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theEvegren ^ONSTRUCTION <br />everett PERMIT PERMIT NO.10939 <br />CITY HALL 259 8745 �1,� <br />EVERETT, WA 98201 El COMBINATION LIXBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONL <br />Soe Aksel 913 33rd Everett 98201 259-1553 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I, <br />Chris Mobley Const 3731 108th Place S.E. Everett 98204 337-5176 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CH RI SM C183LT <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CLASS OF WORK <br />CITY ZIP PHONE <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN )aGARAGE <br />VALUATION OF WORK <br />S 8,000, <br />DESCRIBE WORK <br />Enlarge garage <br />PROPOSED USE OF BUILDING <br />Single Family Residence <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 />SIGNATURE OF FACTOR CR ORIZED AGENT G/OATE <br />Xa=o /I CSr <br />LEGAL DM91PTIONOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />17-18 774 Everett Div. H <br />LOT BLOCK-7 <br />JOB ADDRESS <br />913 33rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />VIPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISR <br />FORCED AIR SYSTEMS - B.T.U. Ni 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 />_ <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.PA <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />I <br />SUBTOTAL <br />SUB TOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />, <br />TOTAL FEE <br />S1 <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/10939 <br />PLAN CHECK <br />FEE <br />44.53 <br />FEE <br />RECEIPT NO. <br />59211 <br />USEZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />❑YES NX0 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />M <br />NO, OF DWELLING UNITS <br />BUILDING <br />18,000. <br />6 8 <br />5 0 <br />ggIZE OF BLDG. <br />?4U SQ.FT, <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />L7YES XXNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />68 <br />50 <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />13 t 6 g p 6 8.5 p -�.. toy <br />Cy <br />C- <br />Y0 U R RECEIPT <br />'THANl , YOU <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />L.C. <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />L.C. <br />}n 4a81. <br />ADDRESS FILE <br />I <br />