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u <br />C <br />] <br />rhe Evergreen CjO NSTR U CTtO P R <br />CITY OF <br />�VerQ� PERMIT pERMIT NO. 10716 <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION E� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEH MAILADDRE55 CITY ZIP PHONE <br />'Pom Harper 917 Slst Place S,W. Everett 98203 259-6520 <br />ARCHrtECTORDE��.NER MAILADORE55 QTY ZIP PHONE <br />GENERAL CONTflACTOR MAIL ADDFESS CITY ZIP PHONE LI�ENSE � <br />Same ' <br />MECIIANICALCANTRACTOfl MAILA7DFE55 CITY 21P PHONE UCEN:E� <br />PLUMBINGGONTRACTOR MAILADDRE55 CITY ZIP pHONE UCENSE� <br />CU155 OF WORK <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VAWATION OF WORK <br />S 12�50�. <br />DESGRI9E WORK <br />320 Square Foot Addition <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />LEGAL DESLflIPTION OF VFOPEflTY �SNOW BELOW OR ATTAC <br />,,,.21 0,,,,,, „�Seahurst Ma <br />917 Slst Place S.W. <br />PLUMBINO <br />TYPE OF FIXTUR'c OR ITEM <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAII <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RP <br />SINK ISERVICE — Bi <br />SIDE YARD SE7BACK <br />6' <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />512E OF BLDG. <br />8%R�X 326' <br />STREF.T SETBACK <br />20' <br />LOT AREA <br />OCCUPANCY GROUP <br />Addition R- <br />NO.OF STORIES <br />1 1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PL4N5 �, <br />3. FIRE HYDl7ANT V <br />4. FIRE PROTE� N SYSTEM <br />H <br />t.bl GRADIM�' � ' _ <br />HEALTH D 5 CT <br />PLICATI�A BY <br />C p <br />aq <br />I <br />NS CHECKED BY <br />I HWM <br />� <br />FEE <br />REAR YARD SETBACK <br />20' <br />VACANT SI7E <br />�YES �10 <br />NO.OF DWELLING UNITS <br />1 <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />APPR. FOR ISSI <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDIPdANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITFI WHETHER SPECIF�ED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THF PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUFE OF GONiRACTOR OR AI/�THORI2ED AOE4i i OATE <br />MECHANICAL <br />NO. <br />MIl� VVIVU. VIVIIJ - fl.f . CM. <br />qEFRIGERATION UNITS — H.P. I <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONN <br />FORCED Alfl SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNiT HEATERS — B.T.U. <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />M EN. <br />M <br />M <br />QF.M. <br />iLCK NUMBCq PLAN CHECK FEE <br />FEE RECEIPT NO. <br />82/10716 64.03 58219 <br />FEES VALUATION FEE <br />�c E12,500. 98 50 <br />NG 6 00 <br />u��'� 3 00 <br />TY <br />U.B.C. <br />SEC. 303 (a) <br />107�$0 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />006.60 - 3 MM73 i09E.S0 �-� � <br />ti <br />0 <br />� �R RECfIPT . YO;U'R RECEIPTr-+ <br />T AI�K YOU : 7HANK YOU <br />ADDR��� 8Z. • 3 O�I SY <br />