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UwEkwvvm <br />CITY OF <br />everett <br />259-8745 <br />C)NSTRUCTION <br />PERMIT <br />(� PERMIT N_ 16835 <br />13 DEMOLITION ❑ COMBINATION ID BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Greg Morrie 3030 Rucker Everett, WA 258-4427 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />❑ NEW ❑ ADDITION <br />DESCRIBE WORK <br />Demolition <br />❑ ELECTRICITY ❑ GAS <br />❑ ALTERATION ❑ REPAIR W DEMOLITION ❑ BUILDING RELOCATION <br />❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />5 unit apartment house <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING CF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE O C W REGULATING CONSTRUCTION OR <br />THE P O OF CONSTRUCTION. <br />SIGNAT E OF C CTOR ORIZE TOR OWNER DATE <br />X -Z. 7/16/86 <br />LEGAL DFSCRIPTION OF PROPERTY IShOW BELOW OR ATTACH FOUR COPIESI <br />11 720 Plat of Everett Div H <br />LOT _BLOCK OF <br />JOB ADDRESS <br />3021 Grand Ave <br />PLUMBING <br />MECHA C <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - AMNDLG UNITS - H P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - 8 T.0 M.P. <br />SHOWER <br />GAS FIRED A C. UNITS - B T.0 <br />KITCHEN SINK 6 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS - B.T U. M <br />LAUNDRYTRAY <br />UNIT HEATERS -8.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK ISERVICE - BAR. ETC.) <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTAL FEE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />-0- <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />Flhc SPRINKLERS REQUIRED QYES ❑ NO <br />INVESTIGATION FEE <br />ISIIN{� <br />STATE BUILDING SURCHARGE <br />1 <br />SO <br />51 ATE ENERGY SURCHARGE <br />#000= <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />7RIVEWAY PERMIT <br />TOTAL <br />1 <br />50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />CM <br />co <br />CO <br />T— <br />ADDRESS FILE <br />