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theEvergreen � C�NSTRUCTION . � <br /> CITY OF <br /> everett PERMIT pERMIT NO. OH647 <br /> CITY HALL 259�8745 MECHANICAL ❑ PLUMBING <br /> EVERETT.WA 98201 CI COMBINATION ❑ BUILDING �c c <br /> OWNER �IAILPODflE55 CIiY ZIP PMONE <br /> Stephen L. Scown 207 48th Street S .W. Everett 98203 252-1938 <br /> AFCHITECi OR DESIGNER MAIL A�DFE55 CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS GITY 21P PlIONE UGENSE I <br /> Same <br /> MEGMANIGALCONTRACTOR MAILAOORESS CITY ZIP PNONE LICENSEI <br /> PLUMBINGCONTPFCTOH MAILADOPE55 GIiY ZIP PHONE LICENSEI <br /> ClA55OF WOPK <br /> ONEW ❑ADUITION ❑ALTERATION ❑BEPAIF ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VAIUATION OF WORK <br /> E <br /> DESCRIBE Y/ORK <br /> install woodburning stove <br /> PROPOSED USE OF BUIl01NG <br /> single family residence � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAP- <br /> LEGAL DESCRIPiION OF PRGPERTV ISHOVf BE�OW OR ATfFCM FOUR WPI[5� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT B�aK_aF 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 /> SIGNAT � ONTRAC PORFUT IZE /GE DAiE <br /> �oa nconess 12/3/S 0 <br /> 207 48th Street S .W. X <br /> PLUM8ING MECHA'��`:: <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET('.'OILE') AIF COND.UNITS—H.P.EA. <br /> BATHTUB REFHIGERATION UNITS—N.F.EA <br /> IAVATORY(WASN BASIN) BOILERS—H.P.F.A. <br /> GAS FIRED A.Q UNITS—TONNAGE EA. <br /> SHOWER <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—6 T.U. M EA. <br /> W>LL HEA7ER5—B T.U. M <br /> �ISHWASHES M <br /> UNIi HEATERS—B.T.U. <br /> LAUNDRY TRAY EVAFORATIVE COOLERS <br /> CLOTHES\VASHER <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— QF.b1. <br /> FIOORDRAIN 4 SO <br /> VACUUMBREAKERS J_ STOVE WOOD <br /> ROOF DRAINS—RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR,ETC.1 <br /> SUB TOTAL S 4 S O <br /> SUB TOTAL <br /> PERMIT S PEHMIT s <br /> TOTALFEE S TOTAL FEE S <br /> PLFN CHECK F[E <br /> SIDE�ARD SETBACk STREET SETBACK REAR YARD S'ETBACK PLAN CHECK NUMBER FEE �ECEIPT NO. <br /> USE ZONE LO7 AREA YACANT SI7E FEES VALUATION FEE <br /> L]YES CNO _ . <br /> iYPE OP CONST. OCCUPANC�GROUP NO.OF DWELLING UNITS -- <br /> BUILDING S <br /> 5¢E OF 3LDG. NO.OF STORIES NAX.OCC.LOAD <br /> PLUMBING <br /> FIqE ZONE BASEMENT REOUIRED KLERS MECHANICAL � S O <br /> I]YES ❑NO <br /> APPHOVALS <br /> BY OATE OTHER <br /> 1. ENVIflONMENTAL CHECK LIST PF.NALTY U B C. <br /> SEC.3091a� <br /> 2. BUILDING PLANS T�TA� 'J S O <br /> 3. fIRE HYDRANT ' <br /> PEHMIT VALIDATION <br /> a. FIRE PROTECTION SYSTEM WHEN PROPEPLY\'ALIDATED�IN THIS SPACE)THIS IS YOUR PERIAIT <br /> 5. GPADING . n � <br /> 6. DRAINAGE I I � C� �� �J �. � I„� —' � <br /> I :� � <br /> 7. [NViRONAfENTALIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT O <br /> . . .. - � " �r,-r <br /> APPLICATION ACC.�Y PLANS CHECKED BY APPR.FOR ISSUANCE BV . , , � <br /> V.C . , . �. �. �� <br />