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the Evergreen <br />DeOn CI <br />;- , O N ST R U CT i 0 P' <br />everett <br />PERMIT <br />PERMIT NO. <br />14360 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />❑ COMBINATION )9 BUILDING ❑ MECHANICAL <br />PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />PHONE <br />John A. Naples <br />1801 McDougal Everett <br />98201 <br />259-4593 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />O NEW ❑ ADDITION ❑ ALTERATION %XREPAIR ❑ DEMOLITION ❑ FENCE O SIGN O WOOD STOVEIFIREPL,r,E INSERT <br />s 1,500.00 <br />interior repair of Plumbinq <br />PROPOSED USE OF BUILDING <br />Single Family Residence <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANu <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <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 PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTR CTOR OR AUTHORIZED AGENT DATE <br />X � l�c� 1/18/85 <br />LEGAL DESCRIMMN OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />1-2-3 362 Everett Div. P <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />1601 McDougal <br />PLUMBING <br />ME HANI AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />LAVATORY [WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 <br />KITCHEN SINKS DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />I <br />UNIT HEATERS — B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <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 — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE —BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />14 <br />00 <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />$1 <br />1w <br />00 <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />17 00 <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />.-YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f raw <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />=N <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />:--.YES :7N0 <br />MECHANICAL <br />17 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIS( <br />PENALTY <br />U B.C. <br />SEC. 303111) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />3. FIREHYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION r <br />WHEN PROPERLY VALIDATED (IN THI$ SPACE) THIS IS YO R PERMIT CD <br />W <br />` U <br />5. GRACING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />Hr; <br />.'..,1 L i <br />c <br />