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the Evffgreen <br />CITY OF <br />everett <br />259-8745 <br />C'NSTRUCTION <br />PERMIT <br />PERMIT NO. <br />20023 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL? PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZiP PHONE <br />Bill Fulton 111 Ave. C Snohomish, TYA 98290 568-05/4 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />MAIL ADDRESS <br />ZIP PHONE LICENSE F <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MAIL ADDRESS <br />ZIP PHONE LICENSE F <br />Art's Plumbing 102 Ave. D. Snohomish, WA 98290 568-423/ ARTSP181CH <br />CLASS OF WORK <br />q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />ORK <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Commercial <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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE OF('QlTMACTOR AUTHORIZED AGENT OR OWNER ,/ DATE <br />X e!� 7/-2- � <br />LEGAL DESCRIPTION OF PROPERTYISHOW BEI OW'OR ATTACI I r OUR CDPIE'I <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />4205 S. 3rd Ave. <br />PLUMBING <br />..-1-�s'L' <br />MECHANICAL <br />NU. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />5 <br />00 <br />A:C — A/HNDLG UNITS — H P. <br />_ <br />BATHTUB <br />REFRIGERATION UNITS — HP EA <br />1 <br />LAVATORY (WASH BASIN) <br />5 <br />00 <br />BOILERS —8.T.U./H P. <br />1 <br />SHOWER <br />5 <br />00 <br />GAS FIRED AC UNITS—B.T.U. <br />KITCHEN SINK A DISP. <br />F ORCED AIR SYSTEMS—B.F.U. MEA. <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS -- B T U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RA'JGE HOOD <br />DACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />15 <br />00 <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTALFEE <br />S1 <br />15, <br />TOTALFEE <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />LIYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAY. OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED YES CINO <br />INVESTIGATION FEE <br />Sec. 3G4(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />36 <br />50 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Cr) <br />L J <br />0 <br />E <br />CV <br />ADDRESS FILE <br />