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the Evergreen <br />CONSTRUCTIONCITY <br />OF <br />everel t <br />PERMIT <br />` <br />0g339 <br />PERMIT N0. <br />-- <br />CITY HALL 259-8745 <br />El COMBINATION COMBINATION idXBUILDING MECHANICAL <br />❑PLUMBING_, <br />'I <br />EVERETT, WA 98201 <br />y <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHI.NE <br />Peter Grodt <br />619 33rd Street Everett <br />258-1023 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE - <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF _I <br />1 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />'V .V'..vnn <br />❑NEW LXJ Ry <br />uDITION ❑ALTERATION ❑REPAIR []DEMOLITION El FENCE EISIGN EIGARAGE <br />VALUATION OF WORK <br />S 27,500.00 <br />DESCRIBE WORK <br />addition to existing residence <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COME <br />LOT 9-10BLOCK 14 OF Rucker Park <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 SPEC;FIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIOI`yS.,OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />JOB ADDRESS I r <br />0 <br />619 33rd Street X <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br />1 WATER CLOSET (TOILET) AIR COND. UNITS — H.P. EA. <br />X BATHTUB RE. RIGERATION UNITS — H.P. EA <br />1 LAVATORY (WASH BASIN) 2 00 BOILERS — H.P. EA. <br />1 SHOWER 20 0 GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK & DISP. FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER WALL HEATERS — B.T.U. M <br />I IMIT HFGTFRC—RTII M <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS STOVE <br />—I—NFY <br />�..... ......e I 1 1 1 METAL FIREPLACE b CHIM <br />Nvvr vrv.Ns <br />SINK (SERVICE — <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />6' <br />20 <br />20' <br />_SITE <br />RE 1 <br />USE ZONT <br />LOT AREA <br />OYES XXIO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />V-N <br />R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />2 <br />FIRE <br />es <br />1. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTFJO <br />5. GRADING-" <br />_6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />L-- B. HEALTH DISTRICT C� <br />I._ <br />_77777777 <br />F APPLICATION ACC. BY CLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />_ PERMIT > <br />TOTAL FEE S <br />Y. NUMBER PLAN CHECK FEE <br />9339 FEE125.45 I RECEIPT NO. <br />54024 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />$27,500 <br />U.B.C. <br />SEC. 303 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />194 I.DO <br />CY) ... <br />M <br />n IDF� <br />Io4.0u— C]n- <br />^ � 1I'T .i. i 11 <br />v U� I <br />ADDRESS FILE <br />