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the Eve <br />rgreen <br />OF ^ONSTRUCTION _ CITY OF <br />evexett PERMIT PERMIT NO. 12595 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ®f COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING <br />MAIL ADDRESS �JY 7 PHONE <br />MARY ABBOTT/CRUME 4405 S 3rd Everett WA 98201 252-6778ZIP PHONE <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />GENERAL CONTRACTOR 77G7 <br />5606 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESB CITY ZIP PHONE LICENSE A <br />CLASS OF WOHK <br />❑ NEW R ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f _ <br />Pl umbi <br />LOT_BLOCK__OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANP <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS 1 (PE 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 CA CEL THE PROVISIONS OF ANY OTHER STATE OR <br />LO 'A LAW REGULATING CONSTRUCTION OR THE <br />PERF(TA MAN(Tp///���OF CONSTRUCTION. DATE <br />"GNAT r '01 001 �/W�OR OR AUTHORIZED AGENT <br />1/ �.... . 10/15/84 <br />4405 S 3rd <br />- <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OF EQUIPMENT FEE <br />NO. TYPE OF FIXTURE OR ITEM <br />AIRUNITS M.P. EA. <br />WATER CLOSET (TOILET) <br />ITS - H.P. EA. <br />REFRIGERATION UNITS <br />B/.fHTUB <br />BOILERS - H.P. EA. <br />LAVATORY (WARN BASIN) <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS U. B.T.U. M EA. <br />K1 CHEN SINK f 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 NEATER <br />VENTILATION FAN <br />URINAL <br />RANGE MOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />_ <br />STOVE -WOOD <br />VACUUM BREAKERS <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />f 6 <br />OO <br />SUBTOTAL <br />f <br />PERMIT <br />S 3 <br />00 <br />PERMIT <br />S <br />TOTAL FEE <br />f ) 00 <br />TOTAL <br />FEE S <br />PLAN CHECK FEE <br />SIDE YARD SETBACK <br />STREET SETBACK REAR <br />YARD SETBACK <br />PLAN CHECK NUMBER <br />RECEIPT NO, <br />FEES <br />FEE <br />VALUATION FEE <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />❑YES ENO <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF DWELLING UNITS <br />BUILDING <br />PLUMBING <br />S <br />_ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC LOAD <br />FIRE ZONE <br />BASEMENT FFIERE <br />USRED PRNKCERS MECHANICAL <br />YES NO <br />OTHER <br />BY DATE <br />U.B.C. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />PERMIT VALIDATION - <br />3. FIRE HYDRANT <br />A. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED RN THIS SPACE) THIS IS YOUR PERMIT <br />5.GRADING <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. By PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />U <br />1— <br />cnnnpcc FIIF <br />