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F <br />theEvegreen '',ONSTRUCTION <br />everett PERMIT PERMIT NO.10601 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ❑ COMBINATION U BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY !IP <br />PHONE <br />Manfred Bereens 804 33rd Street Everett 98201 259-7008 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />SHONE <br />LICENSE! <br />Everett Builders, Inc. <br />5606 Evergreen Way <br />Everett <br />98203 <br />353-7161 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />UC2NSE0 <br />EV ER EB 301 <br />PH <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICIT NSE1 <br />L <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION IBEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />$ 4236.0 <br />Replace foundation -Install 5' chain link fence a,-cn,,A re.v .-A <br />PROPOSED USE OF BUILDING <br />Single Family residence <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 0;: LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMA"ICE OF CONSTRUCTION. <br />SIINATURE OF CONTRACTOR AU III R DENT DATE <br />X - <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW ORATTA^HFOURCOPIES) <br />6-7 783 Stanford Land Co. <br />LOT —BLOCK —OF <br />JOB ADDRESS <br />804 33rd Street <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I 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 A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 OISP. <br />FORCED AIR SYSTEMS — B.T.U. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />_ <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 DRAIN <br />I <br />I AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />I <br />ISTOVE <br />ROOF DRAINS — RAPILEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL S <br />SUB TOTAL <br />PERMIT S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE S <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />USE ZONE <br />LOT AREA <br />OCCUPANCY GROUP <br />VACANT SITE <br />OYES ONO <br />NO. OF DWELLING UNITS <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />BUILDING <br />9 4236, <br />$0 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. 01 LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />50 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />2997 s 0 5 0.5 0 --.. <br />CCI <br />CD <br />YOUR R E C E i PT <br />THANK YOU <br />5. GRADING <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 />ADDRESS FILE L 5 0 91 <br />