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" ``IL-E•,IY9r C O N ST R U CTI r N <br /> everett PERMIT PERMIT NO. 13106 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 [XI COMBINATION Ixl BUILDING ❑ MECHANICAL X . PLUMBING <br /> OWNER MAIL ALOP ESS 1 01 JP PHONE <br /> Karen Carlson 7 77th Place S.W. Everett 353-1717 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GEfIIEAAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br /> Energy Builders 1609 East Grand Everett 98201 258-2708 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br /> EN ER GB 199KQ <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> ❑NEW )Q ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> $ 8900.00 <br /> DESCRIBE WORK <br /> Addition of 240 Square F set to existing residence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES( CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 15 Cedar Ridge Estates GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LDT_BLOCK_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THF. PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO ANCE OF CONST CT ON. <br /> JOB ADDRESS SI Ai E CONTRACTOR R AUTH RIZED AGENT TE <br /> 7 77th Place S.W. X �( <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS- M.P.EA. <br /> LAVATORYIWASH BASIN) BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK A DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- 8.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS _ <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT - C.F.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIREPLACE S CHIMNEY <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSERT I <br /> HEAT PUMP Er*•1 <br /> SUB TOTAL f SUB TOTAL ! <br /> PERMIT S PERMIT f H ~ <br /> H <br /> TOTAL FEE S TOTAL FEE S HH . <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER B4/ PLAN CHECK FEE <br /> 6' 201 201 EYYSHEXR 13106 FEE 48.43 6@irird1T NO ELC7] <br /> USE ZONE LOT AREA VACANT S1TE <br /> R-1 YES XRO FEES VALUATION FEE y <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS O <br /> V-N Add'n R-3 1 BUILDING S 8900. 74 50 <br /> SIZ_EO F BLDG NO.OF STORIES MAX.OCC. LOAD - - <br /> Add'n 240Sq. Ft 1 PLUMBING 2 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> YES NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST U.B C. O ' <br /> _ _- PENALTY SEC.�O7 lel ' <br /> 2.BUILDING PLANS "---- <br /> 3.FIRE HYDRANT r- TOTAL <br /> r , <br /> 4.FIRE PROTECTION SYSifii PERMIT VALIDATION (� [ n <br /> 55..G—RADING WHEN PROPERLY VALIDATED p1�� <br /> N THI"PAICt THIS I� 4FN1,0 <br /> -4.DRAINAGE bg - C) r <br /> 7.ENVIRONMENTAL IMPAOT'STATEMENT Y--� <br /> .HEALTH 1{ IST ICT r <br /> .§PPLICATION AOC. BY PLANS CHECKED BY APPR FOR ISSUANCE BY U <br /> SIG1.I HWM LC <br /> LJ <br /> ADDRESS FILE <br /> r <br /> i <br />