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The Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />C'A CONSTRUCTION _ <br />PERMIT PERMIT NO.06982 <br />❑ COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CRY ZP PHONE <br />James Gaffney Const. Inc. 9502 19th Ave, S.E. Everett 98204 337-7608 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CRY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE , <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />V✓ W V V ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR 9AEMOLITION El FENCE ❑SIGN El GARAGE <br />VALUATION OF WORK <br />S <br />Demolish Single Family Residence <br />PROPOSED USE OF BUILDING <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 />)JSTRUFCTION OR THE PERFO ONCE OF CONSTRUCTION. <br />iIGNATDEE OCONTRACTOR OR I AGE 141E <br />_.� 11/27/79 <br />LEGAL DESCRIPTION GFPROPERTY (SHOW BELOW OR ATTACH FOUR WPILS, <br />821 Everett Div. A <br />LOT BLOCK --OF <br />Lot 12 less the N 3.15' of the E 14', and al <br />lot 13 <br />of <br />JOB ADDRESS <br />3421 Wetmore Avenue <br />PLUMING <br />E HANICAL I j <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AO. <br />TYPE OF I M T <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 AC. UNITS —TONNAGE EA <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — BT.U. M EA, <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — ELT U, M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <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 />SUB TOTAL <br />I <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL FEE <br />I;I <br />I <br />TOTAL <br />FEE S <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 LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0, OF DWELLING UNITS <br />BUILDING <br />$ <br />00 <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 />REOUIRED <br />AYES ❑NO <br />MECHANICAL <br />APPROVALS <br />By <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />_ <br />PENALTY <br />U.B.C. <br />SEC, 303 (e) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VAL'DATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5226 $ O 00.00 <br />O. V (L O —V 1 <br />00 <br />j/��' CT) <br />'T VIUR REC E I Pt9 <br />THANK Y O U <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />2 7 wV 79 <br />ADDRESS FILE <br />1 <br />