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the Evergreen 1,vl, "'ONSTRUCTION <br />CITY OF V <br />everett PERMIT PERMIT NO.06982 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />James Gaffney Const. Inc. 9502 19th Ave, S.E. Everett 98204 337-7608 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE, <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR MEMDLITIDN ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />bm.o;I, cio,lc RF,mi I Residence <br />PROPOSED USE OF BUILDING J <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 VIOLALE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING <br />NSTRUCTION OR THE PERFO ANCE OF CONSTRUCTION. <br />NAOF CONTRACTOR OR H AGE DATE <br />1 <br />_ 11/27/79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />821 Everett Div. A <br />LOT BLOCK__OF <br />Lot 12 less the N 3.15' of the E 14', and al <br />JOB ADDRESS <br />3421 Wetmore Avenue <br />PLUMCINGWITEMFEE <br />ANICAL 1 % . <br />NO. <br />TYPE OF FIXTURE O <br />TYPE OF EGUI M T <br />FEE <br />WATER CLOSET QOILLT)AIR <br />COND. UNITS — H P. EA <br />BATHTUBREFRIGERATION <br />UNITS — H P. EA <br />LAVATORY (WASH BASIN)BOILERS <br />— H.P. EA. <br />SHOWERGAS <br />FIRED A C. UNITS — TONNAGE EAKITCHEN <br />SINK 8 DISP.FORCED <br />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 LRAIN <br />AIR HANDLING UNIT — f, F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE B CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL f <br />_ <br />PERMIT <br />f <br />PERMIT III_ <br />TOTAL FEE <br />f <br />TOTAL 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 ONO <br />FEES <br />VALUATION <br />FEE <br />_ <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />f <br />00 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMDING <br />FIREZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIPE7 <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C <br />SEC. 3031.) <br />�00 <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />3. FIRE HYDRANT <br />_ <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5116 $ U U 0, 0 u --cam 1 <br />00 <br />�YOUR REECEIPC <br />THANK YOU <br />5. GRADING <br />6. DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />