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the EYcTYOF • CONSTRUCTION <br />everett PERMIT PERMIT NO.06404 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMB,NG <br />OWNER <br />Judith Weeks 610 <br />MAIL ADDRESS CITY ZIP <br />Laurel Drive 98201 259-2035 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />C & W Builders, Inc. <br />MAI ADD ESS CITY ON LICENSE <br />9804 ChM-F% apel Hill Road 982d8 3 481 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIF PHONE LICENSE/ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />CLASS OF WORK <br />❑NEW XXDDITION []ALTERATION ❑REPAIR [I DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 18,000.00 <br />DESCRIBE WORK <br />Remodel & enlarge 2 baths, construct 2 decks <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 FERMI] DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />TONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />(COkSTRUCTION OR THE PERFORYAQCE OF CONSTRUCTION. <br />SIGNAi RE OF CONTRA„ q Oq THO DATE <br />of o <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />8-9 4 Rucker Park Add. <br />LOT BLOCK_OF <br />JOB ACDFESS <br />610 Laurel Drive <br />PLUMBING <br />N1EC HAICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />No. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND UNITS - H P. EA <br />BATHTUB <br />REFRIGERATION UNITS -- H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. Et <br />SHOWER <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPiRATIVE COOLERS <br />WATER HEATER <br />ICLOTHES DRYERS <br />_ <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 & CHIMNEY <br />SINK ISERVICE — BAR. ETC 1 <br />SUBTOTAL <br />SUBTOTAL $ <br />_ <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />HEAR YARD SETBACK <br />PU.N CHECK NUMBER <br />79/465 <br />PLAN CHECK <br />FFF 42.00 <br />FEE <br />RECEIPT NO <br />41286 <br />FEE <br />84 00 <br />R41 no <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />AYES ONO <br />FEES <br />VALUATION <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S18,000. <br />SIZE OF BLDG, <br />NO OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE LONE. BASEMENT <br />APPROVALS <br />FIRE SPRINKLERS <br />REOUIRED <br />DYES ENO <br />MECHANICAL <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 />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5 GRADING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />\ <br />PERMIT VALIDATION <br />— WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />p (� nn <br />9762 SQ O4,nU "00' <br />-p <br />�/ C �y(0 <br />APPR. FOR ISSUANCE 8Y .YOU-R RCC E I PTz" <br />THANK 'Y�v <br />ADDRESS FILE 2 3 A 7.9 <br />