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�he E��ergreen � <br /> �", °° ��'` �-' :ONSTRUCTIO�� � <br /> everett PERMIT PERM�T No. �4415 <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 [X�C COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILADORESS CITY 21P PHONE <br /> PONALD 8. STOCKTON 30242 HARVEST DRIIVE ALBANy OREGON 97321 9 2293 <br /> APCHIiECT OR DESIGNER MAIL AOORESS CIiY ZIP PMONE <br /> GENERALWNTNRCTOR MRILAOORE55 QTV ZIP PHONE IICENSE� <br /> OWNER <br /> MECH�NIGAL CONTPACTOR MAIL A�DRESS CITY LIP PNONE LICENSE 1 <br /> PIVMBING CONTRACTOH MAIL APDRESS GTY ZIP PNONE �ICENSE I <br /> DAVE'S SE�2VICE PLU6ffiING <br /> CU55 OF WORN <br /> C�NEW ❑ ADDITION ❑ ALTEHATION }(S(REPAIR ❑ DEMOLITION O FENCE ❑ SIGN � WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WOPN <br /> f 37,513.34 <br /> oescni Ch�p Rehap <br /> PROPOSED USE OF BUILOING <br /> Rental I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGALDESCRIPfIONOFPROPEPTY�SMOWBELOWORATTACNFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> 162 565 F?�AT OF EVERETT CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK_oF_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <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 LAW REGULATING CONSI'RUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOBADDRES$ � t , 1910 — 25th, ZSO3 �](QS �SIGNATUREOFCONTNRCTOR RA pRIZEDAGENT 0 TE <br /> 2501 Oakes, 1902 — 25th St. j( �Y �� <br /> PLUMBINO MECIiANICAL <br /> NO. TYPE OF PIXTUNE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> ( WATERCIOSET�TOILEn AtR COND. UNITS— H.P.EA. <br /> BATHTUB 10 00 REFFIGERATION UNI7S — M.P.EA. <br /> LAVATORYpNASH BASIN� BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.C.UNITS— 70NNAGE EA. <br /> KITCHEN SINK d DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRY TRAV UNI7 HEATERS— B.T.I;. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WA7ER yiATEfi CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUN7AIN 9ANGE HOOD <br /> FLOOR DRAIN AIR HAND�ING UNIT— <br /> C.F.M. <br /> VACUUM BREANERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S <br /> PERMIT S PENMIT S <br /> TOTAL FEE t TOTALFEE S <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PV.N CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> .:YES .�.NO FEES VAIUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 3i,513.14 229 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUM6ING 42 00 <br /> FIREZONE BASEMENT FIRESPRINKLERS MECHANICA� <br /> RE�UIRED <br /> . .VES �..NO <br /> APPROVALS BY DATE �THER <br /> 1.ENVIRONMENTAL CMECK LIST PENALTV U.B.C. <br /> 2.BUILDING PLANS SEC.3031a1 <br /> J.FIREHYDRANT TOTAL 271, 00 <br /> d.FIRE PliOTECTION SYSTEM PEHMIT VALIOATION <br /> 5.GRADING WHEN PROPERLY VALIDATED(IN THIS SPACE�THIS 19 YOUR PERMIT (f� <br /> G.DRAINAGE - � � • � � � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT � <br /> 8.MEALTH OISTRICT . . CP <br /> APPLICATION ACC.8Y PLANS CHECKED BY APPR.FOR ISSUANCE BY � � � <br /> 1C 1C � <br /> ADDRE55 FIL[ <br />