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the Ev CITYOF C04STRUCTION <br />CITY <br />everett PERMIT PERMIT NO. 07548 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ® COMBINATION ® BUILDING ® MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />TransLander P.O. Box 2996 Everett 98203 355-1703 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHC.S <br />LICENSE f <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE( <br />1 V^1 A]FIEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />5 31,000.00 <br />Construct Single Family Residence <br />Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW ORATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE A14D CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT 15-16BLOCK 4520F Saint Nicholas 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 />H 2O-29-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS SIDIIAT iE CONTRA OR AUTHORIZ D AGENT DATE <br />6/3/80 <br />3208 21st Street v n._ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET( <br />AIR CONO. UNITS — H.P. EA. <br />1 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />1 <br />LAVATORY (WASH BASIN) <br />2 <br />DO <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINK 8 DISP, <br />FORCED AIR SYSTEMS — 8 T.0 M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />_ <br />1 <br />CLOTHES WASHER <br />9 <br />onEVAPORATIVE <br />COOLERS <br />1 <br />WATER HEATER <br />2CLOTHES <br />DPYERS <br />URINAL <br />1 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />3 <br />00 <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />3 <br />00 <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />14 <br />00 <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT $ <br />S TOTAL FEE f <br />14 <br />no <br />TOTAL <br />FEE $ <br />11 <br />00 <br />SIDE YARD S'_TBACK <br />(5)-S 6 (101)b <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />20' <br />PLAN CHECK NUMBER <br />80/7548 <br />PLAN CHECK <br />FEE 19.00 <br />46.00 <br />FEE <br />Q92,t¢NO. <br />48340 <br />USC ZONI <br />R••2 <br />LOT AREA <br />6200 Sq. Ft. <br />VACANT SITE <br />XffS ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF C DNST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />S 31,000. <br />130 <br />00 <br />SIZE OF BI DG. <br />24' x34' <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />14 <br />00 <br />FIRE ZONE <br />3 <br />BASEMENT <br />none <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES )MO <br />MECHANICAL <br />11 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS N <br />TOTAL <br />155 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTEe4ON SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />e 7 I <br />Q 7 _J1F <br />OI�Ln <br />} � 1,- <br />YOUR REC E I PT C D <br />R RECEIPT THANK YOU <br />I I <br />15. GRADING <br />.-6. DRAINApE O <br />ENVIRNL IMPACTATEMENT <br />8. HEALTH DISTRICT <br />C=APPLICAT6 AC <br />IA.By <br />NS CHECKED BY <br />APPR. FOR SSUANQE LAY <br />)) <br />