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the Evergreen <br />CITY OF <br />everett <br />OCONSTRUCTIOJ <br />PERMIT PERMIT NO. 16000 <br />CITY HALL 2598745 <br />EVERETT, WA 98201 ❑ COMBINATION ®C BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY ZIP PHONE <br />John Brown 405 <br />Morgan Road Everett 98203 353-3265 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS ITY ZIP PHONE LICENSE (- <br />Everett Bldrs. Inc. <br />5606 Evergreen Way Everett 98203 353-7161 <br />MECHANICAL CONTRAGTOfl <br />MAIL ADDRESS CITY 21P PHONE LICENSE /? <br />_ <br />e EV ER EB *3 LLL3 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />GLASS Of WORK <br />❑ NEW ❑ ADDITION ❑ <br />ALTERATION aFIFPAIR ❑ CEMOLITION ❑ FENCE C SIGN ❑ <br />WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WCRK <br />s 1340.00 <br />DESCRIBE WCRK <br />Reroof - composition <br />PROPOSED USE OF BUILDI'... <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 PROPERTY (SHOW BELOW OR <br />ATTACH FOUR COPIES( <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LOT79 BLOCK -OF —Beverly Hill,5 <br />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 OViSIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGU ATING CONSTRUCTION OR THE <br />PERFO MANCE qF QONSTRUCTI <br />SIG ATU OF CONTRA OR AUTHORIZED NT DATE <br />JOB ADDRESS <br />405 Morgan Road <br />X �t_/ 1/28/86 <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 — M.P. EA. <br />. HWWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />I UNIT HEATERS — B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER _ <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLI14G UNIT —0.F.M. <br />VACUUM BREAKERS <br />STOVE —WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACES CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />SUB TOTAL f <br />PERMIT <br />S <br />PERMIT f <br />TOTAL FEE <br />S <br />TOTAL FEE S <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 ZCNE <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 />MAX. OCC. LOAD <br />BUILDING <br />S 1 340.00 <br />23 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICALREQUIRED <br />YES NO <br />_ <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CIILCK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />50 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />23 <br />a. FIRE PROTECTION SY;ITEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT CD <br />85 63 $ 0 2 3. 5 0--- <br />((�D (T co <br />RECEIPT <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BV <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />`{-!ANK YOU <br />ADDRESS FILE 2 3 JAN 86 <br />