADING <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DIST RICT <br />APPLICATION ACC. BY <br />STG <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />