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ayy <br />JD <br />HIM <br />14 H3 0 <br />Od Kx-I IV <br />W H <br />O <br />O H <br />HM8 <br />QV 0 <br />ZH <br />r H Z <br />y 7 <br />H <br />0 C CA <br />r� r <br />b7 <br />HOti <br />h.� 1 <br />' ' 1 <br />the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />C"i'NSTRUCI <br />PERMIT <br />PERMIT NQ: _ 21 O <br />15 <br />❑ DEMOLITION k7 COMBINATION Ek BUILDING ER MECHANICAL 10 PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />John Claiborne 3416 Federal Ave Everett, WA 98201 252-9535 <br />ARCHITECT OR DESIGNER MAIL ARPRESS CITY ZIP PHONE <br />m� <br />fy GENERAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE ULENSE• <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑ NEW V 60 ADDITION ❑ ALTERATION ❑ REPAIR F7 DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 10,000 <br />DESCRIBE WORK <br />Add 2 bedrooms, bath and laundry <br />HEATSOURCE <br />-1 Cl VrTRN9TV FI GAS 'T WOODSTOVE ❑ OTHER <br />PROPOSED USE Of pUIL01NG <br />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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIG UP CONTRACTOR U HORIZ DAGENT, OR OWNER DATE <br />X ,�,, 10/12/88 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES! <br />27_28d o9K 829 or Everett Div H <br />Lo <br />JOB ADDRESS <br />3416 Federal Ave <br />PLUMBING <br />Mf CHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />A/C — A,HNDLG UNITS ITSH P <br />1 <br />BATHTUB <br />SE <br />QQ <br />REFRIGERATION UNITS — H P. EA <br />2 <br />LAVATORY (WASH BASIN) <br />QQ <br />BOILERS — B.1.0 /H P <br />1 <br />SHOWER <br />SIYQQ <br />XQQ <br />GAS FIRED A C. UNITS — B T U _ <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T U I' EA <br />DISHWASHER <br />_ <br />WALL HEATERS — B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.0 M <br />1 <br />CLOTHESWASHER <br />jE <br />42 <br />EVAPORATIVE COOLERS <br />URINAL <br />1 <br />CLOTHES DRYERS <br />' <br />DRINKING FOUNTAIN <br />I <br />VENTILATION FAN <br />1 <br />_ <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />flKiko <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />I <br />I- <br />�I <br />SINK ISERVICE — BAR, ETC.! <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />$% <br />OO <br />SUB TOTAL <br />3 <br />7S <br />PERMIT <br />$ <br />PERMIT <br />TOTALFEE <br />$% <br />OO <br />TOTALFEE <br />3 <br />75 <br />I RONT SETBACK <br />NA <br />REAR SETBACK <br />NA <br />SIDE SETBACK <br />NA <br />PLAN CHECK NUMBER <br />86/16468 <br />FEE <br />52.33 <br />RECEIPT NO <br />79147 <br />USE ZONE <br />R-1 <br />LOT AREA <br />NA [I <br />VACANT SITE <br />YES (*NO <br />FEES <br />BUILDING <br />VALUATION <br />�q <br />W/1B�88 11 0 <br />FEE <br />nnGO ppyy (rII'���r� <br />4'INI 4IYD'233'^1dT <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />7.00 <br />QQ <br />SIZE OF BLDG <br />NA <br />NO OF STORIES <br />2 <br />MAX OCC LOAD <br />MECHANICAL <br />BLDG $4 <br />�r <br />-25 3.75 <br />QQ <br />FIRE SPRINKLERS REQUIRED ❑ YES O NO <br />INVESTIGATION FEE <br />. 304(e) <br />STATE BUILDING SURCHARGE <br />CHECY. $5 <br />.00 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />51 <br />00 <br />PERMIT VALIDATION <br />THIS PERMIT RENEWS PERMIT 16468, ISSUED <br />XBIXXI ON 5/6/86 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) I Nib b VJU" r Nml I <br />O <br />N <br />ADDRESS FILE <br />