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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />C(VSTRUCTiON 00 <br />PERMIT PERMIT NO. 06457 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PI.UMBING <br />OWNER MAIL ADUREBS CIv ZIP PHONE <br />Edith Raundo 2102 State St. Sverett 259-2805 <br />ARCHITECT OR DESIW.AR MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Alpho Contracting <br />5325 S.R. <br />92- Lake Stevens <br />691-6071 ALPH-Ac <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSED <br />223-DH <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE IF <br />CLASS OF WORK - <br />❑NEW ❑ADDITION' ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s 3600.00 <br />Rebuild Shed Roof Utilitv room <br />PROPOSED USE OF BUILDING <br />Single family <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT RE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />• w • 8-1-79 <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 17 &;�, 452 DF Saint Nlchalas <br />a 3. ion to were Volume <br />of plats on page 21 <br />p p g <br />JOB ADDRESS <br />2102 State Street <br />PLUMBING <br />CHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />AIR COND. UNITS - M.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOVER <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 />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 />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 />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT _ IS <br />PERMIT S <br />TOTAL FEE S <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 3600.00 <br />28 <br />00 <br />SIZE OF BLDG, <br />NO, OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REOUIRED <br />❑YES <br />SPRINKLERS <br />LINO <br />MECHANICAL <br />- <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL ' <br />28 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT <br />pp. <br />0 7 = 0 ? �. D '�-••• <br />I • p (� <br />O UA RECEIPT <br />TI-1ANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHEr KED BY <br />APPR. FOR ISSUANCE BY <br />1ALC79 <br />