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the Fvargreen ^ CONSTRUCTION <br />CITY OP <br />everett PERMIT <br />CITY HALL 258.8745 <br />EVERETT. WA 98201 COMBINATION • BUILDING • MECHANICAL PLUMBING <br />OWNER <br />i <br />•••^•" ^"'�^��� <br />ZIP PHONE <br />R. Wheeler 9027 <br />S.E. 60th, Mercer <br />Island 98040 232-4637 <br />m <br />@ <br />ARCHITECT 6R DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />Same <br />z <br />MECHANICAL CON T RACTOR <br />MAIL ADDRESS <br />PHONE <br />C <br />LICENSE NO. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />m <br />@ <br />LICENSE NO. <br />PERMIT <br />CLASS OF WORK <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />I <br />❑NFW <br />❑ADDITION ❑gLTE RATION ❑flE1AIR <br />VALUATION OF WORK <br />s 900 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Fire doors in apartments <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPf ATY (SHOW <br />BELOW OR ATTACH <br />TYPE OF ENERGY <br />FOUR PLI 614 RLLCICerB let Plat <br />❑GAS ❑ELEC. <br />LOT BLOCK_O" <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. g <br />1. .F"PUERATION UNITS-H.P. EA. <br />-- <br />BOILERS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MCA. <br />JOB ADDRESS <br />I <br />263D - 2628 Hout <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />___ <br />FEE <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />I <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />DISH HE WASRS <br />1 <br />WATER HEATER <br />DRINKING FOUNTAINS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />SUBTOTAL $ <br />BAR SINKS <br />PERMIT $ <br />ROOF DRAINS - RAIN LEADERS <br />I <br />SHOWER BATHS <br />TOTAL FEE g 1 <br />THIS PER BECOMES NV LL 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 1 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 />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />LAUNDRY TRAYS <br />I <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 />11/23/77 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE sj�X <br />WATER SERVICE SIZE BLDG. <br />SUPPLY SIZE <br />SIGNATURE OF CONTRACTORORAUTH.AGENT DATE <br />SIDE YARD SETBACK STREET SETBACK <br />REAR YARDSETRACP <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />OYES ONO <br />NO.OF DWELLING <br />FEES <br />VALUATION <br />FEE <br />UNITS <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX, OCC. LOAD <br />BUILDING <br />$ 900 <br />9 100 <br />PLUMBING <br />' <br />I <br />FIREZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />MECHANICAL <br />OYES ONO <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />9 00 <br />PERMIT VALIDATION <br />_ <br />WHEN PROPERLY VALIDATED I Its 1"PAC�Q�,(1.�_ <br />I �l <br />Vl <br />APPlIGT10N ACLLPIkO By <br />PLANS CII[IXLII bY. <br />APPROVIUf011 E81IDNC[BY <br />r <br />B <br />� I <br />11 <br />ADDRESS FILE <br />-1 It --.- .., , . A.- __ _ , <br />