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op <br /> Me LlCTY F <br /> CITU OF <br /> - C NSTRUCTION ' Q <br /> everett PERMIT PERMIT It. 0%�)2 <br /> CITY HALL 2598745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL I I PLUMBIN9 V >- <br /> Haemo <br /> IL , <br /> OWNER MAIL ADDRESS Clh ZIP HP PHONE <br /> WAR G Maria Chaw 302 76th S.W. Everett o O!� <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONES -E- <br /> O )— <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP HPO PHONE LICENSE A <br /> Peterson Remodeling & Const. 2317 Broadway Everett PE TE RI -222 p3 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEIF <br /> CUSS OF WORK <br /> ❑NEW (j;ADDITION ❑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 BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1 View Crest Drive ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT eLOCK—OF 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 /> 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 EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS-M.P.EA. <br /> BATHTUB REFRIGERATION UNITS-H .EA _ <br /> 1 LAVATORY ASH BASIN) 2 00 BOILERS-H.P.EA. <br /> SHOWER 2 00 1 GAS FIRED A UNITS-TONNAGE EA <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS-B T U M EA <br /> DISHWASHER WALL HEATERS-0T,U M <br /> LAUNDRY TRAY IINIT HEATERS-B T U. 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- CFM <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK SERVICE-BAR,ETC. <br /> SUBTOTAL 6 00 SUBTOTAL f 2 00 <br /> PERMIT S PERMIT ! <br /> TOTAL FEE S TOTAL FEE i <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> lOFt. N 6Ft. 20 Ft. 20 Ft. 807452 FEE 28.00 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 1 48090 <br /> R-1 ❑YES X3140 FEES VALUATION FEB <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> SIZE OF BLDG. NO.OF STORIES Addi OLOAD BUILDING $ <br /> IA. O. 10,415.00 56 00 <br /> 22-4x26 Story over gar PLUMBING 6 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> ❑ESIREDNO MECHANICAL 2 00 <br /> APPROVALS - BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U B C <br /> 2. BUILDING PLANS SEC.30i(B) <br /> 3. FIRE HYDRANT o TOTAL 64 00 <br /> 4. FIRE PROTECTION SVS PERMIT VALIDATION <br /> 5. GRADI�N9 WHEN PROPERLY VALIDATED 9N THIS SPACE)THIS IS YOUR PERMIT <br /> *. DRAINZE - M For single family) Midel %k- 0 0 LO� <br /> ENVIR t GWAL IMPAMTATEMENT use Only. %::r <br /> S `IEAL7"1901C1 a, <br /> YOUR R E C E I Pt <br /> :11ICATRBY LANS CHECKED BY APPR FOR ISSUANCE BY <br /> p <br /> THANK YOU <br /> c V.C. <br /> -v <br /> W ADDRESS FILE 17 VR 80 <br />