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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />C(' NSTRUCTION <br />PERMIT <br />❑ COMBIP:ATION jt BUILDING ❑ MECHANICAL <br />PERMIT NO. 08548 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS Gti RIP PHONL <br />Robert C. Gaines 8623 loth 98204 353-2038 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS C11Y ZIP PHONE LICENSE 4 <br />PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE 4 <br />CLASS OF WORK G� <br />❑NEW ❑ADDITION ❑ALTERATION 59PAIR ❑DEMOLITION ❑FENCE ❑SIGN L.3ARAGE <br />VALUA.YIN OF WORK <br />E k400.00 <br />DESCRIBE WOR.' <br />replace auhflnnr in Uir..6e.. nnA <br />PROPOSED USE OF BUILDING <br />duplex <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EX/ MINED 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 />CONSTR CTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E CONTRACTOR OR AUT 1 -D AGENT DATE <br />X 1 11/7/80 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BF.LOWOR ATTACH FOUR COPIES) <br />11 44 Pinehurst Div. D <br />Lot BLOCK�OF <br />B ADDRESS <br />026 & 2028 74th 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 OIL <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />TIEFRIGEFLATION UNITS - H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS - TONNAGE EA. <br />KITCHEN SINK S DISR <br />_ <br />FORCED AIR SYSTEMS - B.T 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 />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 />ISTOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK ISERVICE - BAR. ETC. <br />SUBTOTAL <br />SUBTOTAL i <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />TOTAL <br />FEr: $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEL RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />UYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 2400. <br />38 <br />50 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />EIYES <br />SPRINKLERSREO <br />UNU <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.S.C. <br />SEC. 303 (AI <br />--- <br />2. BUILDING PUNS <br />TOTAL <br />3 8 <br />5 0 <br />3 FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 2 4 3 S 0 3 S. 5 0 —Col <br />Ln <br />11 I J R R_ C E I P I <br />I r <br />YCU ^ <br />S DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />PIS�SUANCEFOR <br />S. HEALTH DISTRICT <br />APPLICATION ACC, BYCDPLANE <br />CHECKED BY <br />-I:!-1 E0 <br />ADDRESS FILE <br />