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r <br />the Evergreen <br />CITY OFF rONSTRUCTION <br />4 CITY <br />everett PERMIT PERMIT NO.09394 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION X1 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Terry Slatten 4100 South 3rd Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS V"T "'"'----- <br />Art Santos 2610 Rainier Everett 98201 259-3456 6003/5417 <br />MECHANICALCONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE <br />-LUMBING CONTRACTOR MAIL ADDRE.;S CITY ZIP PHONE LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION XMEPAIR ❑DEMOLITION ❑FENCE ASIGN ❑GARAGE — <br />UATION OF WORK <br />S 6,000.00 <br />DESCRIBE WORK <br />Romnva roof and replace with kkYkOIX14X shakes <br />PROPOSED USE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMP_IED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />FRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC).L THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING <br />CONSTRUCTION O THE FFORMANCE OF CONSTRUCTION. <br />SIGNATUR 1 TPA R OR THOHIZED AGENT DATE <br />X ?- 6/18/81 <br />LEGAL DESCRIPTION OFPROPERTYSHOW BELOW ORATTACH FOUR COPIESI <br />LOTp_F.8 JOrK2—oF i).a Off.. II II <br />— — <br />-- <br />JOB ADDRESS <br />4100 South 3rd <br />PLUMBINr <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FVE <br />WATER CLOSET (T(11LET) <br />AIR COND. UNITS — H P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A.C. UNI-S —TONNAGE EA. <br />KITCHEN SINK & 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 />EVAPORATIVE COOLERS <br />— <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION "AN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — — C r M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />SUB 70Tl.L S <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />S <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />81 /9394 <br />PLAN CHECK <br />F.E <br />FEE <br />RECEIPT NO, <br />USE ZONE <br />LOT AREA <br />DYVACANTSITE <br />S TONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />s6,000 00 <br />56. <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />❑YES ONO <br />MEGIANIC!L <br />— <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 />56 <br />50 <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />_ <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ll�r <br />�. <br />9 5 2 W O 5 6.5 O i9 <br />CD <br />O <br />p7 <br />'..: I� '— - I L <br />" YC U <br />5. GRADING <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 />ADDRESS FILE 1 9 Itll 9 1 <br />