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Ev-ergreeii <br />is <br />CONSTRUCTION <br />ie <br />CITY ' OF OF <br />everett <br />PERMIT <br />PERMIT NO.06300 <br />CITY HALL 259 874b <br />EVERETT, WA 98201 <br />❑ COMBINATION <br />BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />ELTON Knott 9006 <br />7th Ave. <br />353-4976 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL AUDRESS CITY ZIP PHONE LICENSE <br />Everett Builders 5606 Evergreen way 353-7161 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />RV —_ F.R 30T PH <br />PLUN31NG CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />�V •Vnn ❑NEW ❑ADDITION LJALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 1500.00 <br />12'xl6' Cement Patio <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 OR LOCAL LAW REGULATING <br />CONSTRU TION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAN OF, CTOR OR AUTHORIZED AGENT DATE <br />X ,L 6/29/79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOC K—OF <br />Sec 18 twp 28 Rge 5 <br />JOB ADDRESS <br />90r6 7th Avenue <br />PLUM MNG <br />ME ANICAL <br />—NO.1 <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 />_ <br />BATH.UB <br />REFRIGERATION UNITS —H.P EA <br />LAVATORY (WASH BASIN' <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A . UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — BT.U. M EA <br />DISHWASHER <br />WALL HEATERS — 8311 M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.0 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 />AIR HANDI ING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />-- <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE S <br />_ <br />51DE YARD SETBACK <br />STREFT SETBACK <br />FEAR 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 />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />5 1500. <br />15 <br />00 <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES !..NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />T. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />15 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YQl,lji P,E�.1It. o O� <br />C 0 C 9 !• o r 7 4 <br />O <br />YOUR RECEIPT <br />T'RANK YO U CD <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 />-ZJL 111 <br />ADDRESS FILE <br />