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the ETergreen <br />CITY OF <br />everett <br />CITY HALL 2599745 <br />EVERLTT. WA 98201 <br />CONSTRUCTIW" <br />PERMIT <br />❑ COMBINATION ❑ BUILDING M MECHANICAL <br />PERMIT NO. 12660 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />JAMES C. DUVALL 4929 Seahurst Everett 259-6913 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />HOLMAN 8 SON 18001 N Tapps Hwy Sumner WA 98390 939-0660 HOLMAS188RW <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />CLASS OF WORK <br />NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />Firpnlace insert <br />PROPOSED JSE OF BUILDING <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF MANCE OF CONSTRUCTION. <br />SIGNAT OF CONTRALTO f OR ALIT MOPIZEO AGENT DATE <br />11/3/83 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _OF <br />JOB ADDRESS <br />4929 Seahurst <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 PASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WAIL HEATERS — B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />IIRINAL <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 — RAINLEADERS <br />METAL REPL FIACE 8 CHIMNEY <br />SINK (SERVICE —BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />a <br />SUB TOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL FEE S <br />1 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />I.:YES .. NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIEi <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />[',YES NO <br />MECHANICAL <br />17 <br />— <br />50 <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 />TOTAL <br />17 <br />1 5 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPFRLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT r <br />3855 $017.50 - (,A <br />LC <br />�\ <br />YOUR RECEIPT <br />THANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />- 3 Nov 8 3 <br />am kLs< I.I <br />