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the El•eTOF <br />O <br />CITY CONSTRUCTION <br />everett PERMIT PERMIT NO. 11001 <br />CITY HALL 1596745 <br />EVERETT, WA 911201 FXI COMBIFIATION W BUILDING X MECHANICAL © PLUMBING <br />MAIL ADOREb ZIP PHONE <br />Vera Wilson Everett 353-1878 <br />�ar,;lu l(G1 O DE .NU. MAIL ADDRESS atr IIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP M40NE <br />LK.ENSE E <br />Blakely -Camp Homes Inc. <br />P.O. Box 3035 <br />Everett <br />98203 347-4747 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE E - <br />1 <br />F <br />BL AK <br />EC H2O2PL <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />GTY <br />ZIP PHONE <br />LICENSEE <br />1 <br />CLASS OF WORN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OFFENCE ❑SIGN ❑(URAGE <br />VALUATION OF WORK <br />I RRxhkkx 36,800.00 <br />DESCRIBE WORK <br />Canatruet Rinale Family RRRideneA <br />FROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIO(JS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WO WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR CIT. THE GRANTING OF A PERMIT DOES NOT <br />PRES M T GIVE AUTHORITY TOVIOLATEO CANCEL THE PRO" <br />VISI OF ANY OTHER STYE OR LO LAW REGULATING <br />ST U 10 OR THE E OR CONSTRUCTION. <br />SI NATU OF RACTOR OR T IZEp T DATE <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />Ward -Addis Addition <br />LOT 2 RIOCK__OF <br />Replat of Lots 30 and 31 Cadyts <br />on oBeverly-Hills <br />JOB ADDRESS <br />609 65th Place S.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOC4T(TOILET) <br />AIR COND. UNITS - M.P. EA. <br />1 <br />BATHTUB <br />2 <br />REFRIGERATION UNITS - H P. EA <br />1 <br />L,VATORY (WASH BASIN) <br />2 <br />00_.BOILERS <br />- H P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />1 <br />KITCHEN SINK S DISP. <br />2 <br />FORCED AIR SYSTEMS " B.T U. M EA <br />DISHWASHER <br />2 <br />WALL HEATERS - B T U. M <br />1 <br />LAUNDRY TRAY <br />2 <br />UNIT HEATERS - B T U. M <br />CLOTHES WASHER <br />q <br />FLA <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />In III1 <br />CLOTHES DRYERS <br />4 <br />50 <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />4 <br />ID - <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F M <br />_ <br />VACUUM BREAKERS <br />6TOVE <br />ROOF DRAINS - RAINL5AOERS <br />METAL FIREPLACE a CHIMNEY <br />SINK (SERVICE -BAR, ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />S <br />PERMIT f <br />TOTAL FEE <br />3 <br />I r <br />inn <br />TOTAL <br />FEE i <br />12 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />20 t <br />REAR YARD SETBACK <br />F <br />PLAN CHECK NUMBER <br />82�11001 <br />PLAN CHECK <br />FIE <br />E4$.93 <br />1 <br />FEE <br />14 <br />USE ZONES <br />R-2 <br />LOT AREA <br />VACANT StE <br />IRIS L)N0 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />N0. OF DWELLING UNITS <br />1 <br />BUILDING <br />s36,800. <br />224 <br />50 <br />SIZE OF BLDG <br />D56 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />5 <br />PLUMBING <br />16 <br />00 <br />FIRE ZONE <br />BASEMENT <br />None <br />FIRE <br />OYES <br />KLERS <br />SPRINKLERS <br />O <br />MECHANICAL <br />12 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC, 303 0) <br />2 BUILDING PLANS <br />TOTAL <br />252 <br />50 <br />3 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEIAL <br />5 GRADING •� <br />_ <br />PLEyAI{RtCXI;NIDRTTU ((pTH15 $,P;Cy jH15 1S �(7jIR,QFjiM� � _^ <br />a T>jyJLN '7 r'' o iL L� <br />RECEIPT c <br />NK YOUR RECEIPT <br />(F , , `I V " � � U THANK <br />' � A wI � "^'u <br />` l•1♦4' 1'j,J. <br />�ICFPR7 <br />DRAINAT <br />-fi ENVIRONAIE L IMPACCXATEMEN7 <br />NOUR <br />HEALTH ST T - <br />_APPLICATION AIIVLBY <br />N SG() T�77 <br />- <br />• NS CHECKED BY <br />m HWM <br />APPR. FOR ISSUANCE BY <br />LC <br />A` ADM"' 6LE _ <br />