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The Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />CONSTRUCTIC V <br />PERMIT <br />PERMIT NO. 13734 <br />EVERETT,WA98201 ❑ <br />COMBINATION M BUILDING <br />a MECHANICAL <br />;;X PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />Everett <br />' o <br />98201 <br />PHONE <br />252-4723 <br />Jeanne Iverson <br />4723 South 4th <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 4 <br />Three Lakes Construction <br />6523 171st Avenue <br />S.E. Snohomish 98290 252-2173 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />THREELC20184 <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />21P <br />PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITIOtJ ❑ALTERATION XYREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVE/FIREPLACE(NSERT <br />4 6500.00 <br />164- n-V,.F, <br />PROPOSED USE OF BUILDING <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Single Family Residence <br />I HEREBY <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY( SHOW BELOW OR ATTACH FOUR COPIESI <br />13-14 2 Lowell <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT —BLOCK —OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VICLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIG UR FCONTRI TOfLOR AUT O� AGENT DATL <br />5/6/84 <br />/`rjV <br />JOB ADDRESS <br />4723 South 4th <br />X _ <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 — M.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 d DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />1 <br />DISHWASHER <br />2 <br />00 <br />WALL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <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 — WOOD <br />ROOF DRAINS — RAINLEAOERS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />2 <br />00 <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />2 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />[]YES ❑NO <br />— <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 6500. <br />62 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIREREQUIRED SPRINKLERS <br />MECHANICAL <br />OTHER <br />.'YES -.NO <br />APPROVALS <br />BY <br />DATE <br />I, ENVIRONMENTAL CHECh LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS m <br />TOTAL <br />64 <br />$0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IIN THIS SPA 6E) THITtYgUf F FTIT <br />0 ) <br />1 S. GRADING <br />9 <br />jr, L R_ C C I PT r-+ <br />.DRAINAGE <br />.._7.ENVIRONMENTALIMPA STATEMENT <br />=B. <br />HEALTH DISTRICT N <br />r , , Ir �, (. ' 1 <br />c,APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE RY <br />.L 1 ) <br />� <br />I � .4,♦ I V <br />C v <br />w <br />ADDRESS FILE <br />-7;%6-64 <br />