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the Evergreen "O NI ST R U CT I O N <br />CITY OF <br />everett PERMIT PERMIT NO. 11029 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 XIXCOMRINATION ❑ BUILDING ❑MECHANICAL ❑ PLUMBING <br />I• <br />U�WNLR <br />MAIL ADDRESS <br />CITY <br />z" <br />PHONE <br />DONALD HOLDSTOCK <br />3426 OAKES <br />EVERETT NA <br />98201 <br />2S2-4602 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />SILVER FOX CONSTRUCTION 19624 FALES RD SNOHOMISH lot\ 98290 668-5929 SILVC FC <br />MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LI E 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE r <br />❑NEW ❑ADDITION ❑ALTERATION XXREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />f2300.00 <br />DESCRIBE WORK <br />CITip Job New bottom plate on two walls; repair roof, new siding <br />Garage <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />19$20 820 Everett Div I'M" <br />LOT BLOCK _OF <br />Oakes <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 />CONSTR r10N OR T PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF Ci RIZED AGENT DATE <br />X 1� 9/20/82 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — N.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.G. UNITS —TONNAGE EA. <br />KITCHEN SINK & DISR <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS —ST.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.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />I <br />water line <br />- <br />SUBTOTAL <br />2 <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE f <br />TOTAL <br />FEE f <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 />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f2300.00 <br />SIZE: OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED SPRINKLERS <br />DYES LINO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U ETC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />40 <br />.50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q <br />7702 s 0 3 8. 5 0 1 <br />YOUR RECEIPT <br />THANK YOU <br />5. GRADING AI <br />I4METTAL IMPMMSTATEMENT <br />Rn <br />B. NEAL )'S�Tp","' <br />APPLICA�'i5N 91 BI' <br />b Lll�l <br />Clm <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />r,i <br />DDRESS FILE <br />