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the Eve <br />CONSTRUCTION <br />-- <br />CITY OF <br />F <br />everett <br />PERMIT <br />PERMIT NO.08135 <br />CITY HALL 259 8745 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Randall Gould <br />4704 Lynnwood Drive Everett <br />98203 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE F <br />Puget Sound <br />Pools 22918 Highway 99 Edmonds <br />98020 <br />778-5049 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE IF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE) <br />CUSS OF WORK <br />1RIfW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLII"ION ❑FENCE ❑SIGN ❑GARAGE <br />$ 6,000.00 <br />DESCRIBE WORK <br />Construct swimming pool <br />PROPOSED USE OF BUILDING <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 CO LOCAL LAW REGULATING <br />CO RU ION OR THE PERFORMANCE OF CONSTRUCTION. <br />SI ATU E NTRACTOR OR AUTHOR AGENT DATE <br />" � 8/21/80 <br />rcc�. , 0 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />9 Darlington <br />Lot BLOCK__OF <br />JOB ADDRESS <br />4704 Lynnwood Drive <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H P. EA <br />BATHTUB <br />REFRIGERATION UNITS — HP EA <br />LAVATORY (WASH BASIN) <br />BOILERS — HP. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA <br />KITCHEN SINK 8 DISP <br />FOR AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS — B T.0 M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T U. FA <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDI ING UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUS TOTAL <br />SUB TOTAL 5 <br />PERMIT <br />i <br />PERMIT $ <br />TOTAL FEE <br />TOTAL <br />FEE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />L IYES (ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />50 <br />OO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ❑NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />SY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SEC 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />50 <br />00 <br />3, FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) IS YOUF. PERMIT <br />6 J S 0 5 0.0 0 <br />Or <br />T" <br />YOUR R F C r I PT C <br />THANK Y O U <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />L.C. <br />27.080 <br />ADDRESS FILE <br />