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Ir <br />r <br />L <br />4 <br />the Evergreen <br />CI1Y OF <br />everett <br />CITY HALL 25"745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT PERMIT NO. 14053 <br />❑ COMBINATION ❑ BUILDING Ri MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Nancy Williams 3431 Hoyt Everett 98201 252-9832 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />Valley Natural Gas Inc. 519 S.E. Everett Mall Way 355-7730 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPA!R ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />5 <br />DESCRIBE WORK <br />PRO✓OSED 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 />CORRECT. 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 NICE OF COWN. <br />SIGNA OF TAAGEN DATE <br />X 10/17/84 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />3431 Hoyt <br />PLUMBING <br />l <br />MECHANfCAL. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />T OF EQUIPMENT <br />FEE _ <br />WATER CLOSET(TOILEI) <br />AIR CON . UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS - N.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA, <br />KITCHEN SINK& DISP. <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 />_ <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, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />_ <br />1 <br />Water Heater <br />4 <br />0- <br />SUB TOTAL <br />$ <br />1 <br />SUB TOTAL S <br />10 <br />50 <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />20 <br />50 <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 AREA <br />VACANT SITE <br />OYES 'ENO <br />FEES <br />VALUATION <br />FEE <br />_ <br />T <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 DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES FIND <br />MECHANICAL <br />20 <br />50 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 203 (a) <br />2, BUILDING PLANS <br />TOTAL <br />20 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT (n <br />5.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />1 7 L',.i b � <br />