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'T6e Evergreen <br />CITY OF C STRUCTION <br />Everett PERMIT PERMIT NO. �6260 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ®CBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY 71P PHONE <br />DaA Bowman 3418 Wetmore <br />ARCHITELT OR DESIGNLR MAIL ADDRLSS <br />The Remodeling SpecialIatV^ 6628 212th S.W.cIT. Lynnwood ZIPPHONEPHONE LICENSE. <br />775-7228 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />re MO D225P5 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE • <br />❑NEW ❑ADDITION ❑ALTERATION LNIVEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />._.4 1200.00 <br />DESCRIBE WORK <br />repair foundation and fTnnr <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 gr THE PERFORMANCE OF CONSTRUCTION. <br />51GNA PP OF - ITgAL ( q OP AUTI'OP17ED AGL'47 DATE <br />6/21/79 <br />LEGAL DESCRIPTION OF PROPERTY (SOW BELOW OR ATTACH FOUR COMESI <br />23-24 822 Everett Div. A <br />LOT BLOCK__OF <br />JOB ADDRESS <br />3418 Wetmore <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 (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A . UNITS — TONNAGE EA. <br />TCHEN SINK B 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 />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 8 CHIMNEY <br />SINK (SERVICE — BAR ETC.) <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIYES FIND <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 1200.00 <br />12 <br />00 <br />SIZE OF BLDG <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />LiYES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />u BC <br />SEC 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />12 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) ` YOUR PER IT <br />II O O <br />co <br />CV <br />7AAN4 Y09 <br />5 <br />5 GRADING9 <br />. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICTO}L <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />11 i.11 <br />ADDRESS FILE ' <br />