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the EYTTeen <br />CITY OF <br />60 N ST R U CT I O N <br />everett PERMIT PERMIT NO. 14735 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION Rk BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Gary Alcombrack 1911 N.ukilteo Blvd. Everett 98204 <br />ARCH TECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE S <br />James Olin 3323 Hill Everett 98201 339-1247 <br />MECHANICAL. CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Y <br />EXXMEXEEXM JA ME SO CI <br />PLUMBING CONTRACT04 MAIL ADDRESS CITY ZIP PHONE L10ENjE4 <br />❑ NEW WODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />s 30,000.00 <br />DESCRIBE WORK <br />construct garage and addition <br />F90POSEJ USE OF BUILDING <br />:i.ngle Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCH LAW REW LATING CONSTRUCTION OR THE <br />PERF ANCE ONSTHUCTION. <br />SIGNAT OF�G i OR AUTHORIZED AGENT DAZE <br />X 5/14/85 <br />— <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT43_BLocK__oF Replat of Lot "X" <br />4171-000-043-0004 <br />JOB ADDRESS <br />1911 Mukilteo Blvd. <br />PLUMBING <br />NICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <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 & DICE. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />I 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 - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIR[ PLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />$ <br />SUB TOT.1L S <br />PERMIT <br />S1 <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE S <br />S1DE YARD SETBACK <br />7>s 1 <br />STREET SETBACK <br />251 <br />REAR YARD SETBACK <br />251 <br />PLAN CHECK NUMBER <br />85/14735 <br />PLAN <br />FEE 128.38 <br />CHECK FEE <br />1 RFCEIPT NO. <br />7rnym <br />USE ZONE <br />R-S <br />LOT AREA <br />VACANT SITE <br />::YES XkO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />Addn R3-M <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />5 30,000. <br />193 <br />— <br />00 <br />�ZETgBLD,G. Ft. <br />M 7nd 5 <br />NO. OF STORIES <br />,l <br />MAX. OCC. LOAD <br />N/A <br />- <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />-.YES XXNO <br />— <br />MECHANICAL <br />— <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />193 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION .;YSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS I$ YOUR PERMIT " <br />V <br />v-e <br />i <br />5. GRADING --� <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />