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k6i <br />the Evergreen CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY HALL2698745 BUILDING • MECHANICAL • PLUiJIBING <br />EVERETT, WA UB201 *COMBINATION <br />OWNER '- MAIL ADDRESS <br />Murphy 4911 Colby <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />GENERAL CONTRACTOR MAIL ADDRESS <br />Fortune Roofing P.O. BOX 1012 Lynnwood,-_ <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PERMIT CLASS OF WORK <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ NEW <br />VALUATION OF WORK <br />S 1200.00 <br />❑DEMOLISH <br />DESCRIBE. WORK <br />PROPOSED USE B <br />T <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CO PI ESI � <br />LOT BLOCK __OF <br />Sec 31 Twp 29 Rge 05 <br />JOB ADDRESS <br />4911 Colby - <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />ALET-' - <br />BATH TUBS <br />S <br />CLOTHES WASHER <br />_ <br />DISH WASHERS <br />1 <br />DRINKING FOUNTAINS <br />I - <br />FLOOR DRAINS <br />I - <br />KITCHEN SINKS & DISP. <br />I _ - <br />EAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />SERVICE SINKS <br />_ <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER SERVICE SIZE BLOG. SUPPLY SIZE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAROSET13AC 1 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />SIZE OF OLDG. <br />NO. OF STORIES <br />MA' OCOCC. LOAD <br />F I -RE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />❑ YES O N <br />SPECIAL CONDITIONS: <br />APPLILATIONAITEPIFOBY <br />PUNu MFCNLD BY. <br />AMROVLD FOR 165OANCL BY <br />eb <br />PI/ONE <br />LICENSE NU. <br />= <br />I <br />z <br />PHONE LICENSE NO. <br />D8036 776-0377 <br />FO RT UR 319JG <br />C <br />PHONE LICENSE NO. <br />T <br />N <br />PHONE LICENSE NO. <br />N <br />[]ADDITION ❑ALTERATION RREPI <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />IECHANICAL <br />VPE OF ENERGY <br />❑GAS ❑ELEC. <br />1-0 TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA. S <br />REFRIGERATION UNITS-H.P.-EA. _ <br />BOILERS- H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SPACE & WALL HEATERS - R.T.U. <br />UNIT HEATERS-B.T.U. <br />_ EVAPORi.TIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />PAC. BUILT FIREPLACE &CHIMNEY �- <br />GAS. SYSTEM: NO OP OUTLETS <br />SUBTOTAL S I <br />PERMIT $ <br />TOTAL FEE S I <br />FHIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />PION AUTHORIZED IS NOT COMMF14CED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPNDED OR ABANDONED FOR A <br />IERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIT14 WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />X <br />SIGNATURE OF CUNT R KCToROR AUTII.AGENT DATE <br />'LAN CHECK NUMBER PLAN CHECK FEE <br />FEE IRECEIPT NO. <br />FEES I VALUATION I FEE <br />BUILDING S 1,200.00 12 100 <br />PLUMBING I <br />MECHANICAL I <br />I <br />OTHER 1 <br />PENALTY SEC. 2031e1 i <br />TOTAL_ 11 <br />PERMIT VALIDATION <br />Will PROPERLY VALIDATED lIN 111155PACF) THIS I, YOUR PERMIT <br />Ito <br />t t <br />a F <br />ADDRESS FILE I it IF,: . <br />