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The £r <br />PO N ST R U CTI O N <br />CITY OF <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.OHHH7 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />❑ COMBINATION BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Maria Waggoner 1701 Puget Drive Everett <br />98203 <br />353-4772 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE 1 <br />Same <br />MECHANICAL CONTHACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS Gl� ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW MDDITION L-ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 2,500.00 <br />Remodel existing garage <br />PROPOSED JSE OF BUILDING <br />single family garage <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 />NT <br />SIGNATURE OF COCTO ��� R AUTHORIZED AGENT DATE <br />X rOU 2/18/81 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BILOW OR ATTACH FOUR COPIES) <br />12 5 Beverly Park <br />LOT BLOCK —OF <br />JOB ADDRESS <br />1701 Puget Drive <br />PLUMBING <br />MECHANICAL <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. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - BTU. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />_ <br />CLOTHES WASHER <br />_ <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <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 />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />81/8846 <br />PLAN CHECK <br />FLE 25.03 <br />FEE <br />R51�8Ty2 <br />USE ZONE <br />R-1 <br />LOT AREA <br />10650 Sq. Ft. <br />VACANT SITE <br />OYES W <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M-1 <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 2500.00 <br />38 <br />50 <br />SIZE OF BLDG. <br />26'6"x18'6" <br />NO. OF STORIES <br />I 1 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />T"ES XX40 <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 />38 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPATATg IS IS <br />j Y8r$ O <br />CO <br />F�-E <br />(� QQ <br />1 I "11 t cc <br />Q <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />It.C. <br />18I-LUZJi <br />ADDRESS FILE <br />