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theElrITYO <br />C01"I"3TRUCTION <br />- <br />CITY OFF <br />everett <br />PERMIT <br />06621 <br />PERMIT NO. <br />CITY HALL 259.8745 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />Ruby Tucker <br />2712 Walnut <br />252-6183 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE I <br />Alpha Constructing 5325 R 92 Lake Stevens <br />98258 691-6071 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE) <br />AL PH AC 223DM <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSED <br />E <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION MEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />T 3200.00 <br />DESCRIVF WORK <br />repair foundation -repair retaining wall- replace water line <br />PROPOSED USE OF BUILDING <br />single family residence <br />I HEREBY CERTIFY THAT I 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 />SIGNA RE OF CONTRACTOR OR AUTHORIZES AGENT DATE <br />8/30 /79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />29-30 63 Swalwell's 2nd <br />LOT eLxK_�F <br />.log ADDRESS <br />2712712 4ialnut <br />PLUMBING <br />ECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />=1R COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWFR <br />GAS FIRED AC. UNITS —TONNAGE EA. <br />KITCHEN SINK S OISP. <br />FORCED AIR SYSTEMS — BTU. 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 />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 />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />- <br />WATER LINE <br />2 <br />00 <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR 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 />DYES DNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 3200.00 <br />28 <br />00 <br />SIZE OF BLDG, <br />FIRE ZONE <br />N0. OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />[]YES []NO <br />PLUMBING <br />MECHANICAL <br />2 <br />OO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHOCK LIST <br />PENALTY • <br />U BC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />30 <br />1 00 <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSWIM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />16 0 6 s a t �. <br />) <br />Ytli1�R RECEIPT C <br />THANK YOU <br />5. GRADING <br />fi. DRAINAGE.i <br />-,7. ENV) AL IHPACT STATEMENT <br />M8. HEAL DI ICT M <br />�APPLICAMN ZI BYfLANS CHECKED BY <br />n '5 n <br />APPR. FOR ISSUANCE BY <br />I <br />