103 76TH ST SW 2016-01-01 MF Import

Me Evergreen rO N ST R U CT I O N CITY OF everett PERMIT PERMIT NO. 08891 CITY HALL 259 B745 EVERETT,WA 98201 I. COMBINATION UBUILDIND MECHANICAL I_ PLUMBING OWNER '!r'l ADDRESS U' llf (HONE ' TOM Whitson 102 76th S.W. Evnrett 98203 355-6929 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP I'NONE LICENSE F Same MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F M UMBING CONTRACTOR MAIL ADDRESS CITY ZIP MIONE LICENSE CJ455 OF W09K ❑NEW FJ,xDDIT10N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE VALUATION OF WORK L 25,000. 00 DESCRIBE WORK construct rec room and garage PRO"OSED USE OF BUILDING AP- single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• LEGAL OPSCRIPTION Of PROPERTY(SHOW BELOW OR ATTACH FOUR COPM 51 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. of y ROVISIONSOFLAWS AND ORDINANCES GOVERNING THIS UT S BLOCK—OF O'Connor and Cronin R NFOOWILL ERWHETHER SPECIFIED n t e at EIRNOT. THECOMPLIED OF A PERMITDOES NOT of Beverly Acreage tractl PRFSUMETOGIVE AUTHORITY TOVIOLATE ORCANCEL THE PHO. VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONST UCTION OR THE PERFORMANCE OF CONSTRUCTION. 9CNAT OF CONTRACT OR A OQIZ AGENT DATE ADB ADDRESS4/20/81 103 76th Street S.W. X PLUMBINGME HANICAL NO. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF EQUIPMENT FEE 1 WATER CLOSET(TOILET) 2 0 AIR COND UNfIS—H P.EA — BATHTUB REFRIGERATION UNITS—H P EA 1 LAVA?IRY ASH BASIN) 2 0 BOILERS—H P EA — 1 SHOWER 2 00 GAS FIRED A C.UNITS--TONNAGE EA KITCHEN SINK 6 DISP. FORCED AIR SYSTFt4S—3 T U M EA DISHWASHER WALL HEATERS --B T U _ M LAUNDRY TRAY UNIT HEATERS—B T U M CLOTHES WASHER O EVAPORATIVE COOLERS CLOTHES DRYERS 4 50 WATER HEATER VENTILA"A FAN URINAL RAI.iE DRINKING FOUNTAIN AIR HANDLING UNIT— C F M FLOOR DRAIN STOVE VACUUM BREAKERS ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY SINK(SERVICE—BAR.ETC) SUB TOTALSUB TOTAL PERMIE i PERMIT f TOTAL FEE i 8 1 00 TOTAL FEE S SIDE.YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE UZ 6' 20' 20' 81 SC91 FEE 48.43 5 No USE ZONE LOT AREA VACANT SITE / FEES VALUATION FEE R-1 13000 Sq. ' YES O TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS V-N R-3 I BUILDING s 25 ,000. 170 50 SIZE OF BLDG. N0.OF STORIES MAA,OCC LOAD 8 00 1 PLUMBING FIRE ZONE BASEMENT FIRE GRED v ERS RED MECHANICAL 7 50 none RED ETYE1 S I APPROVALS BY DATE OTHER 1. ENVIRONMENTAL CHECK LIST PENALTY UBC SEC 303(e1 2. BUILDING PLANS TOTAL 11E, LID 3 FIRE HYDRANT 4, FIRE PROTECTION SYSTEM PERMIT VALIDATION 'I WHEN PROPLTTLV VALIDATED D THIS SPACE(THIS 16 YOUR70. 50 PERMITfn 5 GRADING i II i I 7 0, , 0 'S DRAINAGE 00 ME 7. ENVIRONNTAL IMPAC76TATEMENT II I O ' I O L8 HEALTH DISTRICT=Ie�ANSVCHICI,111 T OcAPPLICATION ACC BY APPR FOR ISSUANCE BY ADDRESS FILE i