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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />,-'ONSTRUCTION <br />PERMIT <br />❑ COMBINATION a BUILDING ❑ MECHANICAL <br />PERMIT NO. 07590 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />J. Purvis Box 1183 Everett 98206 252-1422 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PRONE <br />GENERAL CONTRACTOR MAIL ADDRESS_ ---- <br />Sound Building I Remodeling P.O. Box 11B3 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />IT <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CUSS OF WORI( <br />❑NEW ❑ADDITION OiLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 4,000.00 <br />interior remodel <br />PROPOSED USE OF BUILDING <br />single family residence <br />jt3_ 1d F 1&LO* Z OF <br />JOB ADC RESS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFOR CE OF CONSTRUCTION. <br />SIGNATURE OF CONT_^CTORp; HORIZED�I DATE <br />v / .�/J,/ �5/14/80 <br />PLUMIIIIINO <br />MEC <br />LAICAL <br />NO. <br />TYPE OF FIXTURE OR IT <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET OIL <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />SHOWER <br />BOILERS — H P. EA <br />GAS FIRED A.C. UN17S — TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATRRS — B.T,U. M <br />LAUNDRY TRAYUNIT <br />HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLEHS <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 <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK SERVICE — BAR. ETC. <br />SUBTOTAL <br />SUBTOTAL <br />t <br />PERMIT <br />S <br />PERMIT <br />1 <br />TOTAL FEE <br />i <br />TOTAL <br />FEE <br />DE YARD SETBACK <br />SIDE <br />STREET SETBACK <br />REYARD SETBACK <br />AR <br />PLAN CHFCK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIYES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCJPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 4000.00 <br />28 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRIN <br />REQUIRED KLERS <br />BYES ❑NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC.3031BI <br />2, BUILDING PLANS <br />TOTAL <br />28 <br />00 <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION WHEN <br />WHEN PROPERLY VALIDATED (IN THIS SPADE,(( T�I JI1LLYOURf���1A1R <br />. - {UJ (L O <br />% <br />YOUR REC �T <br />�!QJ <br />:;�-;nNK - <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACG. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE B I <br />I <br />