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r11rEv CITYOF 4PONSTRUCTION6 <br />CITY OF <br />everett PERMIT PERMIT NO.07208 <br />CITY HALL 2598745 <br />EVERETT, WA 98201 K:1 COMBINATION I i BUILDING I 1 MECHANICAL 1 PLUMBING <br />OWNER MAIL ADUIILSS CITY ZIP PPUNL <br />Ot�11enE Tnbn Il 1407 - 63rd HvPrrtt 982033SS-6388 — <br />ARCIRITECIORUCSIGNER MAIL ADDRESS CITY ZIP PHONE <br />PLUMBING CONTRtLTDR MAIL ADDRESS CITY ZIP <br />CLASS OF WORK <br />L1NEW ❑ADDITION ((]ALTERATION C*REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s 200000.00 <br />DESCRIBE WORK <br />Restructure foundation - roof - and back walls of building <br />PHONE LICENSE E <br />PHONE LICENSEE <br />MONT LICENSEE <br />PROPOSED USE Of BUILDING <br />Residential <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 CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />MECHANICAL <br />LEGAL DESCRIPTION OF PRCPERTY ISI IW BELOW OP ATTAOI FOUR COPIES, <br />LOT _3_BEOCKZ_OF AQvinrly Hi 1 1 s ni v _ #7 <br />West 120 p <br />pan�fnr <br />J RAUDRES78 <br />S <br />- <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE 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 IWASH BASIN) <br />BOILERS — H P. EA <br />SHOWER <br />GAS FIRED AC UNITS — TONNAGE EA <br />KITCHEN SINK 9 DISP <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />j <br />WALL HEATERS — BTU 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 />DRINKING FOUNTAIN <br />IT <br />RANGE HOOD <br />FLOOR DRAIN <br />C <br />I AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK ISERVICE —BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL S <br />_ <br />PERMIT <br />S <br />PERMIT t <br />TOTAL FEE <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />5' <br />STREET SETBACK <br />20' <br />REAR YARD SETBACK <br />2nt <br />PLAN CHECK NUMBER <br />7208 <br />PLAN CHECK FEE <br />FEE 46.00 <br />USE ZONE <br />R-2 <br />LOT AREA <br />9600 <br />VACANT SITE <br />[)YES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />s 20E000 <br />-- b <br />0 <br />SIZE OF BLOC <br />990 Sq ft <br />NO. OF STORIES <br />MAX OIX:. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />no <br />FIRE <br />REQUIRED <br />,,YES <br />SPRINKLERS <br />I'!NO <br />ML CHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U S C <br />SEC. 30?IBI <br />-- <br />2. BUILDING PLANS <br />ITOTAL <br />—g(T <br />7. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON ,HIS SPACE) THIS IS YOUR PERMIT <br />00 <br />N/r 7 9 6 Il <br />,yE� 1✓� D I/ <br />�" "` CD <br />YOUR RECEIPT <br />THANK YOU <br />5. GRADING <br />8 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION AOC BY <br />PLANS CHECKED BY <br />v.c. <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE - <br />