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the Evergreen <br />CIT1 OF <br />everett <br />CITY HALL 259-B745 <br />EVERETT. WA 98201 <br />Cr*NSTRUCTION <br />PERMIT <br />❑ CJMBINATION BUILDING MECHANICAL <br />I, <br />PERMIT NO. 08405 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS (IIy ZIP PHONE <br />Robert A. Wright 1510 72nd Street Everett 98203 347-2547 <br />ARK HRECT OR OL61ONER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MA' ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK —' <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE []SIGN ❑GAt AGE <br />VALUATION OF WORK <br />WORK <br />Install wood stove <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />srGN,UPV OF CONTRACTOR OR A�UTH�OORIZE0 AGENT DATE <br />X L Vv 1 0/10/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CORES) <br />LOT BLOCK_OF <br />JOB ADDRESS <br />1510 72nd 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 QOILET) <br />AIR COND. UNITS — H P EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS — M.P. EA. <br />SHOWER <br />GAS FIRED AC UNITS — TONNAGE EA. <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS —BT,II 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 />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F M <br />_ <br />VACUUM BREAKERS <br />1 <br />STOVE Wood <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK(SERVICE — BAR. ETC. <br />SUB TOTAL <br />SUB TOTAL ! <br />4 <br />50 <br />PERMIT ! <br />PERMIT ! <br />TOTALFEE <br />TOTAL <br />FEE ! <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 />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />! <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAK. DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />:'YES I'NO <br />MECHANICAL <br />7 <br />50 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />7 <br />50 <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED 9N THIS SPACE) THIS IS YOUR PERMIT <br />899 3 •j (' O 0 7. [ 0 — jC <br />J <br />00 <br />J R RECEIPT C=) <br />f 1ANK YOU <br />5 GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC, BY <br />PLANS CHECKED BY <br />APPH FOR ISSUANCE BY <br />ADDRESS FILE 1 3 UCT 80 <br />