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the Evergreen <br />CITY OF <br />CO NSTR U CTIO N <br />CONSTRUCTION <br />everett <br />PERMIT" <br />CITY HALL 259-8745 <br />PERMIT NO. <br />1 O H $ 5 <br />EVERETT, WA. 9B2Ut <br />❑ COMBINATION ❑ BUILDING MECHANICAL <br />❑ PLUMBING <br />OWNER <br />Carol L. W:.ite <br />4625 <br />MAIL ADDRESS CITY <br />Marble Lane <br />ZIP <br />PHONE <br />("- ARCHITECT OR DESIGNER <br />Everett <br />98203 <br />252-6705 <br />MAIL ADDRESS CITY <br />pIp <br />PHONE <br />GENERAL CONTRACTOR <br />LIAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE i <br />MECHANICAL CONTRACTOR <br />Same <br />MAIL ADORESS CITY <br />ZIP <br />PHONE LICENSEI <br />PLUMBING CONTRACTOR <br />MAIL AOpRESS CITY <br />ZIP <br />PHONE _ <br />LICENSE <br />C1A55 OF \PORK <br />I <br />EW <br />❑ADDITION <br />❑ALTERATION [-)REPAIR ❑DEMOLITION ❑FENCE <br />❑SIGN ❑GARAGE <br />VALUATION OF W(. <br />S <br />DESCRIBE WORK <br />install <br />fireplace <br />insert <br />PROM]SfD usG nc aun mein <br />_ <br />Lt4AL DESCRIPTION OF PROPERT <br />LOT BLOCK OF <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 PFRFnRMAMrr nc rnnlcrni r <br />JOB ADDRESS <br />4625 <br />- v14JI nul I!ON. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED APENT DATE <br />Marble Lane <br />X � � <br />8/16/82 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. <br />WATER CLOSET (TOILET) <br />TYPE OF EQUIPMENT FEE <br />BATHTUB <br />AIR COND. UNITS — H.P. EA. <br />LAVATORY ASH BASIN <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />SHOWER <br />KITCHEN SINK & DISP. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />DISHWASHER <br />FORCED AIR SYSTEMS — <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 />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE F replace insert <br />] <br />50 <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />— <br />SUB TOTAL <br />PERMIT S <br />SUB TOTAL S <br />7 <br />50 <br />PERMIT $ <br />TOTAL FEE <br />$ <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />TOTAL FEE $ <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />VACANT SITE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />g <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. OOC. LOAD <br />FIRE SPRINKLERS <br />PLUMBING <br />FIRE ZONE BASEMENT <br />MECHANICAL <br />REQUIRED <br />❑YES ONO <br />_ <br />OTHER <br />17 <br />5 0 <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />17 50 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROP-RLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5. GRADING <br />G 3 Z S S Q' 7. 5 0- L� <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />00 <br />B. HEALTH DISTRICT <br />! 1 R R EC E 1 PT f--i <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BYYO <br />+N xou <br />J <br />ADDRESS FILE <br />AUG $1 <br />