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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-1745 <br />EVERETT. WA 98201 <br />COP"3TRUCTION <br />PERMIIT PERMIT NO. 06621 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Ruby Tucker 2712 Walnut 252-6183 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UCENSEF <br />Alpha Constructing 5325 R 92 Lake Stevens 98258 691-6071 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />AL PH AC 223DM <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE / <br />CLAFS OF WORK �I/� <br />❑NEW ❑ADDITION ❑ALTERATION RNEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 3200.00 <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 ' XAMINED 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 AUT40RIZED AGENT , DATE <br />W 1 8/30/79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 29-30 BLDCK 63%F Swalwell's 2nd <br />dOB ADDRESS <br />2712 Walnut <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 />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.0 UNITS —TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.TU. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS — B L: M <br />LAUNDRY TRAY <br />UNIT HEATERS — B i.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />- <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 8 CHIMNEY <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />WATER LINE <br />2 <br />00 <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE _ f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />BEAR 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 />❑YES ❑NO <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 />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />( ]YES 11NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />30 <br />00 <br />A. FIRE PROTECTION SYS%M <br />5. GRADING t1r <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />'get f Q j a, D .44 �+ <br />y� 1 <br />RECEIPT <br />THANK YOU <br />6. DRAINAGE. <br />7. ENVIOMUAL IMPACT STATEMENT <br />66 HEA09DI§TRICT <br />�APPUCACAZ7%N ACC BY LANS CHECKED BY <br />m <br />D <br />APPR. FOR ISSUANCE BY <br />C � 1 <br />ADDRESS FILE <br />2 9 auc 19 <br />