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�6e EverKreen , . ���T � � ( _�' � � _ . - <br />CITY OF r <br />everett � E���T PERM17 NQ. OH �G2 <br />CIT'! HFLL 259�d7�5 <br />evenerr. wn ss2oi ❑ COMBINATION i�' BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER I.IAILADUHE55 GTY ZIP PMONE <br />Ken Callahan 4626 Hoyt Everett 98203 259-6460 <br />AiC111iECT OR DESIGNER MAIL ADORE55 CRY JP PMONE <br />GENEP.nL CONTRRGTOP MRIL NDORESc ptt 21F PHO�JE IICEN$E � <br />Same <br />MECNANIC/ l CONTRACTOR MAIL ADDr1E55 QTY 21P PNONE LICENSE 1 <br />PWMBING WqTRACiOR <br />ClA55OF WOHK <br />❑NEW ❑ADDITION ❑ALTERATION �1EPAIR ❑DEMOLITION �FENCE ❑SIGN ❑GARAGE <br />VAIUNT10N OF WORK <br />s 350.00 <br />DCSCFIBE WORH <br />re-side gables <br />PROPOSED USE Of tlUI�DING <br />single family residence <br />LEGfL DESCflIPT10N OF hROPERTV (SIjOW OEL01'/ OR /.1TACH <br />LOT BLOCK_OF <br />4626 :�oyt <br />PLUMBING <br />NQ. TYPE <br />WATER CLOSET Q( <br />BAiHTUB <br />LAVATORY �WASH <br />SHOWEF <br />KITCH[N SINH, 8 C <br />DISHWASHE7 <br />LAUNDHYTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />D6INKING FOUNT, <br />ROOF <br />SIOE YAPD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />FIRE ZONE <br />RE OR ITEM <br />— nrin��nv <br />— BAR,FTC.) <br />SUB 70TA <br />PERMIT <br />TOTAL FE <br />STREET SETO <br />LOT AREA <br />OCCUPANCY <br />N0. OF STOF <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />o. FIRE HYORANT <br />a. FlRE PROTECTION SVSTF.A1 <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIqONMENTALIMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACQ BY PLANS CHECKe� Bl <br />REAR VAF9 SET�ACK <br />VAfANT SITE <br />JYES i7Y0 <br />NO. OF DVIELLING UNITS <br />MA%. OI:C. LOAD <br />FIPE S?RINKLERS <br />FPPR. FOR ISSUANCE BY <br />LICENSE / <br />I HEREBY CERTIFY ThAT I HAVE READ AMD EXAMINED THIS AP- <br />PLICATION AND KIJOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WIIETHER SPECIFIED <br />HEREiN OR NOT. THE GRANTING OF A PERM17 DOE5 NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCtL THE PRO- <br />VISIONS OF ANY OTHER STATP. OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORM�.NCE OF CONSTRUCTION. <br />SIGNATURE 0/ C04iR4GTGR OR RUiM0i11ZC0 nGF.Ni DATE <br />X `%'.. �... Lt�.� -/�.,:_,. v 9/19/80 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />FiGFRIGFRATION UNITS — <br />POILERS — HP. EA <br />GAS FIRED A C. UNITS — TONNAG[ EA. <br />FORCED AIR SYSTEMS — BT.U. M EA. <br />NlALL HEATEPS — I3.T.U. M <br />I INIT HFATFRS — R Tl'. M <br />flANGEfi00D <br />Alfl HANDIING UNI7 — <br />STOVE <br />META� FIPEPLACE & CHIMN <br />SUB <br />IJUMBER PIAN CHECK FEE <br />FEE � AECEIPT NO. <br />FLF.0 TVOIIIATION FEe <br />s 35�.00 � 5 � 00 <br />PLUMBING <br />MECHAN�CAL <br />OTHEF <br />PENALTY UBC. <br />SEC. 303 (a) <br />TO7AL � S 0 0 <br />PERMI� VALIOATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />i994 $005.00 �--� <br />M <br />, '! �� RtCGIPT o <br />' �.��,•�'�\ ��C�U <br />I$SEP$�J <br />ADDRESS FILE __ <br />