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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 R7� <br />EVERETT, WA 98201 vX1 <br />"'llo"ONSTRUCTIOK <br />PERMIT <br />COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 12220 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />ELMER JOHNSTON 3424 Rockefeller Everett WA 98201 259-3922 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE r <br />CLASS OF WORK yµ.�M <br />❑ NEW El ADDITION �1.0 ALTERATION Cl REPAIR Cl DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S 2'000.00 <br />DESCRIBE WORK <br />iJew back porch roof, new bath fixtures, wainscoating <br />FROPOSED USE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <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 />PERFOR F NSTRUCTION. <br />SIG NATU T TO AUTHORIZED A ENT DA-L <br />X 7/15/83 <br />LEGAL DESCRIPTION OF PROPERTY ISHO\V BELOWOR ATTACH FOUR COPIES) <br />LOT 21 ,2?COCK 821,_0F Plat of Everett I'M" <br />JOB ADDRESS <br />3424 Rockefeller <br />PLUMBING <br />MEC <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 />2 <br />00 <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />1 <br />BOILERS — H.P. EA. <br />SHOWER <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 />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />WATER HEATER <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 & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />6 <br />UU <br />SUB TOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />$ <br />( <br />1 00 <br />1 TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />I REAR YARD SETBACK <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 />$ 2000 <br />32 <br />50 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIIIE SPRINKLERS <br />REQUIRED <br />. YES ❑NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS � <br />TOTAL <br />38 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTE ON SYSr6M <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS 9 3P gC?I THIS jS yQUf�PERyIT�j <br />I J L ,Ci fU� 31 5 U C Vl <br />N <br />- N <br />YOUR RECEIPT <br />THANK YOU <br />S.GRADING () <br />1. DRAINAGE E, a., <br />. ENVIRONM DUAL IMP ACL STATEMENT <br />�. HEALTt{D157 CT <br />APPLICA MC. BY PLANS CHECKED BY <br />p m <br />C <br />APPR FOR ISSUANCE BY <br />LNr <br />A <br />ADDRESS FILE <br />1 5 A 83 <br />