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the Evergreen ",O N STR U CTI O N <br />CITY OF <br />everett . PERMIT PERMIT NO.1OH%9 <br />CITI HALL 259 8745 <br />❑ COMBINATION Jil BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />ZIP PRONE 1 <br />OWNER <br />MAIL ADDRESS <br />CITY <br />Maurice A. <br />Preston 1917 McDougall <br />Everett <br />98201 252-0560 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Ac <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEI <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />VNVV V _ ❑NEW XXADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 4,000.00 <br />Construct addition of 1% hAth And cewina rnnm <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONThA=TOR OR AUTHORIZED AGENT DATE <br />Xr4 etc -z <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />9-10 385 Everett Div. P <br />LOT_ —BLOCK—OF <br />AB ADDRESS <br />1917 McDougall <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE _ <br />CLOSET (TOILET) <br />AIR COND. UNITS — N.P. EA <br />_WATER <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />_I <br />1 <br />LAVATORY (WASH BASIN) <br />PBOILERS <br />— H.P. EA. <br />1 <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK R DISR <br />FORCED AIR SYSTEMS -- B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UN17 HEATERS —BT.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRIERS <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 DRAWS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />-- <br />SUBTOTAL <br />6100 <br />SUBTOTAL f <br />_ <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAI) CHECK NUMBER <br />82/10879 <br />PLAN CHECK <br />FEE 28.93 <br />FEE <br />RECEIPT NOSR <br />,12n <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />Add'n R-3 <br />NO. OF DWELLING UNITS <br />I <br />BUILDING <br />$ 4,000. <br />44 <br />50 <br />SIZE OF BLDG <br />[din 240 Sq. F <br />NO. OF STORIES <br />1 <br />MAX. OOC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />IYES X&O <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTA'_ CHECK LIST <br />PENALTY <br />SE C. <br />SEC. 3031a) <br />2. BUILDING PLANS <br />TOTAL <br />50 <br />, <br />150 <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSi8L1 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />t • ` L [ (� <br />CK <br />C <br />YOUR RECEIPT <br />i HANK YOU <br />5. GRADING <br />6 DRAINAIE <br />�7. ENVIR MMCKTAL IMP0JWTATEMENT <br />HEAL IMICT <br />jAPPLICAPRN }uD. BY LANS CHECKED BY <br />y < n HwM <br />O m <br />APPR. FOR ISSUANCE BY <br />0I <br />r N <br />ADDRESS FILE <br />13081 <br />