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I <br />the EPer reel <br />CITY OF <br />C INSTRUCTION <br />everett <br />PERMIT <br />CAT" HALL 2598745 <br />PERMIT N0. 0930° <br />EVERETT. WA 98201 <br />❑ COMBINATION BUILDING ❑ MECHANICAL <br />LJ <br />PLUMBING <br />OWNER <br />PH <br />MAIL ADDRESS CITY <br />Elmer Laurent 1531 74th Street <br />ARCNP:Ci ON JESIGNEq <br />Everett <br />98203 <br />355-3727 <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE - <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CIIY <br />Same <br />ZIP <br />PHONE IICENSE0 <br />MECHANICAL CONTRACTOR <br />MAIL ADORES& cityZIP <br />PHONE I K:ENSE A <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS Gn. <br />ZIP <br />PHONE LICENSE A <br />❑NEW )UADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORN <br />S 2,000.00 <br />Addition to Existing buitdin <br />PROPOSED USE OF BUIlDIKO —' <br />single family residence <br />PLDA 6 BLOCK? OF Park <br />.LOB ADDRESS <br />1531 74th Street <br />PLUMBING <br />SIDE YARD SETBACK <br />6' <br />STREET SETBACK <br />20' <br />USE ZONE <br />LOT AREA <br />A-1 <br />TYPE OF [bNST. <br />OCCUPANCY GRE <br />V-N <br />R-3 <br />SIZE OF BLDG. <br />NO OF In DRIES <br />Add 6'x13' <br />I. ENVIRONMENTAL CHECK LIST <br />2, BUILDING PLANS <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />S. GRADING <br />S. DRAINAGE <br />T. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEAI TH DISTRICT <br />APPLICATION ACC, BY PLANS CHECKED BY <br />V.C. <br />REAR YARD SEI <br />20' <br />VACANT SITE <br />[,YES %WO <br />NO. O' DWELLII <br />M GL. OCC. LOA[ <br />APPR. FOR ISSUANCE BY <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 LCCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGF CONTIACTrAUT/ ED AGENT DATE <br />XV-11pQ /-tJ' b - x ii>,o <br />NO. TYPE OF EQUIPMENT <br />AIR CORD. UNITS - M,P. EA <br />REFRIGERATION UNITS - H.P. EA <br />&OILERS - H,P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M 1 <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C F <br />81/9309 <br />F <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />FEE <br />FEE 21.13 1 REgnVj <br />$2,000. 1 32 150 <br />WHEN PROPERLY VALIDATED (IN THISSPIA(E) HIS ISX9. �7 41.T" <br />ii 11 <br />32 50 <br />cM <br />C7 <br />U CD <br />J <br />ADDRESS FILF. <br />