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1he Evergreen '--.0�ST R��TI O N � <br /> GTY OF <br /> everett PERMIT pERMIT NO. 09418 <br /> CITY HALL 259-8745 <br /> EVERET7,5VA 98201 ❑ COMBINATION � BUILDIRIG ❑ MECHANICAL PLUMBING <br /> OWN[P MAILA�DFE55 CIiY ZIP PHONE <br /> James Blair 7513 Heather Way <br /> Everett 98203 355-1668 <br /> PHCHREGTORDESIGNER MAILAO�RE55 GITV 21P PNONE <br /> GENEAAL CONTPACTOP MAII ADORESS CItY ZIP PMONE LICENSE/ <br /> Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 <br /> MECHFNICALCANTRACTOR MAILADDRE55 QTY ZIP PNONE IICENSEI <br /> EV ER EB 301PH <br /> PLUMBINGCANTRACiOP MFILADDPE55 CITV ZIP PHONE LIGENSEI <br /> C1A55 OF WOBK <br /> ❑NEW ❑ADDITION 7E�ALTERATION ❑flEPAIR ❑DEIAOLIiION ❑FENCE ❑SIGN GAFIAGE <br /> VALUATION OF WOPK <br /> f 3583 .00 <br /> DESCRIBE WORK <br /> Re-roof and gutters <br /> PFOPOSED USE OF BU�LOING <br /> single family residence I F�EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEWL�ESCRIPTION OF PROFERTY ISHOW BELOVf OP Ai1ALN FOUR GOPIES) PUCATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT. <br /> W � 1 4 S lvan Crest ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS <br /> � . e�ac�_oF y TYPE OF VJORK WILL BE COMPLIED WITH `NHETHER SPECIFIED <br /> HE:REIN OR NOT. TWE GFANTING OF A PERMIT DOES NOT <br /> PF;ESUME TO GIVE AUTHORI(Y 1 O VIOLATE OR CANCEL THE PRO- <br /> VIliIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONST UCTION OR THE PERFORM WCE OF CONSTRUCTION. <br /> SIG TIl OFCONT T OflAUTM ZE AGENT DATE <br /> JOB A�ORE55 �— <br /> h�er Way 7513 Heather Way X <br /> PLU'MBING MECHANI��AL <br /> Nh, TYPE OF FIXTURE OH I7EM FEE NO. TYPE OF E�UIPMENT <br /> FEE <br /> WATER CLOSET(TOIIET) AIR COND.UNITS—H.P.EA. <br /> — REFPIGERATION UNITS—H.P.EA <br /> BATHTU° <br /> LAVP' �Y(WASH BASIN) BOILERS—H.P.EA. <br /> — GAS FIREU AA.UNITS—TONNAGE cA. <br /> SHOWER <br /> — FJRCED AIR SYSTEMS—8 T.LL M EA. <br /> KITCHEN SINK 8 DISP. M <br /> WALL HEATERS—�?.U. <br /> DISHWASHER M <br /> UNIT HEATEfiS—B.T.U. <br /> LAUN�RY TRAV <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLOTHES DRYERS <br /> WATER HEATER <br /> VEN7ILATION FAN <br /> URINAL pANGE HOOD <br /> ORINKIKG FOUNTAIN C F.M. <br /> AIR HANDLING UNIT— <br /> FLOOR�FA�N <br /> VACINM BREF�KERS STOVE <br /> 900F DRAINS—RAINIEADERS <br /> METAI FIflEPL4CE&CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL <br /> SUBTOTAL s <br /> PERMIT f PERMIT 3 <br /> TOTALFEE S TOTALFEE s <br /> PIAN CHECK FEE <br /> SIDE YARD SETBACK STPEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIP�NO. <br /> USc ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> �YES ❑NO <br /> TYPE OF CANST. OCCl1PANCY GROUP NO.OF DWELLING UNITS <br /> eui�ciNc $ 3583 .00 44 50 <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FEOUIRED <br /> �YES ❑NO <br /> APPNOYALS <br /> BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PENALTY U.B.C. <br /> SEC.303�a) _ <br /> 2. BUILDING PLANS T�TA� 44 _ J <br /> 3. FIRL HYDRANT <br /> PENMIT VALIDATION <br /> 4. FIRE PROTECTION SYSTEM W HEN PROPERLV VALIOATED(IN THIS SPACE)TMIS IS YOUR PERMIT <br /> 5. GRADING � <br /> G. DRAINAGE �� ( ! j �, , i� �I. r n � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY - � �i� <br /> �., i � <br /> . _ . .. .� � �. <br /> ADDRE55 FILE - � <br />