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14ACE ,.ANid1'Ti <br />Idl9bGS,14 R046 <br />}� eve ^rertt 1 /j� <br />y CITYT VIZ G7CiFi �iJD <br />EV ERETT, WA BB?UI C h I ATION <br />fONSTRUCTION <br />PERMIT .0 • <br />• BUILDING • MECHANICAL • PLUMBING <br />F <br />Le <br />OWNER MAIL ADDRESS ZIP PHONE. <br />Dallas R. Olson, Jr. P. 0. Box 607, Mukilteo, NN. 98275 355-3834 <br />Afl CHITECT OR DE'::IGNER MAIL ADDRESS PHONE LICENSE NO. <br />223-01 <br />m <br />z <br />C <br />W <br />G m <br />C. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />OL-SO-NO <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />R255-DG <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />®COMBINATION <br />❑ BUILDING ❑ PLUMBING [:)MECHANICAL <br />CLASS OF WORK <br />Basic <br />❑NEW ❑ADDITION []ALTERATION ❑REI'41R <br />LE <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE ORK <br />New residenco <br />- <br />PROPOSED USE <br />MECHANICAL <br />T"PE OF ENERGY p E <br />❑GAS LpELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 46 BLOCK —OF- LighlAnd 25tateS <br />- -28-4 <br />TYPE OF EQUIPMENT <br />FEE <br />-NO_ <br />AIR COND. UNITS-H.P. EA. <br />_ <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />O <br />i <br />JOB ADDRESS <br />firwocyLp] <br />SPACE & WALL EATERS - B.T.U. <br />I <br />_ <br />UNIT HEATERS-E.T.U. <br />_ I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />1 <br />CLOTHES DRYERS <br />3.00 <br />VENTILATION FAN <br />1 <br />RANGE HOOD <br />3.00 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S_ _ 2 <br />1 <br />CLOTHES WASHER <br />I <br />_ <br />WATER HEATER <br />DISH WASHERS <br />2,00 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SIIJKS & DISP. <br />91no <br />SUBTOTAL S <br />131.00 <br />BAR SINKS <br />I <br />PERMIT 5 <br />ROOF DRAINS - HAIN LEADEHS <br />1 <br />TOTAL FEE 5 <br />131.00 <br />SHOWER BATHS <br />2 00 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 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 '1 HIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PPESUME TO <br />GIVE AUT RITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHE STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PE FORM CE OF CON RUC I <br />i <br />X <br />SIGNAT OFCONTRA PX0 UT G NT ATE <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINA LS <br />URINALS <br />1 <br />3 <br />WATERCLOSETS <br />61 OO <br />HEATERS -ELECTRIC <br />)HASH BASINS <br />LAUNURY TRAYS <br />I <br />6 00 <br />2 OO <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />_ <br />TOTAL FEE <br />26LOO <br />WATER <br />SERVICE SIZE BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK <br />51 <br />STREET SETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />79/283 <br />PLAINOiECK FEE <br />FEE RECEIPT NO. <br />Basic <br />USE ZONE <br />R-2 <br />LOT AREA <br />VACANT SITE <br />[RYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />' <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO. OSF DWELLING <br />UNIT <br />1 <br />BUILDING <br />$ 50,000 <br />1871,00 <br />SIZE OF BLDG. <br />1 x 451 <br />NO. OF STORIES <br />MAX.00C. LOAD <br />- <br />PLUMBING <br />2600 <br />FIRE ZONE <br />BASEMENT <br />yes <br />FIRESPRINKLLERS <br />fl DYES REQUIRED <br />JRNO <br />MECHANICAL <br />�1 ,on <br />SPECIAL CONDITIONS <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />100 <br />1�4.IF'ff <br />i � <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDA7 ED (IN THIS SPACEI THIS IS YOUR PERMIT <br />YOUR RECEIPT <br />TklANK YOU <br />3 16 My .19. <br />n <br />-< Q <br />APPLICAA A C(RDRY: <br />MANS CIIECKI 011Y. <br />APPROVED FOR ISSUANCE RY. <br />Ld ADDRESS FILE <br />