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The I t er¢rCepi <br />everett ;O N ST R U CTI O V <br />PERMIT PERMIT NO. 1,5361 <br />CITY HALL 2598745 <br />EVERETT, WA9S201 U COMBINATION L1 BUILDING XX MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CITY PHONE <br />Elizabeth Eloheimo 519 92nd Street S.E. Everett 98203 347-5088 _ <br />ARCHITECT OR DESIGNERMAIL ADDRESS CITY ZIP PHONE. <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE A <br />Hogan Heating and Solar <br />11414 Avondale Road #71 <br />Redmond 98052 <br />885-0486 <br />MECHANICAL CONTRACTOR - <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE A <br />HOOANHS 169 <br />RD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />"ONE LICENSE A <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEJFIREPLACE INSERT <br />VALUATION OF <br />Add solar water heating system <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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF ONSTRUCTION. 8/27/85 <br />SIONAT OF CONT T ON AUTHORIZED AGENT DATE <br />XKfi/YEE[ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOURCOPIESI <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />519 92nd Street 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 CLOSET(TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA, <br />LAVATORY SMASH BASIN) <br />BOILERS - M.P. EA. <br />SHOWER <br />OAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK f DISR <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <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 d CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />1 <br />Water Heater <br />_ <br />SUS TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />f <br />1 <br />TOTAL FEE f <br />_PERMIT <br />TOTAL FEE $1 <br />14 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />TYPE OF OWN <br />LOT AREA <br />VACANT SITE <br />. YES .NO <br />FEES <br />VALUATION <br />FEE <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />- - -- <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES f NO <br />C <br />MECHANIAL <br />- <br />- <br />14 <br />50_ <br />OTHER <br />_ APPROVALS <br />BY <br />DATE <br />T. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />us <br />SEC, 30314) <br />2. BUILDING PLANS <br />TOTAL <br />14 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION 7� <br />WHEN PROPERLY VALIDATE91114 THIS JFRIt6THIS I44UL NifKIIY ��i <br />LA <br />YOUR RECEIP�'n <br />J FI n N K YOU <br />S. GRADING <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />Z <br />0 <br />C� <br />m <br />Iti H <br />2 1 AUG 6 7 <br />ADDRESS FILE <br />