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the Eue CITYOF "NSTRUCTION <br />CITY Of <br />everett PERMIT PERMIT NO. 20872 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ® PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Ramona Boylan 6917 Evergreen Way Everett, WA 98203 353-7770 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />MAIL ADDRESS <br />CITY <br />PHONE LICENSE <br />Larsen Const. <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEi <br />Water Works Plumbing 9006 172nd St SE Snohomish 98290 668-8228 WATERWP210CA <br />CLASS OF WORK <br />❑ NEW n ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMCL' 'ON ❑ BUILDING RELOCATION <br />S <br />Beak Plumbing addition <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF RUILDING <br />Office <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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SGNATU E OF CONTRACTOR. AVTROR AGENT. OR OWNER DATE <br />X 1 9/21/88 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />6917 Evergreen Way <br />PLUMBING <br />flVl HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />10 <br />OO <br />AIC - AIHNDLG UNITS -HP. <br />BATHTUB <br />I REFRIGERATION UNITS - H.P. EA. <br />_ <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />00 <br />BOILERS - B T.0 /H P. <br />SHOWER <br />GAS FIRED A . UNITS- B.T.U. <br />1 <br />KITCHEN SINK & DISP. <br />S <br />00 <br />FORCED AIR SYSTEMS — BT.U. M EA. <br />1 <br />DISHWASHER <br />5 <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 />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />CAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />$ <br />30 <br />OO <br />SUBTOTAL <br />PERMIT <br />S1 <br />PERMIT S <br />15.00 R <br />RR <br />TOTALFEE <br />$ <br />30.00ARKRA <br />TOTALFEE S <br />21 <br />50 <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPTNO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />30 <br />00 <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />21 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />SeC. 04je)�• <br />STATE BUILDING SURCHARGE <br />HOOG20872 <br />STATE ENERGY SURCHARGE <br />MECH $2 <br />•50 <br />APPLICATION ACC BY <br />_ M.M. <br />PLANS CHECKED OY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />CHECK $5 <br />.50 <br />TOTAL <br />51 <br />50 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />co <br />CZ3 <br />CNJ <br />t <br />