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the Evergreen -- CITY OF W 4 ST R U CT I O N <br />A <br />everett PERP411T PERMIT N0. O?HHH <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION EkBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Doug Zook 4926 27th Avenue West Everett 98204 259--9155 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY nP RunuP <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Cobra Construction Co. <br />P.O. Box 1299 <br />Everett <br />98206 <br />258-3667 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />CO BR AC C240BZ <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CIIY <br />ZIP <br />PHONE LICENSE <br />"NEW XUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 30,000.00 <br />DESCRIBE WORK <br />Addition to existing single family residence <br />single family residence <br />LOT BLOCK —OF <br />Ptn SEk or SEk Sec. 34 Twn 29 N Range 4 <br />27th Avenue West <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 GRAVTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOR' (TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE ORCONTRACTOR OR AUTHORIZED AGE DATE <br />XJ=Z -IL-7 L I IRS <br />PLUMBING IMECHANICAL <br />URINAL <br />DRINKING FOUNTAIN <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />7Lt' 1 25' 1 25' <br />TYPE OF CONST. I OCCUPANCY GROUP I NO. OF DWELLING <br />NO. <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSrUM <br />0 <br />5. GRADING m <br />6. DRAINAGE'_: <br />N7. ENVIRONMENTAL IMPACT STATEMENT <br />—8. HEAL>DL.TFICT O <br />I APPLICAILbN:�SC. BY LANS CHECK <br />T <br />m x.c. <br />o n <br />C -p <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P, EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — U.T.U. I <br />WALL HEATERS — B.T.U. I <br />UNIT HEATERS — B.T.U. ! <br />EVAPORATIVF COOLERS <br />SUB <br />1FEE 63,50 I R494740 <br />80/7888 I <br />FEES I VALUATION I FEE <br />BUILDING 1 30,000. 127100 <br />PLUMBING 10100 <br />MECHANICAL 2100 <br />PENALTY SEC 303(a) <br />TOTAL 1139100 <br />— WHEN PROPERQY VAtTATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />`� <br />0 <br />5 061 s 1 27.0 0 ---0 1 <br />I� <br />O <br />CO <br />73 <br />BY APPR. FOR ISSUANCE BY p <br />O <br />m <br />C <br />YOUR R E C c I P :P <br />x.C. <br />c <br />I <br />THANK YOU <br />ADDRESS FILE <br />2 1 JUL SO <br />