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the Evergreen• <br />CITY 0F <br />, O N ST R U CT I O I* <br />everett <br />PERMIT <br />PERMIT NO. 13631 <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ] <br />COMBINATION G7 BUILDING L. MFr `.NICAL <br />'— <br />x PLUMBING <br />817-431-2342E <br />MAIL ADDRESS CITY <br />OWNER <br />4434 <br />Eerett <br />Seahurst Drive v <br />Jack Olsen <br />CITY <br />ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADOREGS <br />MPCITY <br />.L ApDRE55 Mt. Vernon <br />21P PHONE LICENSE Y <br />98273 466-3683 <br />GENERAL CONTRACTOR <br />Allen Bird Const. <br />1799 Ch:.berl <br />21P PHONE LICENSE N <br />MECHANICAL CONTRACTOR <br />MA L ADDRESS CITY <br />BIRD*AF208PU <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR <br />❑ NEW ❑ ADDITION <br />ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 18,000.00 <br />iCRIBE WORK <br />Construct 181x27' Addition to Existing Single Family Residence <br />LOT 14 BLOCK_01 <br />Residence <br />Maple Heil <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED I Nib <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 HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOTIED PR SUMETOGIVEEAUTHORTYTOV0 ATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. ' ^^DAT�w <br />c,n NATIY?rl]KIONTRAUOR OR AUTHORIZED AGENT <br />4434 <br />Seahurst Drive <br />M HANICAL <br />PLUMBING <br />TYPE OF EQUIPMENT <br />FEE <br />FEE <br />NO. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS - H.P. EA. <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />S 2 <br />00 <br />BOILERS - M.P. EA. <br />LAVATORY(WASH BASIN) <br />2 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - IT M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS - B.T.U. M <br />DISHWASHER <br />- <br />UNIT NEATENS - ELT .U. M <br />LAUNDRYTRAY <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />CLOTHESWASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTII ATION FAN <br />URINAL <br />— <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />AIR HANDLING IINIT - C.F.M. <br />STOVE FI WOOD _ <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC <br />PIREPLACE INSERT <br />HEAT PUMP <br />f 8 00 <br />SUB TOTAL f <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />f <br />B 00 <br />TOTAL FEE f <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />f <br />^CAR YARD SETBACK <br />PLAN CHECK <br />PLAN CHECK NUMBER FEE 83. S3 <br />FEE <br />IPT NO. <br />20' <br />20' <br />84/13631 <br />70lff <br />USE ZONE LOT AREA <br />VACANT SITE <br />FEES VALUATION <br />FEE <br />R-1 <br />YES 8Y0 <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWEL ING UNITS <br />V-N R-3 <br />BUILDING f 18, 000. <br />128 <br />50 <br />SIZE OF BIDG. NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />8 <br />00 <br />1 <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED. <br />MECHANICAL <br />YES XI <br />ATE <br />BY DATE <br />OTHER <br />U.B.C. <br />L ENVIRONMENTAL CHECK LIST <br />PENALTY SEC. 303 (a) <br />136 <br />50 <br />2. BUILDING PLANS .+ <br />TOTAL <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTE8, <br />PERMIT VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THISISYOUR PERMIT <br />�--I <br />WHEN <br />3 <br />1. J O <br />0 <br />5.GRAOING <br />dl <br />- 6. DRAINAGE <br />M <br />.7 ENVIRONMENTAL IMPACT STATEMENT <br />,fi.HEALTM DI STRICT c� <br />,`'. .. L.EIPI <br />IgPPLIGAT ION ACC. BY ^PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />i'. -� �i C, <br />U <br />�.. o JEF <br />LC <br />1 STG ,-, <br />[� <br />ADDRESS FILE <br />