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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CONSTRUCTIO" <br />PERMIT <br />❑ COMBINATION ax BUILDING ❑ MECHANICAL <br />PERMIT NO. 13294 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Greg Fox 2313 Columbia Avenue Everett 347-2445 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE Y <br />Raintree Construction <br />3880 Steilacoom Blvd. <br />Tacoma <br />98499 <br />584-5522 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />RA IN <br />TOC 172RO <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE M <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 3800.00 <br />PROPOSED U3E OF BUILDING <br />Single Family Residence Garage <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 />PERFOR ANCE OF CON TRUCTION. ' <br />SI I F CONTRACTOR R UTHORIZ GEN DATE <br />1, 4 -- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT25=2fiBLocK 16 OF Pinehurst Division "B" <br />JOB ADDRESS <br />2313 Columbia Avenue <br />PLUM81NG <br />A_ ICAL- <br />NO. <br />TYPE OP FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET)AIR <br />CONE. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - N.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DIST. <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 />WATER HEATER <br />CLOTHES DRYERS <br />URINA: <br />VENTILATION FAN <br />DPINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM bpiEAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL $ <br />_ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />84/13294 <br />PLAN <br />FEE 28.93 <br />CHECK FEE <br />RECEIPT NO <br />6950E <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES .'.NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V—N <br />OCCUPANCY GROUP <br />M I <br />NO. OF DWELLING UNITS <br />BUILDING <br />$3800. <br />44 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES O <br />MECHANICAL <br />_ <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />44 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THISI SPgi T THIS (S 604P[yEiMlT�- <br />b l I ,{I V 1I LI J U <br />��I;�)U �Y Rf CEIPT;-' <br />1AN?: YOU <br />6.DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />STG <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />-gmy 84 <br />ADDRESS FILE <br />