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Me EYergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />10NSTRUCTION <br />PERMIT <br />❑ COMBINATION RkBUILDING ❑ MECHANICAL <br />PERMIT NO. 09066 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CIT1 ZIP PHONE <br />Michael Buchan 2116 State Street Everett 98201 _ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENEB9 .COHIRAGTOR <br />JJ W COntracting <br />MAIL ADDRESS <br />719 Baird Snohomish, <br />CITY <br />ZIP <br />98290 <br />PHONE. <br />568-7702 <br />LICENSEE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CIY <br />ZIJW <br />SC 0222DS <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />','ONE <br />LICENSE <br />CLASS OF WORK <br />❑NE1Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S 3,000.00 <br />DESCRIBE WORK <br />CODS LITICL CdZ'-CONIC <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />Single Family Residence <br />CT. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL OEscRIPTIorroFPROP ERTVISHowBELowcRATTncHFOUR cowes) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <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 />SIG U E OF CONTRACTOR OR AUTHURQED AGENT DATE <br />4 / 1 / 81 <br />_ <br />JOB ADDRESS <br />2116 State Street <br />CHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />SET (TOILET) <br />AIR COND. UNITS - <br />REFRIGERATION UNITS(WASH <br />BOILERS - H.P. EA. <br />BASIN. <br />WDISHWASHER <br />GAS FIRED A.C. UNITS -TONNAGE EAINK <br />AIR SYSTEMS - BTUIA EAER <br />8 DISP.FORCED <br />WALL HEATERS-BTUM <br />UNIT HEATERS-B.T.U. M <br />RAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />- <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNFY <br />SINK (SERVICE -BAR ETC) <br />SUBTOTAL <br />SUB <br />TOTAL <br />f <br />S <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT N0, <br />USE ZONE <br />LOT AREA <br />SITE <br />VACADYENTLINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />$3,000. <br />38 <br />50 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MA%. COS. LOAD <br />PLUMSMG <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />❑YES <br />DNO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B.C. <br />SEC. 303111) <br />2. BUILDING PLANS <br />TOTAL <br />38 <br />50 <br />_. <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r f.ol <br />C ol <br />� —CD <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />_ <br />a) <br />I I i.TO <br />l <br />8. HEALTH DISTRICT <br />,--_.— <br />APPR. FOR ISSUANCE BY <br />APPLICATION ASS. BY <br />PLANS CHECKED BY <br />:.: c� u <br />L.C. <br />