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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />�I (IONSTRUCTION • <br />PERMIT PERMIT NO. 07589 <br />❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Emma Romerdahl 1732 Virginia <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAP. ADDRESS CITY ZIP PHONE LICENSED <br />Evergreen Material Supply 20624 81 W Edmonds, Wa. <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK (.'y <br />❑NEW ❑ADDITION ❑ALTERATION IpypEPAIR ❑DEMOLITION ❑FENCE ❑SIGH ❑GARAGE <br />f 4670.00 <br />;CRIBF. WORK <br />PROPOSEU USE OF BUILDING <br />residential <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNACONTRACTOR OR A 17ED AGENT DATE <br />X TU e 5 14 80 <br />LEGAL DEfCn 71ON OF PROPERTY ISHOW BELOW OR ATTACH FOUR CAP1Es) <br />LG117-17_1La„354,F Everett Div. U <br />JOB ADDRESS <br />t� 1732 7J41UVirginia Avenue <br />PLUMBING <br />MECHANICAL <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 />REFRIGERATION UNITS — H.P. EA <br />LAVATORY 6VASH BASIN) <br />BOILERS — H.P. EA <br />SHOWER <br />GAS FIRED A.G. UNITS — TONNAGE EA. <br />_ <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 />— <br />CLOTHES WASHER <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 <br />— <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACES CHIMNEY <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />f <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARJ SETBACK <br />PI AN CI CK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />— <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />` 4670.00 <br />32 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRE❑YES <br />SPRINKLERS <br />FIND <br />MECHA141CAL <br />OTHER <br />— <br />APPROVALS <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U B C <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />32 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT <br />1 18 1 <br />Li <br />YO U : RECEIPT c <br />_ THANK Y O 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 ISOUANCE BY <br />1 5 I'm 8 0 <br />