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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />CONSTRUCTIO" <br />PERMIT <br />❑ COMBINATION E, BUILDING C MECHANICAL <br />PERMIT NO. 12541 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />TAMES g.ris S40R Q 2nd Everett 1VJ� 98203 259-2712 <br />ARCHIiELi OR DESIGNER MAIL ADDRESS ITV ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEE <br />Waynes Construction <br />5317 S. 2nd <br />Everett {VA 98203 <br />252-5212 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEE <br />WAYNESC319J8 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE E <br />Cl ASS OF WORK — <br />❑ NEW ❑ ADDITION 0 ALTERATION REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />3600.00 <br />of - composition <br />PROPOSED 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 ANDCORRECT. 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 SFATE OR <br />LOCAL LAW REGULAT G CONSTRUCTION OR THE <br />PEFIFRRMANCE OF CO RUCTION. <br />.i P1U EOF CON RACTOR0 UT ORIZEDA -NT DAiE <br />X --" Q t 10/11/83 <br />LEGAL DESCRIPTION OF PROPERTY ISNOW BELOW OR ATTACH FOUR COPIES) <br />LOT 2 BLOCK 26 OF Lowell <br />JOB ADDRESS <br />5408 S. 2nd <br />PLUMBING <br />MEC <br />LAICAL <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. UNITE — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — M.P. EA, <br />LAVATORY (WASH BASIN) <br />BOILERS — M.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 3 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 />_ <br />CLOTHES WASHER <br />I 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 A CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />S1DE YARD SETBACK <br />STREET SETBACK <br />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 />:AYES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$600.00 <br />11 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC.-OAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />i.YES :,NO <br />MECHANICAL <br />- <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />_ <br />TOTAL <br />11 <br />5 0 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THISISIS YOUR PERMIT <br />jl Y-- <br />2 P 2 11 a I I. 5 0 � j <br />II, <br />YOUR RECEIPT <br />i!-!ANK YOU <br />5.GRADING <br />6.DRAINAGE <br />7.—ENVIRONMENTAL IMPACT —STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE I I OCT 83 <br />