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the Evergreen <br />r,'' OF <br />everet <br />CITY HALL 259 B745 <br />EVERETT. WA 98201 <br />r'ONSTRUCTION <br />PERMIT <br />❑ COMBINATION BUILDING ❑ MECHANICAL <br />PERMIT NO. 13569 <br />❑ PLUMBING <br />OWNER <br />MAIL AppflE55 <br />CITY <br />ZIP <br />PHONE <br />LA MONTE R. INGRAM <br />2408 Larlin Dr <br />Everett WA 98203 <br />353-6958 <br />ARCHITECTOR D ESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />Same <br />CITY <br />21P <br />PNONE LICENSEE <br />MECHANIC, LCONTRACTOR <br />MAIL ADDRESS <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE A <br />CLASS'I OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION a REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUAVON OF WORK <br />4,000.00 <br />1n5LQIi 611C IVVI <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCES <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />173 Valley View <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF <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 />PERFORMANCE OF CONSTR ION <br />ATU. <br />SIGNO NTRACTO OORTHO AGENT 7/3D TE <br />84 <br />JOB ADDRESS <br />2408 Larlin Drive <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO.' <br />TYPE OF EQUIPMENT <br />FEE <br />WATERCLOser(TOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY 'WASH BASIN) <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />KITCHEN SINK 8 DISH. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <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 — WOOD <br />ROOF DRAINS — RAINLEAOERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />NUMBER <br />PLAN CHECK 4/13569 <br />PLAN CHECK FEE <br />FEE 28.93 RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />YES -NO <br />TYPE OF CONST. <br />orGROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$4000.00 <br />44 <br />50 <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />na <br />na <br />na <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />OTHER <br />-YES 7N0 <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2_BUILDING PLANS <br />TOTAL 44 50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 01 <br />5.GRADING <br />I; 11 0 4 4. 0- <br />6. DRAINAGE <br />M <br />. • '. I . 1 1 <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />eb <br />hWBI <br />�E <br />F <br />Cr <br />