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. <br /> the Evergreen <br /> CITY OF W N cT R U CT I O N - •� <br /> everett PERMIT PERMITS. OS�2 <br /> CITYHALL 2598745 p <br /> EVERETT.WA 98201 El COMBINATION El BUILDING LJ MECHANICAL ❑ PLUMBIN9 )U >- opo <br /> UJ <br /> OWNER MAIL ADDRESS Clh IIP p PHONL <br /> Wen G Marin Shaw <br /> 302 76th S.W. Everett L <br /> C=5 N at n <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP M PHONES T- <br /> o )— <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP so PHONE LICENSE <br /> Peterson Remodeling & Const. 2317 Broadway Everett PE TE RI -222 13 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY III' PHONE LICENSE , <br /> CLASS OF WORK <br /> ❑NEW EkDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 10,415.00 <br /> DESCRIBE WORK <br /> Remove Roof over garage & build 2nd story <br /> PROPOSED USE OF BUILDING <br /> Single Family I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BEI OW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1 View Creat Drive ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> IGT—BLOCK--OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIIJ 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 /> JOB ADDRESS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br /> 302 76th S.W. Everett X 4-15-80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET OIL AIR GOND UNITS—H P EA <br /> BATHTUB REFRIGERATION UNITS- H.P.EA <br /> 1 LAVATORY ASH BASIN) 2 00 BOILERS—H P EA <br /> SHOWER 2 00 GAS FIRED AC.UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISK FORCED AIR SYSTEMS—B T U. M EA <br /> DISHWASHER _ WALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—81 LE M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL I VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE—BAR ETC. <br /> SUB TOTAL 6 00 SUB TOTAL f 2 00 <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> GIDE YARD SETBACK .STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PIAN CHECK FEE <br /> lOFt N 6Ft. 20 Ft. 20 Ft. 80/7452 FEE 28.00 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 48090 <br /> R-1 LIYES X11NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO,OF STORIES Addi i AX OCC.LOAD BUILDING S 10,415.00 56 00 <br /> 22-4x26 Story over garagg PLUMBING 6 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> ` REQUIRED MECHANICAL 2 00 <br /> 1YE6 DINO <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECK LIST PENALTY U B C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT CD TOTAL 64 00 <br /> 4. FIRE PROTECTION SYSTO PERMIT VALIDATION <br /> 5. GRADINq WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IG YOUR PERMIT <br /> �. DRAIN ECZ ,� For single family4gfidAPRAY• 00 -00 <br /> Lf) <br /> ENVIR IWALIMPA�STATEMENT use only. <br /> L HEALTf11 ]ay CT ,. YOUR R E C E I Plo <br /> 01 ICATI(,N BY LANS CHECKED BY APPR.FOR ISSUANCE BY 7 t-(AI�K Y O U <br /> 0M <br />