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31 <br />everett WONSTRUCTMk_ <br />PERMIT PERMIT NO. 14815 <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 ® COMBINATION ® BUILDING 10 MECHANICAL El PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Lee MCElvaine 1401 63rd Street Everett 355-2845 <br />ARCHITECT OR DESIGNER MAIL AUDRESS CITY ZIP PHONE <br />GENERAL CONTRACIOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Mel Forrey 7532 Lower Ridge Road 353-4659 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE P <br />i;CUMBING CONI3ACTCR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />CLASS OF WORT( <br />❑ NEW 9R,NDUIT10N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />F 25,000.00 <br />Bedroom -Utility room adcition--kitchen remodel <br />PROPOSED USE OF BUILDING <br />Tingle 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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E OF CO ALTO AUTHORIZED AGENT GATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BEIOW OR ATTACH FOUR COMLSI <br />4 2 Beverly Jills Div. 2 <br />LOT_BLOCK__OF <br />JOB ADDRESS <br />14U1 63rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPME T <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA. <br />LAVATORY (WASH BASIN) <br />20cLBOILERS <br />- H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK B DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNCRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTMESWASHER <br />DDL <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />nn <br />DRINKING FOUNTAIN <br />I <br />IRANGEHOOD <br />A0- <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />_ <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />6 <br />00 <br />SUB TOTAL f <br />12 <br />00_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE $1 <br />6 <br />00 <br />TOTAL FEE f <br />12 <br />00 <br />S1DE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PUN CHECK NUMBER <br />85/14815 <br />EE PLAN <br />F 110.83 <br />CHECKFEE <br />�1 <br />R 7�18 O. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />YES NO <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 />i 251000. <br />170 <br />SO <br />SIZE OF BLDG. <br />2 Sq. Ft. Add'n <br />NO, OF STORIES <br />1 <br />MAX. OCC. LOAD <br />N/A <br />PLUMBING <br />_ <br />6 <br />00 <br />FIRE ZONE <br />BASFMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES O <br />MECHANICAL <br />12 <br />00 <br />- -- <br />OTHER <br />— <br />APPROVALS_ <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC. 303 (2) <br />2. BUILDING PLANS <br />TOTAL <br />- <br />- <br />188 <br />SO <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM" <br />PERMIT VALIDATION <br />WHEN PROPER[ Y VALIDATED (IN THIS SPACE) THIS IS YOtr PERMIT L9 <br />/ <br />CIO <br />I <br />1 <br />5. GRADING <br />B. DRAINAGE — <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />11WM <br />I, <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE , <br />