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the Evergreen <br />Cr N ST R U CT! O N <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.OH618 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />® COMBINATION Lx� BUILDING MECHANICAL <br />PLUMBING <br />1 OWNER MAIL ADDRESS CITY <br />Robert E. Haggard First & "A" Snohomish <br />ZIP PHONE <br />98290 568-3033 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSEE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE E <br />1• <br />❑NEW ❑ADDITION ❑ALTERATION KNEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION CF WORK <br />$ 20,000. <br />DESCRIBE WORK <br />interior and exterior repair of existing building <br />PROPOSED USE OF BUILDING <br />two unit apartment/garages <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 />VI OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />ro TiR TI N 0 THE PERFORMANCE OF CONSTRUCTION. <br />SIEIOF'ON ACTO OR AUTHORIZED AGENT DATE <br />X 11/24/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />307 Everett Div. U <br />ILO}Y hru IB%cK_Or <br />JOB ADDRESS <br />2211 16th Street <br />PLUMBING <br />MEC <br />ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET )TOILET) <br />6 <br />00 <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />6 <br />00 <br />BOILERS — H.P. EA. <br />2 <br />SHOWER <br />4 <br />00 <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />2 <br />KITCHEN SINK & DISP, <br />4 <br />00 <br />FORCED AIR SYSTEMS — BT.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />CLOTHES WASHER <br />4 <br />00 <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />00 <br />2 <br />CLOTHES DRYERS <br />6 <br />00 <br />URINAL <br />1 <br />VENTILATION FAN <br />3 <br />00 <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />2 <br />STOVE <br />9 <br />00 <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />_ <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />28 <br />SUBTOTAL S <br />18 <br />00 <br />PERMIT <br />S <br />:00 <br />PERMIT STOTAL <br />FEE <br />$ <br />28 <br />TOTAL FEE S <br />18 <br />1 00 <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 />EIYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />s 20,000. <br />140 <br />50 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />28 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES LINO <br />MECHANICAL <br />18 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS " <br />TOTAL <br />3. FIRE HYDRANT I� <br />4. FIRE PROTECTION SYSTEM <br />p., , GRADING <br />=$. DRAINAGE r ti <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)) THIS IS YOUR PERMIT <br />Q / 2 p 14 5. 0 oc). <br />T7 <br />_ <br />�II <br />ENVIRONMENTAL IMPACT37'ATEMENT <br />g, HEALTH DISTRICT <br />rAPPLICATION A&BY <br />V� •-n <br />cftANS CHECKED BY <br />I <br />APPR. FOR ISSUANCE BY <br />b U <br />ADDl�E�� IFILL� (l <br />