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the Eve <br />rpNSTRUCTION <br />CiTYTY OF <br />F <br />evereu <br />PERMIT <br />PERM:-, NO.11295 <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />❑ COMBINATION ❑ BUILDING yQ MECHANICAL <br />❑ PLUMBING <br />PHONE <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />JOHN MONROE <br />4621 Hoyt Avenue Everett <br />98203 <br />252-9740 <br />ARCHITECT OR DESIGNER <br />MAIL AIJUHL G CITY <br />ZIP <br />PHONP <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />MECHANICAL CONTRACTOP <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Same <br />PLUMBING CONTRACTOR <br />MAIL AGDRES3 <br />CITY <br />ZIP PHONE UCFNSE0 <br />CLASS OF WORK <br />JONEV! ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE El SIGN ❑GARPGE <br />DESCRIBE WORK <br />T .. .-* 1! Fi mcnl era incP9i <br />PROPOSED USE DF BUILDING <br />Residence <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 GR.tJ`ING OF A PERMIT DOES NCT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR CTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE CO ACTCR OR AUTHORIZED AGENT DATE <br />X 12 2 82 <br />LEGAL DESCRIPTIOIJOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT aLOCK__OF <br />JOB ADDRESS <br />4621 floyt AVenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMEN f <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND JNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H R EA. <br />SHOWER <br />GAS FIRED A . UNITS —TONNAGE EA. <br />KITCHEN SINK IS DISP. <br />FORCED AIR SYSTEMS— BT.U. M EA. <br />DISHWASHER <br />WALL HEATERS — BIT 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 />_ <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HAND[JG UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEAOERS <br />METAL FIREPLACE G CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />irn <br />SUBTOTAL <br />— SUBTOTAL S <br />r'•1M1T <br />$ <br />PERMIT S <br />— TOTAL FEE <br />$ <br />TOTAL FEE S1 <br />7 <br />SIDE YARD 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 />CIYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILD114G <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />RECURRED FIRE SPRINKLERS <br />❑YES ENO <br />MECHANICAL <br />17 <br />50 <br />OTHER <br />�— APPROVALS <br />BY <br />DATE <br />1 ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B C <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />S0 <br />3, FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0679 i-0 ! 7. 5 0 ---' d <br />/� p r <br />YQU.R RECEIPT <br />THANK Y O U <br />J ' <br />NG <br />6. ORA NIAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE w 3 81 <br />'Ill: <br />