4121 FEDERAL AVE 2018-01-02 MF Import

the Evergreen PARIC'rm it%rer%er •+vow � nVV I IVI`. CITY OF everett PERMIT everett CITY HALL 259B745 EVERETT, WA 98201 COMBINATION • BUILDING • MECHANICAL PLUMBING �.eOWNER MAIL ADDRESS LIP PHONE ' Robert J. Moore 4121 Federal Ave. 98201 259-2569 m ARCHITECT OR DESIGNER MAIL ADDRESS IT PHONE LICENSE NO. 3 GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Same Z MECHANICAL CONTRACTOR MAIL ADDRESS C PHONE LICENSE NO. 9 W PLUMB ING CO NTRA CT OR MAIL ADDRESS � m PHONE LICENSE NO. 0 PERMIT 00 ❑ COMBINATION CLASS QF WORK C51 ERBUILDING ❑ PLUMBING ❑ MECHANICAL ❑NEW ❑ADDITION ❑ALTERATION ❑REPgI8, VALUATION OF WORK $ 1700.00 DEMOLISH ®FENCE ❑SIGN ❑SWIMMING POOL DESCRIBE WORK 5'6" wood fence in rear. yard -patio- driveway PROPUCED USE single family residence MECHANICAL LEGAL DESCRIPTION OF PROPE HTY ISHOW RE LOW OR ATTACH FOUR COPIES) TYPE OF ENERGY �- 7 ❑GAB ❑ELEC. LOT _ BLOCK --OF Swalwell' S 3rd NO. ;yPE OF EQUIPMENT FEE AIR COND. UNITS-H. P. EA. $ I REFRIGERATION UNITS-H. P. EA. --------rt BOILERS- H.P. EA. FORCED AIR SYSTEMS-B.T.U. MEA. 4121 Federal Avenue SPACE & WALL HEATERS - B.T.U. UNIT HEATERS-B.T.U. I PLUMBING EVAPORATIVE COOLERS -- CLOTHES DRYERS VENTILATION FAN RANGE HOOD 1 NO. TYPE OF FIXTURE OR ITEM FEE BATH TUBS AIR IiANDLING UNIT- C.F.M. CLOTHES WASHER I I •' DISH WASHERS I WATER HEATER DRINKING FOUNTAINS I FA C. BUILT FIREPLACE & CHIMNEY I FLOOR DRAINS GAS. SYSTEM: No OP OUTLETS KITCHEN SINKS & DISP. BAR SINKS I SUBTOTAL $ I ROOF DRAINS -RAIN LEADERS I PERMIT S TOTALFEE $ I SHOWER BATHS ' SERVICE SINKS THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PE q I OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE SUMPS -SEWAGE PUMP URINALS I WATER CLOSETS I WATERHEATERS - ELECTRIC I WASH BASINS ---1 LAUNDRY TRAYS I OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. n 4/10/79 X L®e � I ---- 1 SUB TOTAL I PERMIT g TOTAL FEE WATER SERVICE 512E BLDG. SUPPLY SIZE SIGNATVREOFCONTRACTORORAUTHAGENT DATE SIDE YARD SETBACK STREET SETBACK REAR YARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE ZONE LOT AREA VACANT SITE OYES ONO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY CROUP NO.OF DWELLING UNITS p I SIZE OF BLDG. NO. OF STORIES MAX.00C. LOAD BUILDING $ 1,700.00 1 17 100 FIRFZONE BASEMENT FIRESPRINKLERS PLUMBING I I REQUIRED MECHANICAL I I ❑YES ONO SPECIAL CONDITIONS: I I OTHER I PENALTY SEC. 3031.) I -- TOTAL 17 100 PERMIT VALIDATION 1 I WHEN PROPERLY VALIDATED (IN THIS SPACE) 1 HIS IS YOUR PERMIT , tacit Ew --_— f.CCF.PiLU NY: PLANS C:: I:: I BV: APP"OVI:D I-011 I:SU�NCC pY.�H L[MLICATMN , r� 9 I I ILO 74 ADDREF' '.,;