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^ONSTRUCT10F <br /> 6v6rett PERMIT PERMIT NO. 13425 <br /> CITY HAAIhh 2 A p <br /> V €y€RETT.V+ d❑ 60MBINATION ba BUILDING CI MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Reuben E. Lobb 209 76th Place 3.W. Everett PH <br /> 98203 353-8208 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP ONE <br /> GENERAL CONTRACTOR <br /> MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br /> Same <br /> SE <br /> MECHANICANTRACTOR <br /> MAIL ADDRE58 CITY ZIP PHONE LICEN <br /> GL <br /> PIUMBIN6 CONTRACTOR <br /> MA4 ADDRESS CRY 21P PHONE LICENSE IT <br /> CLASE OF WORK <br /> 0 NEW $XADDITION 0 ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSER <br /> VALUATION OF WORK <br /> s 6,200.00 <br /> DESCRIBE WORK <br /> Addition of 12'x24' to existing residence <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Family Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERLY(SNOW BELOW 09 ATTACH FOUR COPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2View Crest Drive GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> CK <br /> LOT BLOCK—OF 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 /> JOB ADDRESS SIGF CONTRACTO RIZED AD NT - — DATE <br /> 209 76th Place S.W. XNATUAUT 8 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURF OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITE-H.P.EA. <br /> BATHTUB REFRIGERATION UNITS- H.P.EA. <br /> LAVATORY IWABH BASIN) BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> 3• KITCHEN SINK a DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- 0T.U. M <br /> 1 UNIT HEATERS- B.T.U. M <br /> LAUNDRY TRAY <br /> CEVAPORATIVE COOLERS <br /> CLOTHES WASHER <br /> W!'En CLOTHES DRYERS <br /> HEATER <br /> URINAL VENTILATION FIN <br /> DRINKING FOUNTAIN 1 RANGE HOOD 00 <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS g <br /> ACE a CHIMNEY <br /> SINK(SERVICE- BAR,ETC..) ERT <br /> SUB TOTAL f 4 00SUB TOTAL f H <br /> PERMIT t PERMIT f <br /> TOTAL FEE f 4 00TOTAL FEE ! <br /> 3 00 <br /> PLAN CHECK FEE T" <br /> SIDE YARDS ETBACK STREET SETBACK REAR YARD SETBACK R RECEIPT NO. <br /> 61 20' ' 25 FEE 40.63 69826USE ZONE LOT AREA VACANT 817E VALUATION FEE <br /> R-1 YES �!O <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $ 6200. 62 50 ~ <br /> SIZE OF BLDG. N0.OF STORIES MAK.OCC.LOAD PLUMBING 4 00 'r- <br /> 288 Sq. Ft. ri <br /> 1 — <br /> FIREZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REQUIRED L 00 <br /> YES O - oo <br /> APPROVALS BY DATE <br /> OTHER F+] y; <br /> UB, <br /> PENALTY SEC. F]- H <br /> 1.ENVIRONMENTAL CHECK LIST BEG.303 TAI r[T*Ji <br /> 2.BUILDING PLANS TOTAL 69 1 50 D� <br /> 1 FIRE HYDRANT _ F. <br /> A.FIRE PROTECTION SYSTBM PERMIT VALIDATION pp •_[f 11 <br /> WHEN PROPERLY VALIDATED(IN THIS SPA(f)VHIS IB�Y•aUh @EF�@ � <br /> 5.GRADING - <br /> 18.DRAINAGE .Irr . <br /> -L-F.ENVIRONMENTAL IMPAOTSTATEMENT <br /> f .HEALTH DISTRI T '� <br /> :,: <br /> AT(O ACQ.BY LANS CHECKED BY APPR.FOR ISSUANCE BYEB � LC <br /> c_ <br /> w ADDRESS FILE <br /> r <br />