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07 <br />Me Evergreel <br />CITY OF <br />everett <br />CITY HALL 25M745 <br />CONSTRUCTIO_1 <br />PERMIT <br />PERMIT NO. 14126 <br />EVERETT, WA 98201 ❑ <br />COMBINATION JR BUILDING <br />MECHANICAL <br />._i PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Bobby R. Snyder <br />3606 Rucker Avenue <br />Everett <br />9B201 252-2024 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORN <br />❑ NEW Cl ADDITION Cl ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE Cl SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />$ 1400.00 <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. 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 />WHETHER <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E qF ONTR OR OR THORIZED AGENT <br />X O�//h <. ,7 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />0-' 31 13 Friday's 1st <br />LOT- <br />JOB ADDRESS <br />3606 Rucker <br />PLUMBING <br />MECLIANIC 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 CONO. 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 />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <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 - WOOD <br />_ <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />i <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />REAP YARD SETBACK <br />0 <br />PLAN CHECK NUMBER <br />84/14126 <br />PLAN <br />FEE 15.2E <br />CHECK FEE <br />725grfE11T110. <br />USEZONE <br />R-4 <br />LOT AREA <br />VACANT SITE <br />i iYES YQ(O <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M-1 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />i1900. <br />23 <br />50 <br />SIZE OF BLDG. <br />400 S . Ft. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />-.YES NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />23 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YUUB PERMIT__ ((� <br />i �( <br />r <br />. U <br />S.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BV <br />EB <br />I PLAP'S CHECKED BY <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />