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F <br />the Evergreen "' O N ST R U CT 10 N' <br />CITY OF <br />everett PERMIT PERMIT NO.11296 <br />CITY HALL 2598745 <br />I EVERETT, WA 98201 ❑ COMBINATION BUILDING MECHANICAL ❑ PLUMBING <br />OWNER MAII ADDRESS CITY PH.Y.. <br />Jack Phillips 4424 South Third Avenue <br />ARCHITECT On DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />PIP <br />PHONE LICENSE <br />T AND T Carpentry <br />22815 102nd Place West <br />Edmonds <br />98020 <br />771-4679 ._ <br />T-- <br />MECHANICAL CONTRACTOI <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE E <br />I <br />TT <br />CA R**194K7 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />S Lt <br />L <br />❑NEW ❑ADDITION ❑ALTERATION "REPAIR ❑DEMOLITION ❑FENCE I]SIGN []GARAGE <br />VALUATION OF WORK <br />S 8,604.00 <br />Chip Rehab -Insulation, sheetrock, windows, gutter, <br />PROPOSED USE OF BUILDING <br />Single Family Residence <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 THIG <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 CONTRACTOR AUTHORIZED AGENT DATE <br />9 12/3/82 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CDPIES) <br />11-12 6 Lowell Div. A <br />LOT BLax_GF <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 — N.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS — BTU. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T Ll M <br />CLOTHES WASHER <br />I 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 />SUBTOTAL <br />SUBTOTAL f <br />PERMIT <br />t <br />PERMIT S <br />TOTALFEE <br />S <br />TOTAL 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 />EYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />8 8 , 6O4 . OO <br />74 <br />$ 0_ <br />SIZE OF BLDG. <br />FIRE ZONE <br />NO. OF STORIES <br />BASEMENT <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />11YES (]NO <br />PLUMBING <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />UBC <br />SEC. 303(a) <br />2. BUILDING PLANS <br />TOTAL <br />74 <br />$ 0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Qn`/ YOUR PERMIT <br />O 6 8 Q I .� U/ 9 S 0- <br />N <br />-YO U'R }} ECLPT <br />THANp W <br />I 1 <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />gppLlCAiION ACC. BV <br />PLANS CHECKED BY <br />APPEL FOR ISSUANCE BY <br />V.C. <br />ADDRESS FILE _ _ . <br />