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,.11•r11lYDa•1 ,1 � �ICONSTRUCT104 <br />e�verett PERMIT PERMIT No. 15283 <br />CITY HALL 2596745 <br />EVERETT,WA98201 (1 COMBINATION BUILDING L; MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS u" LP PHONE -- <br />Bruce Timm 708 92nd Street Everett 98204 353-5942 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />O'Connor 6 Oehler 9210 Evergreen Way Everc;t 98204 353-7700 OCONNOC193ML <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />CLASS OF WORK [] <br />❑ NEW RADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK nn <br />A 5,000.00 <br />264 So. Ft. Addition to bedroom area <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 />SAL .LAW REGU ATING CON TRUCTION OR THE <br />RFORIgANCE OF T TIO . <br />SI ATURE O CONTRACT R A H I D ENT DAT <br />X .2 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />13 Mountain View <br />LOT _ BLOCK -OF <br />_ <br />JOB AODRFSS <br />708 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 — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <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 A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />SUB TOTAL { <br />PERMIT <br />f <br />PERMIT S <br />TOTAL FEE <br />{ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20, <br />PLAN CHECK NUMBER <br />85/15283 <br />PLAN <br />FEPii 2.83 <br />CHECK FEE <br />RECEIPT NO. <br />a9 <br />USE ZONE <br />R-1 <br />LOT AREA <br />10,452 SQ. Ft. <br />VACANT SITE <br />YES XKO <br />FEES <br />VALUATION <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />$5,000.00 <br />50 <br />50 <br />SIZE OF BLDG. <br />264 8 . Ft. Add <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />N A <br />PLUMBING — <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />US C. <br />SEC. 30316) <br />$. BUILDING PLANS <br />TOTAL <br />50 <br />50 <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />A.GRADINO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THW�rGE) THIJIt �TrIT <br />f. <br />)) BUJ BUJ N <br />L0 <br />YOUR RECEIPT ' 4 <br />THANK YOU <br />_ <br />A. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />I I, Sip 8 5 <br />ADDRESS FILE <br />