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Me EPergreen <br />Cr N ST R U CT I O N <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />08045 <br />CITY HALL 259 0745 <br />❑ COMiINATION REBUILDING ❑ MECHANICAL <br />❑ PLUMBII4G <br />EVERETT. WA 98201 <br />OWNER <br />MAIL ADDRESS CRY <br />tits <br />PHONE <br />Dwight R. Malott <br />4928 Elm Everett <br />98203 <br />252-3E117 <br />ARCHITECT OR DEOIGNER <br />MAIL ADDRESS CRY <br />11P <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP PHONE <br />LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />IDP PHONE <br />LICENSE If <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK �� <br />❑NEW ❑r.�IC <br />ADDITION ❑ALTERATION LdPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF IVORK <br />L2,000.00 <br />DESCRIBE WORK <br />repair roof -repair sheetrock, and new floors <br />PROPOSED USE OF BUILDING <br />single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />27 5 Friday' s 1st ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT BLOCK_ —OF 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 VIOI.ATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCl10N OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF,CONtRACTOR OR: AN'THORRIIZZEDD AL ENT LATE <br />JOD ApORCSS <br />3512 Hoyt <br />X 8/1/80 <br />PLUMBING <br />MECHANPOC <br />NO. <br />TYPE OF FIXTURE OR ITEIM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />- <br />_ <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 />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS B.T.U. M <br />DISHWASHER <br />UNIT HFATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FOUNT <br />FLOOR DRAIN <br />VACUUM BREAKEI <br />ROOF DRAINS — <br />CRJII 6FPIvIrr - <br />METAL <br />SUBTOTAL <br />PERMIT _ S PERMIT S <br />TOTAL FEE Y TOTAL FEE S <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT N0. <br />USE ZONE LOT AREA VACANT SITE <br />LIYES ONO FEES I VALUAI ION I FEE <br />SIZE OF BLDG. NO. OF STOF <br />FIRE ZONE BASEMENT <br />APPROVALS <br />T. ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT _ <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING _ <br />6. DRAINAGE _ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />S. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPP FOR ISSUANCE BY <br />[BUILDING 1 $2000.00 1 20 100 <br />IPENALTY I SEC. 303 (a) <br />TOTAL I I 20 I 0 0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />5666 S01Q00 1� <br />YOUR RECEIPT o <br />THANK YOU <br />