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the Evergreen ''ONSTRUCTION <br />everett PERMIT PERMIT N0. 11073 <br />CITY HALL 259-8745 fp� <br />EVERETT, WA 98201 El COMBINATION ❑ BUILDING BMECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE ' <br />RONALD_C. LEWIS 6229 MAGNOLIA AVE W EVERETT 98203 353-4776 <br />ARCHITECT OR DE5IGNE, MAIL ADDRESS <br />CITY ZIP PHONE <br />GENERAL CONTRACTOH MAIL APDRESS Cltt ZIP PHONE LICENSE ! <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />--1 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE! <br />XIN—W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALU/SION OF WORK <br />DESCRIBE WORK <br />Install wood stove <br />PROPOSED USE JF BUILDING <br />Resibnce- rental <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 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 />CONSTRUPTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIE CONTR OR RA THDRI AG NT DATE <br />X 9/27/82 <br />LEGAL DESJRIfTIONOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLocK_oF <br />dGB ADDRESS <br />6229 Magnolia Avenue IV <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 — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />— <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 3 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVA?ORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />— <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />Wood stove <br />7 <br />SO <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT f <br />PERMIT S <br />TOTAL FEE S <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NC <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />EYES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REO SNORED <br />MECHANICALEYE <br />17 <br />SO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2, BUILDING PLANS <br />3. FIRE HYDRANT <br />I <br />TOTAL <br />17 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />_ M <br />8 U 8 9 $ 0 ) 7.50 ( ! <br />T—i <br />YOUR RECEIPT <br />THANK YOU <br />- <br />5. GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION AC(;, BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />-_j <br />ADDRESS FILE 1) Q mr, 99 <br />