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L <br />the EvcTYOF CONSTRUCTION <br />everett PERMIT PERMIT NO.10615 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ® COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWN 'STOP ABUSE 3827mUhWs CITY ZIP PHONE <br />Everett 252-3543 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Stop Abuse <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />PLUMBING CONTRACTOR MAIL ADDRESS C..Y ZIP PHONE LTCENSEI <br />CLASS OF WORK <br />❑NEW ❑ADDITION )ODALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$2500.00 <br />DESCRIBE WORK <br />Interior alterations <br />PROPOSED USE. OF BUILDING <br />Shelter <br />GAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_ BLOCK. —OF <br />JOB ADDRESS <br />3827 Grand Avenue <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />FIRE <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />5 I TU L OF CON 01 Ui110RIZEp AGENT DATE <br />5/27/82 <br />CHANICAL <br />40. TYPE OF EQUIPMENT FEE <br />AIR CONDO UNITS -- H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA, <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA I <br />WALL HEATERS— B.T.U. M <br />IINITHFATFRS — MT U. M <br />SETBACK I STREET SETBACK I REAR YARD SETBACK IPLAN CHECK NUMBER <br />LOT AREA <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6, DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />PERMIT <br />FEE I RECEIPT NO. <br />[]YES ONO I FEES I-_ VALUATION <br />BUILDING <br />s 2500.00 <br />3850 <br />PLUMBING <br />2 <br />00 <br />MECHANICAL <br />4 <br />50 <br />OTHER <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />_ <br />TOTAL <br />45 <br />00 <br />WHEN <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3119 $045.00- LP <br />QD <br />U <br />YOUR RECEIPT . i <br />APPR. FOR ISSUANCE BY <br />Lc THAN-4 YOU <br />ADDRESS FILE <br />27u�1 R2. <br />J <br />