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the Evergreen -- CONSTRUCTIONCITY OF <br />everett PERMIT PERMIT NO.09728 <br />CITY HALL 259.8745 <br />EVERETT, WA 90201 ❑ COMBINATION IAXBUILDING I I MECHANICAL I I PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP I.., <br />Darrell Hueeby 2024 73rd Street Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP ATONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PHONE LICENSE <br />Hanson Home Building <br />13924 Manor Way <br />Lynnwood <br />98036 <br />745-8099 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />AKBIE LICENSE <br />HA NS <br />OH B211BD <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION &EPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E 2500.00 <br />remove existing shingles and replace <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 />UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF TRACTOR OR AUTHORIZED AGENT DATE <br />i <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOURCCAESI <br />L3-14-15 41 Pinshurst Div D <br />LOT— BLOCK OF <br />JOH ADDRESS <br />2024 73rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OIL <br />AIR COND, UNITS — H P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS — H P. EA, <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE FA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS — B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B 7.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />I CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <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 & CHIMNEY <br />SINK ERVICE — BAR, ETC. <br />SUBTOTAL <br />SUBTOTAL I <br />_ <br />PERMIT / <br />PERMIT I <br />TOTAL FEE $ <br />TOTAL <br />FEE III <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />12®2r <br />38 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. BCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMElIT <br />FIRE <br />REQUIRED <br />OYES <br />SPRINKLERS <br />ONO <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 />3850 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />`� �• �� �— <br />6_ DRAINAGE <br />