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' The Evergreen C( INSTRUCTION <br /> CITY OF <br /> everett PERMIT PERMIT NO. 06761 <br /> CITY HALL 2598745 <br /> EVERETLWA 98201 ❑ CCM13INATION t A BUILDING I I MECHANICAL PLUMBING <br /> qmL nUbia .. aiv Itl' PHIONL <br /> OWNER 353-6821 <br /> Richard Aldridge 15 76th Street S.W. _ <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CRY 21P HONE <br /> GENERAL CONTRAC TOR MAILADDRESS <br /> --- --- - <br /> - - - - — CRV 21P PHONE LICENSEI <br /> Itamlin Building Co. 2627 116th Street Marysville 98270 659-4454 <br /> 1AEGUNILALOO,IT RACTOR MAIL ADDRESS CIN ZIP HA RmL IM W3440 <br /> PHONE LICENSE I <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP <br /> RA <br /> CLASS OF WORK ❑ pd. <br /> O6� <br /> NEW DDITION ❑ALTERATION ❑REPAIR G:.tiMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> $ 18,000.00 _ <br /> DESCRIBE WORK <br /> Construct 20106' Addition to existing residence <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DEs;RImroNOr r,OPERTY 19HGW BELOW OR ATTACH FOUR COPIE5I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 7-8 O'Conner and Cronin Replat ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK_GF ?HE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Of 1IOtr EIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Tract 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 Or CONTRACTOR OR AUTIIORIZCD AGENT DATE <br /> JODADP KESS Ccs A 10/12/79 <br /> 15 76th Street S.W. X <br /> PLUMBING MECHANICAL _ <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT <br /> FEE <br /> 2 WATER CLOSET DILE 4 00 AIR COND.UNITS-H.P.EA. <br /> 1 BATHTUB 2 OO REFRIGERATION UNITE-H.P.EA <br /> LAVATORY ASH BASIN BOILERS-H.P.EA. <br /> GAS FIRED AC.UNITS-TONNAGE EA. ` <br /> SHOWER <br /> FORCED AIR SYSTEMS <br /> KITCHEN SINK 8 DISP. -BTU MEA ._ <br /> WALL HEATERS-B T. M <br /> DISHWASHER <br /> UNIT HEATERS-B.T.U. M <br /> LAUNDRY TRAY <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER <br /> 2 VENTILATION FAN 00 <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN C F M <br /> AIR HANDLING UNIT- <br /> FLOOR DRAIN <br /> VACUUM BREAKERS STOVE <br /> CHIMNEY <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE S <br /> SINK(SERVICE-BAR.ETC) <br /> SUB TOTAL SUB TOTAL f 4 00 <br /> PERMIT f PERMIT f 00 <br /> TOTAL FEE 12 00 TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> CEIPT N0. <br /> 61 201 201 79/6761 FEE 42 <br /> 43576 <br /> USE ZONER-1 —70 <br /> 6000 1IVES AREA TEND FEES SITE VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 BUILDING =18,000.00 84 00 <br /> SIZE OF BLDG NO OF FORTES MAK.OCC.LOAD 12 00 <br /> 20'x36' Addn. 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE <br /> REOUIRRINKLERS MECHANICAL 4 00 <br /> 3 none o 540 <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK L157 PENALTY USC. <br /> EEC.303(a) <br /> 2. BUILDING PLANS <br /> w TOTAL . E10 <br /> 0 00 <br /> 3, FIRE HYDRANT FV <br /> 4. FIRE ISOTE40ON SY — PERMIT VALIDATION <br /> �Ey PpO�'ERI-=ALINED LIN THIS SPACE) HI61S$O � 0O <br /> IT <br /> S, GRADI (1 o u .7 <br /> F%A, DRAINAGE- - F <br /> /. ENVIR MENTAL IMPAWSTATEMENT Yl7 U o��c ID� ' <br /> 0 HEALTH01>n111CT - " R C E YOUR �R�CEIPT o <br /> �oAPPLICAT1dN Aotm. BY TANS CHECKED BY APPR FOR ISSUANEYLBT NY. YOU ,.y, THANK YOU <br /> CV.C. .F. <br /> L'T <br /> 2 OCT 79 1 2 OCT 7 9 <br /> A ADDRESS FILE �._ <br />