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the Evergreen <br />CITY OF <br />eTverett <br />CITY HALL 25938745 <br />EVERETT, WA 98201 <br />�� If ONSTRUCT10% <br />PERMIT PERMIT NO. 16620 <br />❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />MR. AND MRS. VERHOEVEN 721 - 90th PL SE Everett WA 98204 353-983 _ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />North Sound Builders 9208 - Old Hwy 99 North Marysville WA 98270 653-2512 NORTHB228d4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE . <br />❑ NEW 9 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />E 14,000. <br />1Ox23 addn, Rec Room, deck and remodel kitchen <br />PROPOSED USE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA W REGULATING CONSTRUCTION OR THE <br />PER OF N. <br />TION. <br />SIGN OF TRACTO OR A T DATE <br />X 6 9 86 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES( <br />LOT 31BLOCK -OF Everson Park East <br />_ <br />JOB ADDRESS <br />721 - 90th Pl SE <br />PLUMBING <br />HANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N 0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA, <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — N.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />BUN TOTAL J <br />SUB TOTAL S <br />PERMIT S <br />PERMIT N <br />TOTAL FEE S <br />TOTAL FEE f <br />TIDE YNi1 %PACK <br />[[�BJJL� CC <br />STREET SETBACK <br />g®1( 201 <br />REAR YARD SETBACK <br />20, <br />PLAN CHECK NUMBER <br />86/16620 <br />PLAN <br />FEE 67.93 <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />(:YES f:AIO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF DWELLING UNITS <br />1 <br />BUILDING <br />N <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />�1rxr <br />1.06 <br />DO- <br />OTHERState surchar <br />PENALTY <br />SEC. 306 (111 <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />BY <br />DATE <br />2. BUILDING PLANS <br />TOTAL <br />MOOD( M <br />1(®R <br />H®X <br />3.FIREHYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED J004:BMACE) TIO{IOBOUR PERMIT CZ) <br />CHM •106.00 CV <br />(0 <br />5. GRADING <br />N. DRAINAGE <br />7. ENVRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />sg <br />PLANS CHECKED BY <br />Sg/jf <br />APPR. FOR ISSUANCE BY <br />iC <br />ADDRESS FILE <br />