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the Evergreen CONSTRUCTION <br />r- <br />GITY OFPERMIT <br />everetett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />Ralph Willis, Jr. <br />3416 Federal <br />Avenue, Everett, WA <br />252-8529 <br />\RCHITECT OR DESIGNER <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO <br />Same <br />3ENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO <br />Same <br />AECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO <br />Same <br />'LUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NC <br />Same <br />'ERMIT <br />CLASS OF WORK <br />❑COMBINATION <br />BUILDING ❑PLUMBING ❑MECHANICAL <br />❑NEW <br />L`1ADDITION ❑ALTERATION <br />❑REPAIR <br />JALUATION OF WORK <br />4,500 <br />❑DEMOLISH ❑FENCE ❑SIGN <br />❑SWIMMING POOL <br />$ <br />DESCRIBE WORK <br />Addition to Single <br />Family Residence <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) LOT27,28q. � COCK829 OF Plat of Everett <br />Division H <br />JOB ADDRESS <br />3416 Federal Avenue <br />PLUMBING <br />everelt <br />MECHANICAL _ <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P. EA. 5 <br />REFRIGERATION UNITS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVECOOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD _ <br />AIR HANDLING UNIT- C.F.M. <br />WATER HEATER <br />FAC. BUILT FIREPLACE & CHIMNEY <br />GAS. SYSTEM! NO OP OUTLETS_ <br />W <br />N <br />W <br />In <br />C <br />ROOF DRAINS - RAIN LEADERS i TOTAL FEE $1 <br />SHOWER BATHS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />URINALS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />WATER CLOSETS I PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />WATER HEATERS - ELECTRIC I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />WASH BASINS 1 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />TOTAL FEE I <br />WATER SERVICE SIZE_ BLDG. SUPPLY SIZE <br />X`7p'�" �(r1�.{�- l/ v - J <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />Sl REET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />771546 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VSEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />I FEE <br />SPECIAL CONDITIONS' <br />BUILDING <br />$ 4,500 <br />32 100 <br />OCC. LO_AO <br />'PRINKLERS <br />PLUMBING <br />IRED <br />ES ONO <br />MECHANICAL <br />I <br />OTHER <br />------------ <br />PENALTY <br />SEC. 303(0) <br />—� <br />TOTAL <br />I <br />32 100 <br />PERMIT VALIDATION U l n � CQ f �p �p� <br />WHEN PROPERLY VALIDATED II ■V r10El■i� I �' `�'�li <br />{ V�/'• ���L�i 1 <br />FUN ISSUANCE tlY. 1y <br />ADDRESS FILE ,., .. <br />