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rhe Evergreen <br /> everett r ;ONSTRUCTION� � <br /> PERMIT PERMIT N0. 16466 <br /> CITY NALL 2P.6�B1�5 <br /> EVERETT.WA9P2C1 ❑ COMBINATION �l BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER \1AIL ADDPESS QTY Zlv PNONE <br /> Gary P�arce P.O. Box 1102 Monroe, WA Y3 98272 794-9393 <br /> �i1C/11TF.GT ON 0l51GNER MAIL AODRE55 ��TY ZIP PHONE <br /> GENE9AL CON�RnGTOR MAIL ADORESS CITY 21P PMONE �ICENSE Y <br /> Everett Builders, Inc. 5606 Evex•green Way Everett, WA 98203 353 •7161 <br /> MECH�NICAL CONTR�CTOR MAIL nDDRE55 CITV ZIP PHONE LICENSE I <br /> EVEREB-311-L3 <br /> PWMBINC COqTRACTOP MNIL�ODRESS CITY ZIP PHONE LICENSE I <br /> I� CLASS Of W7RK <br /> I O NEW G ADDITIUN ❑ ALTERATION ❑REPAIR U DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIPIREPIACE INSERT <br /> YA�UATION OF WOPK <br /> 52�2�.�� <br /> DESCRIBE WORN <br /> Feroo£ residence (com�) (20 aotx square) <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 PPOPERTY ISHOW BELOW OP ATfAGM FOfIR GOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or��tocK_ov_ GOVERNING THIS TYPE OF WORK VJILL BE COMPLIED WITH <br /> i WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> Lot 7 6 8, Block 23 of Plat of Everett Div T PEP.MIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF MANCE OF CONSTRUCTION. <br /> JOB ADDPE55 SIG T E OF CO CTOR OR AUTHORIZEO AGENT DATE <br /> 1215 Maple X ,� n 4 24 86 I <br /> PI.UMBING ` MECHANICAL � <br /> N0. TYPS OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WA7ERCLUSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIUERATION UNI7S— N.P.EA. <br /> IAVATORY(WASH BASINI BOILERS— H.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> NITCHEN SiNK d DISP, FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISIiWASHER WALL MEATERS— B.T.U. M <br /> LAUNDRVTRAV UNIT HEATERS— B.7.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WATER MEA7ER CLOTHES DHVERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR DPAIN AIR HANDLINCa UNI7— C.F.M. <br /> VACUUM BREAKF.RS STOVE—WOOD <br />� ROOF DRAINS— RAINLEAOERS METAL FIpEPLACE 8 CHIMNEY <br /> SINK(S[RVICE— BAH, cTC.) FIREPLACE INSERT <br /> HEAT Pt1MP <br /> SUB TOTAL a SUB TOTAL S <br /> PERMIT f PERMIT f <br /> TOTAL FEE f TOTALFEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AP.EA VACAN7 SITE <br /> i-.YES iJNO FEES VALUATION FEE <br /> TVPF.OF(;ONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING EZ027.00 38 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.IOAD - <br /> PLUM6ING <br /> PIHE ZONE BASEA�ENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ;:YES �:NO <br /> APPROVALS BY DATE OTHER <br /> 1. EN\'IRONMENTAL CHECK UST PENALTY U.B.C. <br /> SEC.303 la) <br /> 2.BUILDINGPLANS TOTAL 38 50 <br /> 3.FIRE HYDRANT <br /> 4.FIriE PROTECTION SVSTEM PENMIT VALIDATION <br /> 5.GRADING _ WHEN PROP[RLY VALIDATED QN THI�;!>P3 5�7HIS ISOYQU�PER�11T uy';� <br /> J � 5u � <br /> 6.DRAINAGE �- <br /> 7.cNVIRONMENTALIMPACTSTATEMENT � <br /> 8.HEALTM DISTRICT � � ���� ���-i c—�S <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY �' '����I- �� <br /> !:; YI- U <br /> M.M. <br /> � :� r <br /> . o <br /> ADDRESS FILE <br />