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F <br />L <br />the Evergreen <br />CITY OF <br />evereit <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 <br />;ONSTRUG'TION <br />PERMIT <br />❑ COMBINATION C BUILDING 1X MECHANICAL <br />PERMIT No. 11254 <br />L PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Jack Phillips 4424 South 3rd Avenue Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />Sunshine Services P.O. Box 3345 Lynnwood, Wa. 98036 743-6889 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />SU NS HS *189DE <br />CUSS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION )OSEPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE <br />S <br />PROPOSED USE OF BUILDING <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 />SIGNATURE OF CONTRALTO AUTHORIZED AGENT DATE <br />11/16/82 <br />LEGAL DESCRIPTION OFPROPERTY(SHOY, BELOW ORATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />JOB ADDRESS <br />4424 South 3rd Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA, <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />_ <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. I q M EA. tj <br />4 <br />S O <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <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 <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC. <br />SUB TOTAL <br />SUB TOTAL S <br />Q <br />PFRMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNET. <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 />--. <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />UYE^ <br />J <br />SPRI KLERS <br />ONO <br />MECHANICAL <br />14 <br />S 0 <br />O!HER <br />APPROVALS <br />BY <br />Df.TE <br />1. ENVIRONMENTAL CHECK LIST <br />' <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />19 <br />5 0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 136 S 0 14. 5 0 -- Q <br />LV <br />•Y O-U'R REO E I PTA <br />r THANK "" D U <br />L .. <br />5. GRADING <br />6, DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />AOPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />