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the Ev, <br />CITY OF <br />PO N STRU CTIO N <br />CITY OF <br />everett PERMIT PERMIT N0. 11464 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION P13UILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Tim Ross 2031 Rainier Everett 08203 252-6332 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY !IP PRONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Everett Builders Inc. <br />5606 Evergreen Way <br />Everett <br />98203 <br />353-7161 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />EV ER <br />EB 301PH <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE IJCFNRF• <br />❑NEW [-]ADDITION ❑ALTERATION }REPAIR ❑DEMOLITION ❑FENCE DEIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 3954.00 <br />DESCRIBE WORK <br />Concrete block foundation <br />PROPOSED USE OF FOR DING <br />Single Family Residence <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 />CONSTRU ION 0 E PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE CONTRACT AUTHORIZEDA DATE <br />X 1/27/83 <br />LEGAL DESCRtPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LQ15-16 BLoC(`] 7oF Capitol Hill <br />JCB ADDRESS <br />2031 Rainier <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA, <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS-S.T U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <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.1' M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE $ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEL <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LTYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONET. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />5 <br />44 <br />SO <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 />❑YES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />44 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS y1w jH IS IS �I�R IM� 0 <br />f u 1, <br />Co <br />YOUR RE(;E1P'f� <br />711 A ig Y�,U <br />6. DRAINAGE <br />7, ENVIRONMENTAL WPA7 STATEMENT <br />8. HEALTH DISTRICT <br />nISSSUANCE <br />APPLICATION ACC. P'! <br />PLANS CHECKED BY <br />ADDRESS FILE <br />