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the Evergreen <br />CITY OF <br />everett <br />CITY BALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />,.e <br />--' <br />Tnhn Zandell 2102 <br />- _ <br />11 1�L nuUHtJJ <br />Fairfax <br />ZIP PHONE <br />m <br />ARCH) lR DESIGNER <br />MAIL ADDRESS <br />_ PHONE LICENSE NO. <br />Z <br />C <br />GENERAL (,ONTRACTOR MAIL ADDRESS - <br />PHONE LICENSE NO. <br />MECHANICAL CON TRACTOP <br />Natural Gas Equipment <br />MAIL ADORESS <br />PI(ONE LICENSE NO. <br />R' <br />W <br />m <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />� <br />_`j <br />co <br />m <br />PERMIT <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPgIR <br />Cn <br />VALUATION OF WORK <br />S <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW <br />FOUR COPIES) <br />LOT BLOCK_OF <br />BELOW OR ATTACH <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P, EA. <br />-REFRIGERATION <br />S I <br />UNITS-H. P. EA. <br />— <br />BOILERS-H.P. EA. <br />i <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />2102 Fairfax <br />'SPACE & WALL HEATERS - B.T.U. <br />I <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />j <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />DISH WASHERS <br />1 <br />1 <br />WATER HEATER <br />DRINKING FOUNTAINS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />FLOOR DRAINS <br />1 <br />_ <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUR TOTAL S <br />BAR SINKS <br />I <br />PERMIT S� <br />ROOF DRAINS -RAIN LEADERS <br />I <br />TOTAL FEE S 5 I 00 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WIT-Ii1N 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G;VE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X - 3/20/79 <br />BIGNnTURe vLUNT L`IU48AX TH�i AGENT DATE <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />1- <br />WATER HEATERS_- ELECTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE"RECEIPTUSE20NE <br />LOT AREA <br />VACANT SITE❑YES ❑NO <br />FEES <br />VALUTYPE <br />OF CONST. <br />OCCUPANCV GROUP <br />NO. OF DWELLINGUNITSSIZE <br />OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />BUILDING <br />SPLUMBING <br />FIRE ZONE <br />BASEMENT <br />REOUI RINKLERSREQUIRED❑YES ❑NO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303 (al <br />T <br />I <br />---�-- <br />TOTAL <br />1 <br />100 <br />_ - -- --- <br />PERMIT VALIDATION <br />WHEN PROPS RLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE RMIT <br />YOUR REdEFP, <br />THANK YpU' <br />_ i 0 <br />Y <br />, <br />.j. <br />— --- <br />— --- - - <br />- --- - -- <br />MRLICATIUN ACLLP4UNY: <br />PLAba I:IIECNEU NY <br />APPNOVID IOli ISSUANCEBY. <br />I <br />ADDRESS FILE <br />