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the Everrvel <br />CITY OF �^ <br />everett <br />CONSTRUCTION <br />PERMIT <br />CITY"ALL5981 <br />EV ER ETT,TT, WWA 982010T COMBINATION . BUILDING • MECHANICAL a PLUMBING <br />evereli <br />,.e <br />OWNER MAIL ADDRESS Ju' FHUNI <br />King McCauley Homes 7024 Evergreen Way 353-6600 <br />171 <br />3 <br />Z <br />C. <br />3 <br />co <br />Q) m <br />ARCHITECT OR DESIGNEfl MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same — <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />LI <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE CENSE NO.N <br />PERMIT CLASS <br />❑COMBINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S <br />L71DEMOLISH ❑FENCE DEIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Demolish Single Family Residence <br />PROPOSED USE <br />MECHANICAL _ <br />TYPE OF ENERGY <br />OCAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY IS OW ftE LOW_OR ATJ ACH <br />FOURt C-i Ptn 9 OP�!ES Eaure Heig s <br />PP <br />LOT BLOCK T. OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA, <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />5 2a _[ <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />CLOTHES WASHER <br />�_ <br />WATER HEATER <br />DIS4 WASHERS <br />1 <br />FAC. BUILT FIREPLACE 8 CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />I <br />KITCHEN $INKS & DISP. <br />I_ <br />PERMIT 5 <br />SINKS <br />1 <br />TOTAL FEE 5 I <br />O UC- <br />THIS PERMIT BECOMES NULL ANJ VOID W WORK OR CONSTDAYS, <br />CON AUTHORIZED IS NOT S SVU PNO ED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION A WORK IS NDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY i IME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFYTHAT I HAVE NERD AND EXAMINED THIS AP - <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PLICATION ANDDKNOW <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T+PE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�� O 5/31/79 <br />� <br />X - <br />SIGNATURE OF CONTRALTO ROR TH.AG T DATE <br />_CAR <br />ROOF DRAINS -RAIN LEADERS <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />URINALS <br />1 <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVILE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />P N 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 CONST. <br />SIZE OF BLDG. <br />OCCUPANCY GROUP <br />UN.OSF DWELLING <br />I <br />BUILDING <br />$ <br />OO 1 OO <br />N0. JF STORIES <br />MAX. DEC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />OASEMENT <br />FIIIESPRINKLERS <br />REQUIRED <br />❑VE5 ONO <br />MECHANICAL <br />1 <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 3031a) <br />_ <br />TOTAL <br />I <br />00100 <br />PERMIT VALIDATION % (� j� <br />WHEN PROPERLY VALIDATED I I MISPACt e11}((�1 QS1 'R_'M'q <br />YOUR RECEIP t ' <br />THANK YOU <br />APPLICATION A=PTLO BY: <br />PLANS UIICKEDBY: <br />APPROVf0 I on'AUANCI BY. <br />