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t T <br />, <br />the Evergreen <br />Cr N ST R U CT I O NCITY " <br />OF <br />everett <br />PERMIT PERMIT NO.08045 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION <br />$BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />Dwight R. Malott 4928 <br />MAIL 4UORESS QTY ZIP PHONE <br />Elm Everett 98203 252-3617 <br />ARCHITECT OR DESIGNER <br />MAIL ADDREis CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE/ <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION C]ZF3EPAIR ❑DEMOLITION ❑FENCE ❑SIGN !]GARAGE <br />VALUATION OF WORK <br />f2,000.00 <br />DESCRIBE WORK <br />repair roof -repair sheetro�k, and new floors <br />PROPOSED USE OF BUII DING <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CC-IES) <br />27 5 Friday' s 1st <br />LOT _BLOCKOF <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />SIGNATURE OFICONTRACTOR OR yTHOPIZED AGENT DATE <br />3512 Hoyt <br />X A 8 1 80 <br />PLUMBING <br />MECHANICO <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT 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 />KITCHEN SINK 8 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 />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <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 />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />SUBTOTAL f <br />_ <br />PERMIT <br />$ <br />PERMIT S <br />_ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE <br />f <br />R24,R YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />SIDE YARD SETBACK STREET SETBACK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE LOT AREA <br />FEE <br />'VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />TYPE OF CLNST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$2000.00 <br />20 00 <br />MAX. OCC. LOAD <br />SIZE OF BLDG. NO. OF STORIES <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />OYES ONO <br />BY <br />DATE <br />OTHER <br />APPROVALS <br />PENALT" <br />U.B.C. <br />SEC. 303 (a) <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />EOO <br />3. FIRE HYDRANT <br />TOTAL <br />2 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT <br />5. GRADING <br />5 6 6 6 10 2 0. 0 0- <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />U _ <br />YOUR RECEIPT o <br />APPLICATION PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY THANK <br />I" I ^N` `V O U <br />-�Aug 80 <br />ADDRESS FILE <br />