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the Evergreen <br />O CF <br />CITY Of <br />everett <br />4PONSTRUCTIOI6 <br />CITY „ALL 2596745 PERMIT <br />EVERETT, WA 98201 ❑ COMBINATION <br />❑ BUILDING ❑ MECH"NI( AL <br />PERMIT NO. 15525 <br />FLI PLUMBING <br />OPMER MAIL ADDRESS CITY ZIP PHONE <br />Hill Lopper 4918 South 2nd Avenue <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Walt's Plumbing 3224 109th Street S.E. Everett 98204 338-1485 <br />CUSS Of WORK S�tp���gp � ggqp <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DFMOLITION ❑ FENCE ❑ SIGN O WOODSTOVEI*FTI7EPCACE INSERT <br />VALUATION OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) APPLICATION AND KNOW THE SAME TC BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LOT _ BLOCK _OF 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 CANC`=L THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_ PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS SIGNATURE OF CONTRACTOR OR AUTHOR( EDAGENT /0/D <br />2XXID(Z 4918 South 2nd Avenue J <br />X 7 G /, �< h U_ _ A;p*?" <br />PLUMBING <br />MECHANICA / <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />4 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA. <br />LAVATORY (WASH BASIN) <br />9 <br />Fin <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNIT^ - 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 />1 <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 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />f <br />14 <br />SUBTOTAL f <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />$ <br />17 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECE'✓T NO, <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />:]YES -NO <br />FEES <br />VALUATION <br />OEE <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 />12 <br />-Do- <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />OTHER <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 />TOTAL <br />17 <br />OO <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI� BPL4f) THIS(RTIgU7 TII_ <br />�D I <br />YOUR R G C E I PT �; <br />Tt-1ANI; YOU <br />5.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />- 3 ccr 85 <br />A.T'DRESS FILE <br />