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the ETr <br />CITY OF <br />CV ' 1STRUCTION <br />F <br />everett PERMIT PERMIT NO.07015 <br />CITY HALL 259 6745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑;SUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRE=S CIIV ZIP PHONE <br />Peter Kruis 1906 Virginia 98201 259-4451 <br />ARCHITECT OR DESIGNER MAIL ADDS%SS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />1..1 ^.^ ❑NLW []ADDITION ❑ALTERATION 'URF^AIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 500.00 <br />renair existina DOYCIT <br />PROPOSED USE OF BP.LDMG <br />single family residence <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS 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 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 />SIGNATUUgc�o/� CONTRACTOR OR ApTyOR[ZED AGENT DATE <br />X `7//YitJY'wJ�'�.yzQ 12/6/79 <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />29-30 386 Everett Div. P, <br />LOT —BLOCK —OF <br />JOB ADDRESS <br />19GG Virginia <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 />_ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATCAY MASH BASIN <br />_ <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 />DISC/WASHER <br />WALL HEATERS —BS.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —BT.V M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <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 />ISTOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FIEF <br />S <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />SEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 500.00 <br />5 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCO. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SP81NKLFRS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />_ <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303(a) <br />2. !UILDING PLANS <br />TOTAL <br />F <br />00 <br />3. 'IRE IYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />WO <br />I l" <br />- ' C <br />YO U R RECEIPT C <br />THANK YOU <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR, FOR ISSUANCE FY <br />F I <br />ADDRESS FILE <br />