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CITY OF <br />everett PERMIT PERMIT NO.08560 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 Q COMBINATION C7 BUILDING ❑ MECHANICAL P PLUMBING <br />OWNER MAILADDRESS CITY ZIP PHONE <br />Robert G. Anderson 4507 144th Drive S.E. Snohomish 98290 568-5578 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />AndCo Const. <br />4507 144th Drive S.F. <br />Snohomish <br />98290 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE IF <br />AN DC OC2405N <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION X3REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f 4000.00 <br />CESCRIBE WORK <br />Repla:e post and beams, skirting <br />PROPOSED USE OF BUILDING <br />Single Family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE CONTRACTOR OR HO ED AG T DATE <br />X 11/12/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />27 433 Everett <br />LOT__BLOCK_OF <br />JOB ADDRESS <br />2112 Hoyt <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />•3 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS -H.P. EA <br />1 <br />LAVATORY(WASH BASIN) <br />2 <br />00 <br />BOILERS -H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />_ <br />.1 <br />KITCHEN SINK 8 DISP. <br />2 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WAU. HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />1 EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />06 <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 <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />9 <br />IaD__ <br />SUBTOTAL f <br />PERMIT <br />$I <br />I <br />PERMIT f <br />_ <br />TOTAL FEE <br />$1 <br />12 <br />00 <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 4,000. <br />44 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />12 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES []NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />56 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />_ <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY''/ALIDATED(IN THIS SPACE) 7)� HIS IS Y F�PF(�411T <br />rO O. <br />�IJJ y (p <br />) rTyLLO <br />, .i\•-Lr �IW <br />: I,'� L, U <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPV STATEMENT <br />8. HEAEit1 DISTRICT — <br />APPLICATION ACC. BY • <br />(i un <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />CJ <br />ADDRESS FILE <br />