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the Evergreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />APPLIC"rION FOR CONSTR6,ZTION <br />PERMIT <br />TO BE COMPLETED IN INK — PLEASE PRINT <br />GAINER <br />MAIL ADDRESS <br />COY <br />SIP <br />PHONE <br />Pobert C./Linda <br />S. Grenier 2421 81st Pl. S.E. <br />Everett <br />98203 <br />347-4231 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Same <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Same <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE IF <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />❑ NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />CONTRACT PRICE OF WORK $2000.00 <br />CONTACT PERSON AND PHONE NO <br />Bob Grenier (206) 764-5608 wk 347-4231 hm <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />addition of 240 sq ft onto existing garage <br />PROPOSED USE OF BUILDING <br />Vehicle parking <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING (HIS TYPE OF WORK WILL BE COMPLETED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER. <br />FORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br />298 200 WAG. <br />SIGN U OF CONLRALTO OR AUTNd1REp AGENT DATE <br />x A mSL, M, ty <br />LEGAL DESCRIPTION OF PROPERIYISHOWN BELOW OR ATTACH FOUR COPIES) <br />�3 <br />LOT 41 BLOCK OF Valley View Div 2 <br />PROJECT ADDRESS <br />2421 81st Pl. S.E. Everett 14A <br />98203 <br />APPLICANTS CRY BUSINESS LICENSE NO AND BUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EOUIPMEPIT <br />FEE <br />WATER CLOSET (TOILET) <br />_ A/C — A/HNDLG UNITS — M.P. <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. MEA <br />LAVATORY(WASH BASIN) <br />UNIT HEATERS —BT.U. M <br />SHOWER <br />CLOTHES DRYERS <br />_ <br />KITCHEN SINK 6 DISP. <br />VENTILATION FAN <br />_ <br />_ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRYTRAY <br />WATER HEATEM <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />_ <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS — RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR, ETC) <br />-- <br />SUBTOTAL <br />S <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />_ <br />TOTAL FEE <br />S <br />TOTAL FEE $ <br />FRONT SETBACK <br />70 <br />REARSSEETRRAACK <br />W," <br />SIDE SETBACK <br />C ' <br />PLAN CHECK NUMBER <br />�� <br />FEES-yA-�� �� <br />I (i(✓�- <br />RECEIPT 0. <br />USE ZONE <br />I <br />LOT AREA <br />wuNi SITE <br />O YES YO <br />FEES <br />VALUATION <br />FEE <br />✓�. <br />BUILDING 2' l 0 11 <br /><J <br />TYPE OF CONST. <br />ALLowAeLErAciiL+L.f. N <br />JL <br />OCCUPANCYGROUP <br />e- 3 <br />NO OF OWELUNO UNITS <br />/ <br />PLUMBING <br />— <br />SIZE OF BLOC <br />2 Yo s,, <br />NO OF STORIES <br />/ <br />a Y <br />T,LN <br />OCC LOAD <br />— <br />MECHANICAL <br />— <br />OTHE <br />' I <br />Apo.* <br />'IRE SPRINKLERS REQUIRED OYES <br />HEM"TLI,TUN <br />7i9IMMI <br />STATE BUILDING SURCHARGE <br />D <br />APPLICATION ACC BY PLANS AF'PR BY <br />AVA.� <br />STATE ENERGY SURCHARGE <br />_ <br />PUBLICWORKS <br />TOTAL <br />