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theE°"9'CC11 CONSTRUCTION <br />CITY OF <br />everett PERMIT <br />CITY HALL 2598745 <br />EVERETT. WA 98201 COMBINATION BUILDING • MECHANICAL <br />OWNER <br />* • <br />PLUMBING <br />Dave Beam-s 3411 Kromer Avenue <br />II' I'llrnNL <br />98201 259-2980 <br />ARCHITECT OH dE'SIGNER <br />MAIL ADDRESS <br />m <br />PHONE LICENSE NO. <br />GENERA- CONTRACTOR <br />Same <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />7 <br />MECHANICAL CUNT RACTOR <br />MAIL ADDRESS <br />PHONE <br />(_ <br />LICENSE NO. <br />co <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />- <br />PHONE LICENSE NO. , <br />m <br />7) <br />tl. <br />PERMIT <br />uCOMBINATION <br />CLASS OF WORK <br />- <br />C <br />❑BUILDING ❑PLUMBING ❑IWCHANICAL <br />'WORK- <br />❑NEW <br />❑gDDIT10N ❑gLTE RATION ❑REPgIR <br />VALUATION OF <br />S 55,000.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMIAING POOL <br />DESCRIBE WORK <br />Construct single family <br />residence <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />TYPE OF ENERGY <br />FOUR COPIES) <br />❑GAS ❑ELEC. <br />LOT 1 BLOCK 7 OF- Frlday' <br />B 2nd <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. I <br />Q30-29-5 <br />1 FORCED AIR SYSTEMS-B.T.U. MEA. 5 <br />JOB ADDRESS <br />I <br />3611 Earl Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS T <br />CLOTHES DRYERS <br />I00 <br />2 <br />VENTILATION FAN <br />4 00 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_ <br />FEE <br />RANGEH000 <br />AIR HANDLBIG UNIT- C.F.M. <br />BATH TUBS <br />S <br />1 <br />CLOTHES WASHER <br />1 <br />1 <br />DISH WASHERS <br />WATER HEATER <br />DRINKING FOUNTAINS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />FLOOR DHAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />T <br />KITCHEN SINKS & DISP. <br />SUB TOTAL S <br />1 <br />BAR SINKS <br />PERMIT S <br />I <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />TOTAL FEE 3 16 I 0 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />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 <br />URINALS <br />3 <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />1 <br />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 <br />LAUNDRY TRAYS <br />' <br />SUB TOTAL9AI <br />no <br />PERMIT 2 <br />TOTAL FEE <br />9RI on <br />WATER SERVICE SIZE BLDG. <br />SUPPLY SIZE <br />WGNATU E OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />6' 20' <br />20' <br />PLAN CHECK FEE <br />79/212 FEE 96.50 RECEIPT NO.37826 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-1 <br />8#000 SQ. Ft. <br />DIVES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />V-N <br />R-3 <br />UNITS <br />SIZE OF BLDG. <br />NO. O —STORIES <br />WAX. OCC. LOAD <br />BUILDING <br />$ 55,000.00 <br />1971 00 <br />4'x3O' <br />2 <br />PLUMBING <br />2811 00 <br />FIRE ZONE <br />BASEMENT <br />FIRES RINKLERS <br />3 <br />yes <br />REOUIRED �ry� <br />❑VES f�1.`1p <br />MECHANICAL <br />--r— <br />161 00 <br />SPECIAL CONDITIONS: <br />I <br />1 <br />OTHER <br />PENALTY <br />SEC. 303 (•) <br />1 <br />.D <br />1 <br />TOTAL <br />2411 00 <br />PERMIT VALIDATION q 4 <br />11 TSiT� PACE 1 I R P IT <br />1 <br />- g�—� <br />.ALATED <br />U L <br />,J—FI�EyPROPERLYOO <br />YOUR REO'EIP ' <br />��Pml. �' <br />IR <br />RECE1Pr THANK YOU <br />CML11ELKEBOY: <br />APPROVER F <br />O <br />F1111=�W1 1 <br />A" K �: :. <br />(t q <br />c =D <br />l V.C.00 <br />1 <br />U <br />11L"4 <br />9 <br />- T n .M 7n <br />L� LID FT4,!!jW &I <br />