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The Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT PERMIT NO. 15886 <br />❑ COMBINATION 51 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />;iTY <br />Seattle <br />ZIP <br />98136 <br />PHONE <br />932-9064 <br />James R. Schnelz <br />7430 44th S.W. <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE A <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION X8 REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVHFIREPLACE INSERT <br />f 2,000.00 <br />DESCRIBE WORK <br />VC[ICA ai a�cuw u..avu <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family I,esidence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />15-16 535 Miley Land Co's 1st <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_SLOCK-OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTINCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT F CONTRA OR UTH RIZE AGENT DATE <br />1/2/86 <br />JOB ADDRESS <br />2401 Highland <br />X 0 <br />PLUMBING <br />MEC4ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK f UISP. <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 />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 — WOOD <br />ro <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL f <br />7 <br />SO <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />6 <br />00 <br />TOTAL FEE f <br />7 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />YES NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />S <br />32 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />- — <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />IREREQSPRINKLERS <br />MECHANICAL <br />7 <br />50 <br />OTHER <br />YES NO <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (al <br />2. BUILDING PLANS - <br />TOTAL <br />46 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT II QQ' �11 r[� nn <br />7H 'iPAdE) THIy+I�Y 1BiP�gMIT— <br />' 1 IT— <br />PVALIDATION <br />IN LIDATED (IN <br />ZOPff <br />« <br />LC <br />R R (E C E I FT �� ; _ � .�. �,, 11% y O U <br />B. DRAINAGE <br />7. ENVJRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICTRECEIPT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />NK YOU <br />