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rheEvO CITYofF COmSTRUCTION <br />CITY <br />everett PERMIT PERMIT NO.07053 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL 0 PLUMBING <br />OWNER MAIL ADDRESS CITY 98201 ZIP 258111615 <br />Doyen G. Vigus 3501 Rockefeller - <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UCENSI <br />Same _ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />UMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENBEI <br />PL <br />CLASS O� WUHK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s B�000.00 <br />AA4�4 _ t_ 71,171 AnA F:Arnae Rix201 <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICA1[ON AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OFPROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />1 & 1S Of 2 855 Everett Div, <br />M <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF _ <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 PERFO MANCE OF CONSTRUCTION. <br />SIGNATFCONiRACTOR OR AUTHOW2' ;ENT DATE <br />U ' <br />12/31/79 <br />JOB ADDRESS <br />501 Rockefeller <br />X <br />PLUMBING <br />MEC AN L <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 />GAS FIRED A C. UNITS —TONNAGE EA. <br />KITCHEN SINK & DISP. <br />2 <br />OO <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 />_ <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 & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />4 <br />00 <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT S <br />TOTAL FEE <br />f <br />4 <br />1 00 <br />TOTAL <br />FEE S <br />SIDE YAIPET JV 81 <br />SETBACK <br />REAR YARD i SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />gSTREET 2 <br />7053 <br />FEE 22,00 <br />RECEIPT <br />0' ara e- <br />45683No. <br />USER N <br />.i <br />LOT AREA <br />VACANT SITE <br />LINO <br />DYES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE -OF CLNST. <br />Y GROUP <br />OCCUPANCY <br />NO. OF DWELLING UNITS <br />3 <br />BUILDING <br />$8�000.00 <br />44 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />1 xl7' 8' x20' <br />1 <br />PLUMBING <br />4 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIREREQSPRINKLERS <br />MECHANICAL <br />3 <br />DYES ❑NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />48 <br />00 <br />3, FIRE HYDRANT 0% <br />4. FIRE PROTECTION SYST <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />Varience Granted 12/04 3 S 0 4 4. O U --+ <br />5. GRADING v+ <br />0 <br />6. DRAINAGE <br />ll <br />C <br />T ENVIR Eff L IMPAdMATEMENT <br />HEALTHQ'IS ICT �' <br />YOU RF, RECEIPT c <br />T I JA.7 `� K YOU <br />PLICATI170 A BY <br />NS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />"< n. <br />I <br />m <br />C:)V.C. <br />` i I <br />ADDRESS FILE <br />3IDEC 79 <br />