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= the Evergreen <br />r 0 N ST RU CTI O N <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.OS535 <br />CITY HALL 259 0745 <br />X <br />El COMBINATION El ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER MAIL ADDRESS CITY <br />710 wall Street Everett <br />ZIP PHONE <br />98201 25-5573 <br />James D. Pack <br />nP <br />PHONE <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />.. .v <br />ZIP <br />PHONE L <br />Same <br />CLASS OF WORK <br />El NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEAIOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WOflK <br />$ 7,000.00 <br />DESCRIBE WORK <br />Convert Single Family Residence to Duplex _ <br />PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />Duplex PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELON'OR ATTACH FOUR COPIES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />E'{gr10 eLaK_ 4 of Town of Lowe TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANNNG OF 'PIRMIT DOES NOT <br />PRESUME fOGiVEAUTHORITY ",T,qOVIO EO CANCEL THE PRO- <br />VISIONS OF ANY OTHER STry��q� OR OC LAW REGULATING <br />CO�UCTION OR THE PER Min. C F CONSTRUCTION. <br />DATE <br />JOB ADDREbb <br />2116 Main Street <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />SU <br />SIDE YARD SETBACK <br />BACK <br />REAR YARD stln <br />(STRUCTURE <br />USE ZONE <br />R_2 <br />LOT AREA <br />7200 Sq. Ft <br />VACANT SITE <br />❑YES HKO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DW2ELLIN <br />V—N <br />R-3 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />2 <br />1, ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT _ <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />CApPLICATION ACC) BY hANS CHECKED BY <br />V.C. <br />TYPE OF EOUIPMEN I <br />UR COND. UNITS — H.P. EA, <br />IEFRIGERATION UNITS — H.P. EA <br />301LERS — H.P. NAGE EA. <br />EA. <br />ED A. <br />3AS FIRG. UNITS — TON <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C <br />80/8535 <br />BUILDING <br />MECHANICAL <br />PLAN (;HteK rte <br />FEE RECEIPT NO. <br />40.63 I 51014 <br />S 7,000. <br />H"" <br />ENALTY U B C <br />SEC. 303 (a) _ <br />95 50 <br />OTAL <br />ERMIT VALIDATION <br />'RPE"Ly, VALIDATE"N THISSIAI, E) THIS IS Yj O P FI ITO_— <br />b UIJ Lb <br />CIi <br />2CCEIPT y(.Ij R C^EIPT o �� C U=! K Y L/ <br />- 9 DEC 90 <br />ADDRESS FILE <br />-90EC 80 <br />