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r <br />the Evergreen <br />C 7 N ST R U CTI O N <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.11010 <br />CITY HALL 2S9 B7GS <br />❑ COMBINATION LX BUILDING 0 MECHANICAL <br />IXJ PLUMBING <br />EVERETT. WA 98201 <br />OWNER <br />NAIL Ab UHLSJ CIT1 <br />III' <br />PHONE <br />Todd Lund <br />3421 Rockefeller Everett 98201 252-8047 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />PHONE LICENSE E <br />MAIL ADDRESS CITY <br />ZIP <br />Same <br />r MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE E <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSEE <br />L <br />1�.1 1 <br />1— ❑NEW X-RADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN .]GARAGE <br />s 12,000.00 <br />DESCRIBE WORK <br />w AA4 b; 4..,-; r e Q;An <br />PROPOSED USE OF BUILDING <br />Single Family Addition <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 />CONSTjACTION OR THE.ERFORIAANC F CONSTRUCTION. <br />S,/IGNyj�E, OF CONTMC�FoGgq ORI GENT <br />AL/ / %rs <br />01. DESCRIPTION OFPROPERTY (SHOW BELOW ORATTACH FOUR COPIES) <br />12-Nst 13 820 Everett Div. M <br />LOT BLOCK_OF <br />77TA0 DRESS <br />3421 Rockefeller <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 />OAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK S 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 />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 />1 <br />of <br />SUB TOTAL <br />2 <br />OO <br />SUB TOTAL S <br />PERMIT <br />$ <br />i <br />PERMIT S <br />TOTAL FEE <br />S <br />2 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />82/11010 <br />PLAN CHECK <br />FEE 60.13 <br />FEE <br />RECEIPT NO <br />59250 <br />USE ZONE <br />R-3 <br />LOT AREA <br />4500 Sq. Ft. <br />VACANT SITE <br />LIYES XRO <br />FEES <br />VALUATION <br />FEE <br />_ <br />TYPE OF CLNST. <br />V-N <br />OCCUPANCY GROUP <br />Add' n R-3 <br />NO OF DWELLING UNITS <br />1 <br />BUILDING <br />s 12,000. <br />92 <br />50 <br />SIZE OF BLDG <br />Add' n 136 Sq. <br />NO. OF STORIES <br />Ft. 1 <br />MAX OCC. LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />❑YES <br />SPRINKLERSREQ <br />WOO <br />MECHANICAL <br />— <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />SEC. 303 (B) <br />_ <br />2. BUILDING PLANS <br />TOTAL <br />94 <br />50 <br />3. FIRE HYDRANT �1 <br />4. FIRE PROTECTION SYS <br />4. FI�E PROTECTION SY4F77_WHEN <br />PERMIT VALIDATION <br />VALIDLY VALIDATED (W TI S SPACER THIS IS YOUR PERMIT <br />7957 S 0 9 2. 5'U- <br />YO U.R RECEIPT <br />THANK YOU <br />5. GRADING <br />6. DRAINA¢E <br />� <br />A� <br />IMPAtftTATEMENTaAL IMPAtftTATEMENT <br />7. ENVIR5M <br />aAL <br />HEALTM)ISTRICT p <br />APPLICAA " BYBY LANS CHECKED BY <br />N OE HWM <br />-- <br />APPR. FOR ISSUANCE BY <br />L.c. <br />� I <br />r� ADDRESS FILE <br />J <br />L. J <br />