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the Evergreen <br />CITYOF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�e <br />evere" <br />O.NNER MAIL ADDRESS ZIP PHONE <br />C. H. WITT 6616 Fleming 353-2275 <br />.O <br />1^ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LIG:NSE NO. <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Town & Country Fence 6410 212th S.W. Lynnwood 776-2189 CF3440 <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />U <br />PERMIT <br />❑ COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />— <br />VALUATION OF WORK <br />S 11OO.00 <br />❑DEMOLISH FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORT: <br />construct fence <br />PROPOSED USE <br />___gjngje__f;Amilv residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ ELEC. <br />LEGALOUR DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />LOT 65 BLOCK —OF BeverlV Hills Div. 3 <br />NO.OAIR <br />E OF EQUIPMENT <br />FEE <br />TS—H.P. EA. <br />$ I <br />N UNITS—H.P. EA. <br />EA. <br />I <br />SYSTEMS—B.T.U. MEA. <br />JOB ADDRESS <br />6616 Fleming <br />L HEATERS — B.T.U. <br />UNIT HEATERS—B.T.U. <br />EVAPOR4TIVE COOLERS <br />I <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />I <br />RANGE HOOD <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 />1 <br />WATER HEATER <br />FAC. BUILT FIREPLACE & CHIMNEY <br />GAS. SYSTEM: NO OF OUTLETS <br />I <br />I <br />DISH WASHERS <br />DRINKING FOUNTAINS <br />1 <br />1 <br />FLOOR DRAINS <br />1 <br />_ <br />SUB TOTAL S <br />KITCHEN SINKS & DISP. <br />1 <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS — RAIN LEADER $ <br />1 <br />TOTAL FEE $ <br />1 <br />SHOWER BATH$ <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUG <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 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 />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 />X Check #18224 2 23 78 <br />SERVICE SINKS <br />SUMPS —SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATER HEATERS -- E'' CTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />1 <br />1 <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK STREET SETBACK REAR YARDSETBACK <br />SIGNATUREOFCON-RACTORORAUTH.AGFNT DATE <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />BUILDING <br />S 11O0.O0 <br />11 I OO <br />I <br />1 B <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />SPECIAL CONDITIONS: <br />PENALTY <br />SEC. 3031a1 <br />TOTAL ill OO <br />PERMIT VALIDATION R� <br />WHEN PROPERLY VALIDATED (IN N15SF" ACE): 1 5 S � OUj: PERMIT <br />hLNVI Your <br />0 <br />�. Z 3 Trcn <br />Lq <br />APPI ICATION ACCEPTED BY <br />PLANSCHECKED BY: <br />APPROVED FOR ISSUANCE BY. <br />EB <br />ADDRi:ILE <br />