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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />^ONSTRUCTION <br />PERMIT <br />COMBINATION <br />PERMIT NO. <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Peter Shuh <br />3422 Hoyt <br />Everett <br />98201 <br />ARCHITECT OR CESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACIOR MAIL ADDRESS CITY ZIP PHONE LICENSE If <br />MEI,HANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Natural Gas Equipment <br />1625 East Marine <br />View Drive <br />Everett 98201 258-2441 <br />PLU'.1BING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE N <br />O WOOD STOVFJFIREPLACE INSERT <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />;ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO ANC E OF CONSTRUCTION. <br />SIGNAT 0 _ACTOR O A ORIZED AGENT DATE <br />X 12/19/84 <br />LEGAL DESCRIPTION OF PPOPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB ADDaF5$ Hoyt <br />jj GG LL <br />PLUMBING <br />MECHANICAL <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. I <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <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 />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ET,.) <br />FIREPLACE INSERT <br />- <br />HEAT PUMP <br />1 <br />Water Heater <br />SUBTOTAL <br />& <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />10 <br />0 <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />1 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT ARFA <br />VACANT SITE <br />.. AYES :NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />14 <br />SO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.P r„ <br />ai C.3031BI <br />2. BUILDING PLANS <br />TOTAL <br />14 <br />SO <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION 1 II <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS �IS YC . PIAIAI7 <br />h- <br />(\I <br />�,J <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />6. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR, FOR ISSUANCE BY <br />