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The Evergreen <br />10'a" <br />C O 1' ST R U CT I O N <br />CITY OF <br />everett <br />PERMIT 07529 <br />PERMIT N0. <br />CITY HALL 259-8745 <br />EVERETT, IN COMBINATION ® BUILDING ® MECHANICAL F-1 PLUMBING <br />WA 98201 <br />OWNER <br />MAILADDRLSS CITY Z.P PHONE <br />Robert M. Olson 3408 Gorin Place 98204 337-2322 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP P,IONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MALL ADDRESS CITY ZIP PHONE LICENSE If <br />CLASS OF WORK yy, <br />❑NEW ❑ADDITION •i"1ALTERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 2,000.00 <br />DESCR' S WORK <br />interior remodel <br />PROPOSED USE OF BUILDING <br />duplex <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />24-S433 Everett <br />LOT L K_OF <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 :ANLRA TOR OR AUi ORIZEC DATE <br />JOB ADDRESS <br />4/30/80 <br />%� <br />2118 Hoyt Avenue <br />X ,� <br />PLUMBING <br />MECHANICAL <br />N0. TYPE OF FIXTURE NO. TYPE OF EQUIPMENT FEE <br />WATER CLOFET (TOILET)AIR <br />COND. UNITS — H.P. EABATHTUB <br />REFRIGERATION UNITS — HP. EA <br />LAVATORY (WASH BASIN)BOILERS <br />— H.P. EA. <br />SHOWER <br />WITEMFEE <br />GAS FIRED AO. UNITS —TONNAGE EAKITCHEN <br />SINK 8 DISP. <br />00 FORCED AIR SYSTEMS — 13T.U. M EA. <br />DISHWASHER <br />OO WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNITHEATERS — B T.U. M <br />CLOTHES WASHER <br />00 EVAPORATIVE COOLERS <br />WATER HEATER <br />1 CLOTHES DRYERS 3 0 <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 6 CHIMNEY <br />SINK (SERVICE — BAR, ETC) <br />SUB TOTAL <br />1 OO SUB TOTAL S 3 00 <br />PERMIT <br />31 PERMIT $ <br />TOTAL FEE <br />$1 TOTAL FEE $1 3 00 <br />SIDE YARD SETBACK STREET SETBACK. <br />REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />5T 201 <br />201 7529 FEE 10.00 RECEIPT NO. <br />98327 <br />USE ZONE LOT AREA <br />VACANT SITE <br />DYES Iff FEES VALUATION FEE <br />R-3 4500 Sq. Ft. <br />TYPE OF NST. OCCUPANCY GROUP <br />NO. OF DWELLING UNI IS <br />V-N R-3 <br />2 BUILDING $ 2000.00 20 00 <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. OCC. LOAD <br />2 <br />PLUMBING 6 00 <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL 3 CC <br />3 <br />OYOUI %O <br />APPROVALS <br />BY DATE OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY U.B.C. <br />SEC. 303(a) <br />2, BUILDING PLANS r <br />TOTAL 29 00 <br />3. FIRE HYDRANT `0 <br />4, FIRE PROTCKtTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />15. GRADING _ <br />1593 $020.00 — <br />NAGES <br />�6, DRAIO <br />SOO6.O0 3 N <br />7. ENVIRTAL IMPAPSTATEMENT <br />L0 <br />HEALTH D@MICT a <br />YOUR REC F I PT O <br />00S. <br />R RECEIPT <br />�,4PPLIC!`T151N . BY PLANS CHECKED BY <br />APPR. FOfl ISSUANCE � <br />THANK YOU <br />iWANK YOU <br />c D ` V.C. <br />-a <br />At�( - MAY 80 <br />A.DDRESSIFIC� ..__ <br />