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.n <br />the Evergreen <br />07NSTRU CTIO N <br />everett <br />PERMIT <br />PERMIT NO.09441 <br />CITY HALL 259-8745 <br />98201 <br />❑ COMBINATION U BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />William Olsen 3419 Oakes Everett <br />98201 <br />ARCHITECT OR DESIGNER <br />MAR ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY <br />KHB Construction 7720 46th Place West Mukilteo <br />ZIP PHONE LICENSE IF <br />98275 365-0144 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />KH BC <br />OC *211DW <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />El NEW 0ADDITION ❑ALTEI ATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 5,000.00 <br />DESCRIBE WORK <br />Addition to existing building <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 />C NST UCTION OR THE RFORMANCE OF CONSTRUCTION. <br />SIG A iE OF CONTRALTO 0 UTHO 2ED AGENT DATE <br />X % p <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />3t�Z, 9-10 819 Everett Div. I'M" <br />LOT BLOCK_OF <br />JOB ADDRESS <br />3419 Oakes <br />PLUMBING <br />MECHA ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />E OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CONE. UNITS - M.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - N.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRFD 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 i.U. M <br />_ <br />LAUNDRY TRAY <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 <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />— <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT <br />f <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE 11 <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBAC' <br />20' <br />PLAN CHECK NUMBER <br />81/9441 <br />PLAN CHECK <br />FEB 2.83 <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />R-3 <br />LOT AREA <br />4500 Sq. Ft <br />VACANT SITE <br />(]YES gl�o <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />I <br />BUILDING <br />$5,000. <br />50 <br />50 <br />SIZE OF BLDG. <br />4'x2O' Additi <br />NO, OF STORIES <br />In 2 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIR <br />EYES NO <br />MECHANICAL <br />- <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC 303 (a) <br />2, BUILDING PLANS <br />TOTAL <br />50 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />IT !1 <br />I U U <br />d <br />Q <br />- <br />S. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />R <br />ADDRESS FILE <br />- 0 'i L 1, <br />