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The L'L CITYOF C(JSTRUCTION 00CITY OF <br />everett PERMIT PERMIT N0. 06227 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ki COMBINATION ki BUILDING 6t MECHANICAL 12XPLUMBING <br />OWNER MAIL ADDRESS CITY PHONL <br />Joyce Clark 2125 McDougal 98201 252-7615 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />CLASS OF WORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 10,000.00 <br />16'6"x2l' Addition <br />PROPOSED USE OF BUILDING <br />single family residence <br />I IIEREBY 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 />SIGNATURE'`OF CO jRACTOR OR AUTHORRED AGENT DATE <br />X <br />LEGALDESCRIPTIONOFPROPERTY(SHOWBELOWORATIACHFOURCOPIES) <br />13-14 441 Capitol Hill <br />LOT BLOCK_OF <br />_ <br />JOB ADDRESS <br />2125 McDougal <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 />9 <br />AIR COND. UNITS — H.P. EA, <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS — H.P. EA. <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 />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />I <br />on <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 (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />6 <br />00 <br />SUBTOTAL S <br />3 <br />00 <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />6 <br />00 <br />TOTAL <br />FEE $ <br />3 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />79/406 <br />PLAN CHECK <br />FEE 26.00 <br />FEE <br />RECEIPT NO. <br />40542 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIYES LINO <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 />1 <br />BUILDING <br />S 10,000. <br />52 <br />00 <br />SIZE OF SLOG. <br />16' 6"x2l' <br />N0. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />none <br />FIRE SPRINKLERS <br />REOUIREpp�� <br />EYES C1N0 <br />MECHANICAL <br />3 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT- • • <br />TOTAL <br />61 <br />00 <br />A, FIRE PROT TION,SY4jM <br />S. GRADInG <br />I <br />PERMIT VALIDATION•, <br />7.I �{iOP.EBLY V4IDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 5 2.0 0 <br />A <br />RECEIPT N <br />. K YOU • a. YOUR RECEIPT CD <br />THANK YOU <br />-. <br />^ 6. DRAIIJAG� - M <br />7. ENVI NM_91TAL IMASCF STATEMENT <br />2 B. REAM CMAICT <br />r. <br />a APPLICAT(OKYAC.C: BY <br />O mic. <br />c ' <br />PLANS CHECKED BY <br />v.c. <br />'u <br />APPR. FOR ISSUTiwp <br />T..C. <br />5 •�I.79. <br />ADDRESS FIU6 <br />