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Me Evergreen <br />a <br />,, � O N' 5T R U CTI O N <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.09943 <br />CITY HALL 259 8745 <br />❑ COMBINATION BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CRY <br />211' <br />PHONE <br />James K. Carlson 7725 Grant Drive Everett <br />98203 <br />355-8721 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CRY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE♦ <br />Same <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />Z'P <br />PHONE LICENSE <br />11�--1 ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR []DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />DESCRIBE WORK <br />Re -place wood stove <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT -BLOCK -OF 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 PERFORMANCE OF CONSTRUCTION, <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />7725 Grant Drive X 10/26/81 <br />PLUMBING ME4YHANICAL <br />Np.T TYPE OF FIXTURE OR ITEM FEE NOT TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />AIR CORD. UNITS — H P. EA. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />SA\ATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />_ <br />_ <br />KITCHEN SINK 6 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />_ _ _ <br />UNIT HEATERS — B.T.U. M <br />WATER HEATER """"""""""' <br />_ URINAL VENTILATION FAN <br />DRINKING FOUNTAIN RANGE 1400D <br />.. ...... ........ I I I AIR HANDLING UNIT — C.F.M. f <br />S1DE YARD SETBACK STREET SETBACK <br />USE ZONE LOT AREA <br />YARD SETBACK IPLAN <br />❑YES ❑NO <br />TYPE OF CONST, OCCUPANCY GROUP NO OF DWELLING UNITS <br />R17F OF BLDG. NO. OF STORIES MAX. OOC. LOAD <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. 1 -ALTH DISTRICT <br />A. FLICATION ACC. BY 1 PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />FEE I RECEIPT NO. <br />BUIL')VIG <br />PENALTY U R C. <br />SEC. 303 (a) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />1 <br />ADDRESS FILE <br />17 150 <br />17 1 50 <br />Cn <br />Q <br />