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Me Evergreen <br />CITYOF OCONSTRUCTIOIJ <br />I <br />everett PERMIT <br />CITY HALL 25S-8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT N0. 15570 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />John E. Eaton P.O. Box 7273 <br />Everett <br />98201 <br />252-6570 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY 21V PHONE LICENSE 0 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />PLUMBING CONTRACTOR MAIL ADDRESS Ill ZIP PHONE LICENSE 4 <br />CLASS OF WORK <br />❑ NEW ❑ ADDIapN ❑ALTERATION ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN $X WOOD STOVEIFIREPLACE)NSERT <br />TT_ Woodburniva stove <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTf (SHOW BELOW OR ATTACH FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_—BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL W GULATING CONSTRUCTION OR THE <br />_ <br />PERF NC F CONSTRU <br />SIGNA RE F CO ACT At ED AG DATE <br />/85 <br />17./14— <br />JOB ADDRESS <br />1620 Rainier Ave. <br />X / <br />PLUMBING <br />ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />O. <br />TYPE OF EQUIPMENT <br />FEE _ <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />REFR13ERATION UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS —B.T.U. M <br />DISHWASHER <br />UNIT HEATERS —B.T.U. N' <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPOPNTIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />1 <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL $ <br />SUB TOTAL <br />3 <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE _ <br />17 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />YES ..NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />— -- <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRI KLEFS <br />MECHANICAL <br />17 <br />50 <br />OTHER <br />YES NO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />50 <br />_ <br />3. FIRE HYDRANT <br />/. FIRE PROTECTION S'fSTEm <br />PERMIT VALIDATION U , <br />WHEN PROPERLY VALIDATED IIN TH J U 0f1 iHlJT, Y U?ljIL <br />5.GRADING <br />_ <br />- <br />I I; <br />I.C: <br />YO !.' R RECEIPT <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />THANK YO U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />1 4 OCT 85 <br />ADDRESS FILE <br />