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r <br />J— <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259,8745 <br />EVERETT. WA 98201 <br />ONSTRUCTION <br />PERMIT <br />❑ COMBINATION DTI BUILDING 11 MECHANICAL <br />PERMIT NO. 08974 <br />❑ PLUMBING <br />OWNLR MAIL AUDRLSS ( ITY I'll "HOM <br />Robert Smith 812 88th Street Everett 98204 355-0567 <br />ARCHITECT OB DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f <br />Same <br />MECHANKAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEP <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION Of WORK <br />E 3,600.00 <br />Construct 201x24' Storeage/Workshop Building <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIII 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 />SIGNATURE OF CON! FACTOR OR AUTHORIZED AGENT DATE <br />X / c� <br />LERAL DESCRIPTION OF PROPERLY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK --OF <br />Ptn N� NL NWk SETA NWI4 18 28 5 <br />JOT) AUORFSS <br />812 Seth Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — M.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ffMH BASIN <br />BOILERS — H.P. EA <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA <br />KITCHEN SINK 8 DISR <br />FORCED AIR SYSTEMS — S.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — FIT U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATLR HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HAND! LNG UNIT — C F M <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE— BAR, ETC I <br />SUB TOTAL <br />SUB TOTAL ! <br />►ERMtT ! <br />PERMIT ! <br />TOTAL FEE ! <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81/8974 <br />PLAN CHECK <br />FEE28.93 <br />FEE <br />51?fiNO <br />USE ZONE <br />LOT AREA <br />VACANT 617E <br />❑YES XXO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF OONST. <br />V-N <br />OCCUPANCY GROUP <br />M-I <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />! 3600. <br />44 <br />50 <br />SIZE OF BLDG. <br />20' x24I <br />NO OF STORIES <br />I <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />RED IREE(p� <br />I IYES & <br />MECHANICAL <br />APPROVALS <br />SY <br />DATE 10THER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />44 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />mr <br />5 19 9 <br />�{CID <br />I P I — <br />J <br />S. GRADING <br />e, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />12."'AU,I <br />