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the Evergreen I0[ w CONSTRUCTION <br />everett PERMIT PERMIT NO. <br />21151 <br />259-8745 . <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Renwick G. Congdon P.O. Box 1332E Aukilteo 98275 347-2412 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION BUILDING RELOCATION <br />9000.00 <br />Move house and construct new foundation <br />❑ ELECTRICITY ❑ GAS <br />PROPOSED USE OF BUILDING <br />SFR <br />19-20 1 <br />LOT _ BLOCK _ <br />❑ WOODSTOVE ❑ OTHER <br />P4341- of LCwell Div A <br />48#5 4th Ave. S. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CONNECT. 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 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LO AL L W REGULATING CONSTRUCTION OR <br />THE PE F l NO IF CONSTRUCTION, <br />SIGNAT TRA . A'UTMD/ AGENT. OR IER �ATE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EO <br />WATER CLOSET (TOILET) <br />AiC - AeHNDLG UNITS - H P. I <br />BATHTUB <br />REFRIGERATION UNITS -N ;t i I Z) <br />LAVATORY (WASH BASIN) <br />BOILERS -B. T.U/H. P. ' IU <br />JU <br />SHOWER <br />GAS FIRED ABC. UNITS - B.T -bKLIl <br />- <br />KITCHEN SINK A DISK <br />FORCED AIR SYSTEM" - 8. - E <br />DISHWASHER <br />WALL HEATERS -- BTU <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. U-NU 1 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS T _U <br />'O� <br />URINAL <br />CLOTHES DRYERS -1Qg[JU11 <br />DRINKING FOUNTAIN <br />VENTILATI.N FAN WH I - <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PRF.VENTERS <br />WATER HEATER r <br />ROOF DRAINS - RAINLEACERS <br />WOOD STOVE L'L <br />SINK(SERVICE - BAR. ETC.) <br />METAL FIREPLACE& CHIMNLlY bKu <br />YJ•5` <br />FIREPLACE INSERT Au T->4 <br />HEAT PUMP St tM1. <br />TJ .UU <br />GAS PIPING UND 1 i <br />I ILU. <br />LI' <br />EXHAUST FAN I I i 1-5-7= <br />6 <br />SUBTOTAL <br />$ <br />SUB L� <br />PERMIT <br />$1 <br />PERMIY LK <br />TOTALFEE <br />$ <br />TOTALFEE <br />FRONT SETBACK <br />20 <br />REAR SETBACK <br />20 <br />SIDE SETBACK <br />5 <br />PLAN CHECK NUMBER <br />88/21151 <br />FEE <br />70.20 <br />RECEIPT NO. <br />14420 <br />USE ZONE <br />R-2 <br />LOT AREA <br />6000 <br />VACANT SITE <br />OYES ONO <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 />$9000.00 <br />108 <br />OD <br />PLUMBING <br />SIZE OF BLDG <br />700 <br />NO. OF STORIES <br />1 <br />MAX. OCC LOAD <br />N/A <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED L7 YES EXIND <br />INVESTIGATION FEE <br />SeC 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC. BY <br />M.M. <br />FLANS CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />111 <br />50 <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />Ir— <br />LO <br />T� <br />t— <br />N <br />ADDRESS f E <br />