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the Evergreen <br />CTY OF T O N ST R U CT I O N <br />everett PERMIT PERMIT 1.0.10047 <br />CITY HALL 259-8745 <br />E`.'ERETT, WA 98201 ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />LIP <br />PHONE <br />William D. Ellington <br />2410 Hoyt <br />Everett <br />98201 <br />252-2612 <br />ARCHITECT OR CESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE IF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE F <br />CLASS OF WORK <br />❑NE1Y ❑AODITIUN <br />❑ALTERATION ❑REPAIR <br />[]DEMOLITION ❑FENCE <br />❑SIGN <br />❑GARAGE <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />wood stove <br />PROPOSED USE OF BUILDING <br />OF <br />LOT BLOCK_ -OF <br />9AIn TTnv7-. Avenue <br />FOUR COPIES) <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 SEGULATING <br />CONSTRUCTION THE PE ORMAN OF CO RUCTION. <br />SIGNATURE WT OR OR AV7 � DATE <br />Y �.�_. I I � 11/30/81 <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 />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />—_ <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />LAUNDRY TRAY <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 />ISTOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />SUB T )TAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE f <br />TOTAL FEE S <br />17 <br />150 <br />31DE fARD SETBACK <br />STREET 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 />OYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <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 />E1750 <br />FIRE ZONE <br />BFSEMEI:T <br />FIRE <br />REQUIRED <br />rYES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />I1.UC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />..� <br />50 <br />3. PRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />--- <br />PERMIT VALIDATION <br />WHEN PAOPERLY VALIDATED (IN THIS SPACE) THIS IS YOU I FE RMIT <br />_ — <br />C <br />C <br />r <br />' <br />1 <br />_ <br />S. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />_ <br />_ <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />