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— Et-ergreen <br />CONSTRUCTIOi. <br />O� <br />c"ITV Or <br />everett <br />PERMIT <br />CITY HALL 259.8745 <br />R1 BUILDING �x MECHANICAL <br />EVERETT, WA 98201 ® <br />COMBINATION <br />OWNER <br />Floyd F. Cluphf <br />MAIL ADDRESS CRY <br />3401 Wetmore Everett <br />CITY <br />MAIL ADDRESS <br />ARCHITECT OR DESIGNER <br />CITY <br />MAIL ADDRESS <br />GENERAL CONTRACTOR <br />9208 Smokey Point Blvd. Marysville <br />Northsthsound Builders <br />MELHANICAL LONTRACTOR <br />MAIL ADDRESS <br />CITY <br />p�ERMIT NO. 13916 <br />G➢ PLUMBING <br />98201 <br />NORTHB22BJ4 <br />A <br />FENCE O SIGN O WOOD STOVEIFIREPLACE INSERT <br />CLASS OF WORK <br />❑ NEW ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑ <br />VALUATION OF WORK <br />% 9,000.00 <br />DESCRIBE WORK <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FO <br />1_2 821 Everett Div. A <br />LOT__BLOCK�OF <br />4365 821 001 0005 <br />3401 Wetmore <br />PLUMBING <br />Nn TYPE OF <br />BATHTUB <br />LAVATORY(WASH SAS <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAI <br />SINK (SERVICE - Bf <br />N/A <br />E <br />R-3 <br />CON: <br />V-N <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 <br />GOVERNING THISPEOF WORK WILL BE CO"PLLIED 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 />OrnPnRMANCE OF COtJSTRU RN- _ I DATE <br />ITEM FEE NO. TYPE OF EOUIPMENI <br />AIR COND. UNITS - M.P. EA, <br />REFRIGERATION UNITS - <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />uI.TZ 91 FPLACE 8 CHIMNEY <br />LIC.) HEAT PUMP <br />SLBTOT/.L <br />UB TOTAL 6 OO PERMIT $ — <br />ERMIT S TOTAL I EE S <br />'OTAL FEE = PLAN CHECK FEE <br />:ET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER 7 NO. <br />84/13916 FEE48.43 I 6 � <br />.........LMI FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS -1 <br />3.FIREHYDRANT " <br />4. FIRE PROTECTION SYS14N <br />S. GRADING <br />S. DRAINAGE <br />B.HEALTH DISTRICT ,- <br />'APPLICATION ACC. BY �I <br />EB <br />`:YES XX'10 <br />ICY GROUP <br />NO. OF DWELLING UNITS <br />74 <br />SO <br />R-3 <br />1 <br />BUILDING <br />$9,000. <br />TORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />6 <br />OO <br />1 <br />2 <br />��— <br />IT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REOUIRED_ <br />O <br />.'.YES <br />OTHER <br />BY DATE <br />�— <br />U.B.C. <br />PENALTY <br />SEC. 3W IB1 <br />80 50 <br />TOTAL <br />PERMITVALIDATION CEI THIS <br />INHENPROPERLYVALIDATED ON THIS SP <br />N7FIT <br />-(D <br />MENT <br />... <br />_M <br />�I%A <br />B CHECKED BY <br />APPR FOR ISSUANCE 8Y <br />• v �.' . - <br />U _ <br />JEF <br />� <br />I' .):11 U 'I <br />ADDRESS FILE <br />