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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />COMBINATION • BUILDING K MECHANICAL • PLUMBING <br />everett <br />,,e <br />OWNER MAIL ADDRE55 ZIP PHONE <br />Laina Brown 3415 Hoyt 98201 252-2828 <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />Z <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />same <br />z <br />c <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />P LUM DING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />j� COMBIt.A T ton <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 185.00 <br />❑DEMOLISH FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />72" fence rear yard <br />PROPOSED USE <br />Single family <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT B BLOCK 82:bF Everett Division "A" <br />N119 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-M.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />1 <br />JOB ADDRESS <br />3415 Hoyt <br />SPACE & WALL HEATERS - B.T.U. <br />I <br />1 <br />UNIT HEATERS--B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />_ <br />T <br />I <br />RANGEHOOD <br />NO. I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />_ <br />T <br />-4— <br />- <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />SUBTOTAL S <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORT: OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEDTHIS A <br />PRIVATION 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 WITH WHETHER SPEC) FIEC 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 CONSTRUCT ION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x �� 3/31/7C <br />Zia <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />_I <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />_ <br />SUB TOTAL <br />S <br />III <br />PERMIT <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OCONTRAC�R AU H. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNIT <br />OSF DWELLING <br />I <br />BUILDING <br />S 185.00 <br />5 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />1 <br />-- <br />I <br />I <br />FIRE ZONE <br />BASEMENT <br />REQUIRED <br />REQUIRED <br />RINK LERS <br />DYES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />100 <br />PERMIT VALIDATION <br />WHEN PROPE PLY VALIDATED (IN THIS SPACE) THIS IS YOtI 111GP{'ERRyyMIT <br />VkOt 0 <br />Iv <br />APPHCA7I0NACQP1E0NY- <br />PLMISCIIECKEIIHY. APPRUVI. <br />O FO1IrWANC( BY <br />eb <br />,ADDRESS FILE <br />