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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />';ONSTRUCTION <br />PERMIT <br />❑ COMBINATION ❑ BUILDING 61KMECHANICAL <br />PERMIT NO. 08646 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS (illy ZIP PHONI <br />James P. Akins 1621 63rd Avenue Everett 98204 355-9263 _ <br />�ARC.NITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE/ <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE / <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />Install wood Stove <br />PROPOSED USE OF BUILDING <br />single family residence <br />IHEREBY CERTIFY THAT IHAVE 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 />TRUCTION OR THE PERFOR NCE OF CONSTRUCTION. <br />n4ATREOFCONTRACTORDRAUTHORIZED A i DATE <br />12/2/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT BLOCK. —OF <br />JOB ADDRESS <br />1621 63rd Avenue <br />PLUMBING <br />M HANICAL <br />NO. <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 1' EA <br />BATHTUB <br />REFRIGERATION I'NITS — H.P EA <br />LAVATORY ASH BASIN <br />BOILERS — H P EA <br />SHOWER <br />GAS FIRED AC UNITS — TONNAGE GA <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B T U M EA <br />DISHWASHER <br />WALL HEATERS — 8 T U M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.7 U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />VACUUM BREAKERS <br />1 <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC. <br />SUB TOTAL <br />SUB TOTAL f <br />4 <br />50 <br />PERMIT f <br />PERMIT f <br />TOTAL FEE <br />TOTAL <br />FEE $1 <br />7 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />RYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. 000. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />APPROVALS <br />FIRE <br />REOUIRED <br />❑YES <br />BY <br />SPRINKLERS <br />LINO <br />DATE <br />MECHANICAL <br />OTHER <br />7 <br />— <br />50 <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />SEC. 303 (a) <br />2. BUILDINU PLANS <br />3. FIRE 1/1DRANT <br />TOTAL <br />7 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />I I G 9 $ 0 p 7.50 —14nl <br />(j) <br />'! R RcCEIPT00 <br />I/V, 11; YOU <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />V.C. <br />