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the EcergreeN <br />CRY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />�- CONSTRUCTI01" <br />PERMIT <br />❑ COMC:NATION RK BUILDING ❑ MECHANICAL <br />PERMIT NO. 12605 <br />❑ PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />OWNER <br />Jay Floyds <br />7601 Evergreen Way <br />Everett <br />98203 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE <br />CITY <br />ZIP <br />PHONE LICENSE N <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />Bellingham <br />98225 <br />733-9500 <br />Puget Sign Company <br />2012 State Street <br />rrtv <br />ZIP <br />PHONE LICENCEN <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSEN <br />CLASS OF WORK CI NEW ❑❑pfv,. <br />NEW ❑ADDITION ❑ALTERATION REPAIR DEMOLITION FENCE iOv�IGN ❑ W000 STOVEIFIREPLACE IN <br />SERT <br />VALUATION OF WORK <br />$ 1,600.00 <br />install illuminated sign <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AND KNOW THE SAME TO BE TRUE AND <br />APPLICATION <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />OF PROPERTY (SHOW DELOW OR ATTACH FOUR COPIES) <br />LEGAL DESCRIPTION <br />THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_ OF <br />GOVERNING <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />PERMIT <br />OR THELLOCALNCEL LAW REGULLAITINGSCONSTRUCTION OF ANY OTHEROR <br />THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />v <br />A <br />JOB ADDRESS <br />7601 Evergreen Way <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />AIR COND. UNITS — H.P. EA. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H.P. EA. <br />BATHTUB <br />BOILERS H.P. <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />D <br />SHOWER <br />FORCED AIR SYSTEMS U. B.T.U. M EA. <br />KITCHEN SINK& DISP. <br />WALL HEATERS —B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />LAUNDRYTRAV <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR GRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />SINK (SERVICE — BAR, ETC.) <br />HEAT PUMP <br />SUB TOTAL $ <br />SUB TOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE $ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />SIDE YARD SETBACK SIREET SETBACK <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />DYES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF DWELLING UNITS <br />BUILDING <br />PLUMBING <br />$1T600. <br />9 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS REQUIRED MECHANICAL <br />DYES ❑NO <br />OTHER <br />BY DATE <br />U.B.C. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY SEC. 303 (a) <br />TOTAL 9 00 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN T3Sa 9 3E) THI 10 0 0 OMIT In <br />5. GRADING <br />� <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />APPR. FOR ISSUANCE BY YOUR RECEIPT <br />8, HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />xF <br />NV THANK YOU <br />- 4 Nov 8 3 <br />ADDRESS FILE <br />