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�w. <br /> d�eEvergreen �ONSTRUCTION � ` �� <br /> CITY OF <br /> everett PERMIT pERMiT NO. 09347 <br /> CITY HALL 259�87C5 <br /> EVERETf,WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADOFE55 GITY ZIP PHONE <br /> Gertr de Bo nton 4730 Elm Street Everett 98203 259-2210 <br /> ARCHITECTOnOE51GNER MAIIADDRE55 GITY ZIP PHONE <br /> GENERALCANTRACTOR MAIIADDRE55 GITY 21P PHONE LICENSEI <br /> Eve"et` ." ''^'"" r^^ 5606 Everareen Way Everett 98203 353 7161 <br /> MEGHANICALCANTRFCTOR MAILADDRE55 CITY ZIP PNONE LICENSEI <br /> PLUMBINGCANTNACiCR MAILADDRE55 GITV ZIP PHONE IICENSEI <br /> C1A55 OF\vOPK <br /> ❑NEW ❑ADDITI�N ❑AL7ERATION �FiLPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 5 Z/}I.2.00 <br /> DESCRIBE WORK <br /> � re-roof--Composition and install gutters <br /> PROPOSED USE OF UUILOING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEWLOESCPIPTIONOFPqOPERiV�SHOK'BEIOWORATTACHFOURCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BLOC�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> 36-2 9-4 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTR CTION THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUPE F CON7FFC 0 OR AUTHORIZ ENi OATE <br /> JOB ADDRE55 6/9/81 <br /> 4730 Elm Street X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILETI AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORV(YJASH BASIN) BMLERS—H.P.EA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOflCED AIR SYS7EMS—B T.U. M EA. <br /> DISHWASHER WALL HEATERS—8 T.U. M <br /> LAUNDRY TRAY UNIT HE�T[RS—B T.U. h1 <br /> CLOTHES WASHER EVAFORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DP.INKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDUNG UNIT— C.F.M. <br /> \'ACUUM BREAK[RS STOVE <br /> ROOF DRAINS—RAINLEADEPS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—OAR,ETC.1 <br /> SUBTOTAL SUBTOTAL S <br /> PEPMIT 5 PERMIT S <br /> TOTAL FEE t TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CfiECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> OYES ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> f,UILDING 5z41.2 • 38 50 <br /> SIZE OF BLOG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPFINKLERS MECHANICAL <br /> REOUIRED <br /> ❑YES [7N0 <br /> APPHOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCMECKLIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 3 8 $0 <br /> 3. FIRE HYDRANT • <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADMG c i ; � , �'� 7 0 I: � _ � <br /> � . ,: .J C�. , u <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT M <br /> . � <br /> B. HEALTN DISTRICT � � �i� I Q <br /> APPLICATION ACC.AY PLANS CHECKED BY APPR.fOR ISSUANCE BY � � � � � <br />