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, <br /> �he Evcrgreen - C(�y ST R U CT I O N � � <br /> CITY OF <br /> everett PER�s� PERMIT NO. 07115 <br /> GTY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING �CMECHANICAL ❑ PLUMBING <br /> OWNER MAiLADORE55 CITV ZIP PMONE <br /> Scott Hensrude 1007 Lombard Everett 98201 259-2914 <br /> .4RCHITECi 0A GE5IGNER MAIL ADDRE55 CIiY ZIP PMONE <br /> GENERnLCanpReTfll:TOR MALLAODRE55 CITY ZIP PHONE LICENSE� <br /> S <br /> MEC�IANICALCONiRACTOR MAILADDPE55 CITY ZIP PMONE LICENSEY <br /> PLUMBINGCONTRAGTOR MAILAD�RESS CIiV 21P PMONE LICENSE♦ <br /> GlA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOUTIO'+ ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF 1VORK <br /> 3 <br /> DESCRIBE WORK <br /> install Franklin Stove <br /> PROPOSED USE OF BU�',DING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS AP- <br /> LEGALDESCRIPTIONOFPpOPERTY!SMOWpEL01Y0RARACHFOURCOPIES� P�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io. e�oc�_oF TYPE OF WORK WILL 0[ COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE G:�ANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TF'E PRO- <br /> VIS'ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AUDFESS SIGNATURE OF CONTqFCTOR OR AUTHORIZEO FGENT DATE <br /> 1007 Lombard X /9/80 <br /> PLUMBING MECHAM1ICP.L <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. 7 YPE OF E�UIPMENT FEE <br /> \VATFR CLOSET(TOIl.ET) AIR COND.UNI�iS—H.P.EA, <br /> BATHTU� REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) 801LERS—H.P.EA. <br /> SHOWER GAS RREJ A.G UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. fOPCED AIR SYSTEMS—B.T.U. M EA. <br /> DISNWASHEP WALL H6ATER5—B.T.U. M <br /> LAUNDRY iRAY UNIT HEATERS—B.T.U. M <br /> CLOTNES WASHEF EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STGVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEY Q O <br /> SINK(SFpVICE—BAR.ETC.) <br /> I <br /> SUB TOTAL SUB TOTAL S �l 00 <br /> PEHMIT S PEHMIT S 3 00 <br /> TOTALFEE S TOTALFFE S 7 00 <br /> SIDE VARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER P�AN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA �ACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLIN(:UNITS � <br /> BUILDING S <br /> SIZE OF BLDG. NO.CF FTORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMEN7 FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO 7 00 <br /> APPpOVALS BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST — <br /> PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HVDRANT T�TA� � OO <br /> 4. FIRE PROTECTION SYS7EM PERMIT VALIDATION <br /> WHEN PNOPERLY VALIDATED QN�HIS SPACE)THIS IS YOUR PETRMIT <br /> 5. GRADING 6 7 9 3 $ O O J. p p ^"�! � <br /> G. DRAINAGE - _� <br /> 7. ENVIRONMENTALIMPACTSTATEMENi � � '1�i . ' � :,� <br /> 8. HEALTHDISTRICT I YOU� REC'EfP�' � �� <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE�Y T�—j A��I� YO U � <br />