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rheEv CITYOF Cr NSTRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO.09743 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Florence LeBeau 3621 Wetmore Everett 259-2782 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENE L NTRA TOR <br />.�A �`ontracting <br />MAIL AD BESS <br />719 Bair <br />DI v <br />Snohomis}L <br />ZIP <br />98290 <br />PHONE LICENSE <br />568-7702 <br />MECHAN'CAL CONTRACTOR <br />MAIL ADDRESS <br />OI Y <br />ZIP <br />JW SC <br />PHONE LICENSE <br />O 222DS <br />PLUMBING CONTRACTOR MAIL ADDRESS UT� ZIP PHONE. LICENSE) <br />❑NEW ❑ADDITION []ALTERATION KALPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E 3,000.00 <br />DESCRIBE WORK <br />Foundation repair <br />PROPOSED USE OF BUILDING <br />single family Lesidence <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 />BIGNI OF CONTRACTOR OR AUTHO ZCD AGENT DATE <br />I <br />'X ,. 9 / 3 / 81 <br />LEGALDESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />10-1� 9 Fridays lst <br />LOT LDCK_DF <br />JOB ADDRESS <br />3621 Wetmore <br />PLUMBING <br />CHANICAL <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 />BATHTJB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SIN, 8 DISR <br />FORCED AIR SYSTEMS — S T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS —BTU. M <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 />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACF 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <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 />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />%3,000.00 <br />36 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />C1YES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.0 <br />SEC, 303(a) <br />2, BUILDING PLANS <br />-- <br />TOTAL <br />38 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />1 r J T n r <br />r <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />