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�he Evergreen ,i � CO N ST R U CT I� � <br /> CiTv OF <br /> everet� PERMIT PERMIT NO. 15310 <br /> CITY HALL 259�87<5 <br /> EVERETT,WA 98201 ❑ COMBINATION �c BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFIL AODRE55 CITY ZIP PNONE <br /> Maybelle Evans 2611 East Grand Everett 98201 259-4535 <br /> APCMITEGT OR DESIGNEP MAIL ADOflESS CITY 21P PMONE <br /> GENEPAL GONTRACTOR MAIL ADDRE55 LITY ZIP PHONE LIGENSE/ <br /> Everett Builders 5606 Everqreen Way Everett 98203 353-7161 <br /> MEGHANICALCONTRAGTOR MAI�ADORE55 GTY ZIP PHONE IICENSE� <br /> PLUMBING CONTP�GTOR MRIL ADORE55 dTY ZIP PHORE UCENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ AOOIT:ON ❑ ALTERA710N YEPEPAIR ❑ DEMOLITION � FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSENT <br /> VALUATION OF WORN <br /> : 1,998.00 <br /> OESCRIBE WORK <br /> Reroof Composition <br /> PROPOSED USE OF BUILDING <br /> Single Familp Reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LECAL�ESCRIPTION OF PROPERTV�SMOW BELOW OR ATfACH FOUF COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 13,14,15 591 OIYfO[M Mitchell Land&Improve e�VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LY�2�BlOCN_OF o.s s WHETHEH SPECIFIED HEREIN OR NOT.THE GRANTINCa OF A <br /> J/ <br /> PERM'T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> 5168-591-013 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR ANCE OF NSTRUCTION. <br /> JOB AODRE$5 SIGN TUP f CONTR�CT �UTMORIZED AO NT DATE <br /> 2611 East Grand X /14/85 <br /> PLUMBINO MEC NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILEn AIR COND.UNITS — H,P. EA. <br /> BATH7UB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV(WASH BASIN� BOILERS — H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK d CISP. FORCEO AIR SYSTEMS— B.T.U. M EA. <br /> DISHIVASHER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAY UNIT HEATEFS— B.T.U. M <br /> CLOTHES WASHEFi EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTII.ATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE d CHIMNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL S <br /> PENMIT f PERMIT f <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREE7SETBAGK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SI7E <br /> : :YES f-NO FEES VALUATION FEE <br /> T1'PE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 1,998.00 32 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUM8ING <br /> FIP.E ZONE BASEMENT FIRE SPfiINKLERS MECHANICAL <br /> REOUIRED <br /> �. :YES :�.NO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST pENAL7V U.B.C. <br /> SEC.303(a) <br /> 2.BUILDINGPLANS 32 SO <br /> 3.FIRE HYDRANT TOTAL <br /> �.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED pN THIS SPACE)THIS IS YOUfl PEFMIT _ Q <br /> 8.DRAINAGE � <br /> M <br /> 7.ENVIRONMENTALIMPAC7STATEMENT <br /> U`? <br /> B.HEALTH OISTRICi ' � `.} <br /> APPLICATION ACC. BY PLANS CMFCKED BY APPR. FOR ISSUANCE BY <br /> ADDRESS FILE <br />