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the Eve <br />CITY OF <br />CONSTRUCTION O <br />F <br />everett PERMIT PERMIT NO.08043 <br />CITY HALL 259 8745 <br />EVERETT, VIA 98201 ❑ COMBINATION L3 BUILDING ❑ MECHANICAL C1 PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />WRITE, ANDREW <br />MAIL ADDRESS <br />CRY ZIP PHONE LICENSE <br />GENERAL CONTRACTOR <br />Self <br />MNL ADDRESS <br />CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP PHONE LICENSEI <br />PLUMBING CONTRACTOR <br />CLASS OF WORN <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION LXF ENCE LT.SIGN EGARAGE <br />VALUATIOI SYZ0%0 <br />fence in front yard <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW <br />Lo67&68 BLOCK 3 of Lowel <br />ItIIt <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 />SIGN&TURE OF CONTRACjQjQR AUTHORIZED AGENT DATE <br />JOB ADDRESS <br />4405 South 3rd Avenue, <br />Everett <br />X <br />8 / l / B 0 <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS — H.P. EA <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS <br />BATHTUB <br />BOILERS EA. <br />LAVATORY (WASH BASIN) <br />D A.C.P. <br />GAS FIRED . UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS U. B.T.U. <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS — B T.U. M <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />— <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />R <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />$ <br />SUB TOTAL <br />PERMIT <br />I <br />PERMIT <br />i <br />S <br />TOTAL <br />FEE <br />: <br />FEE <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />70. OF DWELLING UNITS <br />BUILDING <br />s 350.00 <br />5 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMEN' <br />FIPE SPRINKLERS REQUIRED <br />MECHANICAL <br />IYES <br />ONO <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 />5 <br />00 <br />_ <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r <br />5 6 5 5 $ 0 05.00 <br />« <br />YOUR RECEIPT <br />S. GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION .IOC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />THANK. YOU <br />