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Me Evergreeen �O N ST R U CTI O �' <br />everett PERMIT PERMIT NO. 09990 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION BUILDING MECHANICAL U PLUMBING <br />OWNER MAIL ADDRESS CITY PHONE 1 <br />John Noble 1715 63rd Street Everett <br />AAC'UTECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE IF <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />I-V - ❑NEW ❑ADDITION INXLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ 6,000.00 <br />DESCRIBE WORK <br />Alteration of Existing single family residence <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 />SIGNAL RE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />11 / 9 / 81 <br />X <br />LEGAL DESCAIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COMES) <br />LOT 14 BLOCK- 3 OF Pineh rst Div. A <br />JOB ADDRESS <br />1715 63rd Street <br />PLUMBING <br />M ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />go. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CORD. UNITS — H P EA. <br />BATHTUD <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH [ASINl <br />BOILERS — H.P. EA. <br />SHOWER <br />OAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 OISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — BIT U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC. <br />SUB TOTAL <br />SUB TOTAL t <br />PERMIT <br />i <br />PERMIT t <br />TOTAL FEE <br />TOTAL <br />FEE <br />BIDE YARD SETBACK <br />ST13LL T SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81/9990 <br />PLAN CHECK FEE <br />FEE 36. 73 RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE _ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />3 6,000. <br />56 <br />50 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. DOC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />STYES <br />RED SPRINKLERS <br />❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.0 <br />SEC. 3031111 <br />2. BUILDING PUNS <br />TOTAL <br />56 <br />50 <br />3. FIRE' RANT <br />4. FIRS .I . .tCTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED RN THIS SPACE) THIS IS YOUR PL R6111 <br />CT) <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS PILE <br />