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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259'8745 <br />EVERETT. WA 98201 <br />C*NSTRUCTION <br />PERMIT PERMIT NO. 06865 <br />❑ COMBINATION ❑ BUILDING L MECHANICAL ❑ PLUMBING <br />OWNER MAlLAU0i,- - CITY <br />PHILIP G_ RYRA _ iM A_ CARET Rn_ FVFRRTT QR9fl3---1$2-2931- <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP I n <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br />'SELF <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE IICENSE R <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />❑NEW 0ADDITION ❑ALTERATION ISREPAIR ❑DEMOLITION L]FENCE ❑SIGN ❑GARAGE <br />s 1200.00 <br />DESCRIBE WORK <br />REROOF, INSTALL GARAGE DOOR AND GUTTERS <br />PROPOSED USE OF BUILDING <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 />HEREIN OR NOT. THE GRANTING OF A PERM;T 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 TRACT° j AUTH AGENT DATE <br />X !t c3;! .4 it 10�22�79 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />61 BEVRLY HILLS NO. 5 <br />LOT eLoc�_oE <br />JOB ADDRESS <br />307 S. CABOT RD. <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 />_ <br />_ <br />_ <br />_ <br />_ _ <br />COND. UNITS — H.P. EA <br />BATHTUB <br />_AIR <br />UNITS— H.P. EA <br />LAVATORY ASH BASIN) <br />_REFRIGERA110N <br />BOILERS — H.P. EA. <br />_ <br />SHOWER <br />_ <br />GAS FIRED A C. UNITS — TONNAGE LA <br />_ <br />_ <br />KITCHEN SINK & DISP. <br />I ORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />_ <br />WALL HEATERS — B T U. !A <br />LAUNDRY TRAY <br />UNIT HEATERS — B I M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />_ <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C E Al <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK ISI RVICE — BAR, ETC. <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE i <br />TOTAL <br />FEE III <br />SIDE YACD SETBACK <br />STRLET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />RYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />E 1200.00 <br />12 <br />00 <br />S1ZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />TIYES LINO <br />MECHANICAL <br />— <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />L ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (A) <br />100 <br />2. BUILDING PLANS <br />TOTAL <br />12 <br />3. FIRE HYDRANT <br />/. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 9 A 3 f O I <br />TO <br />(D <br />YOUR RECEIPT <br />THANK YOU <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC BY <br />PUNS CHECKED BY <br />APPR FOR ISSI IANCE BY <br />1 8 OCT 19 <br />