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[he Evogreen <br />C�TY OF <br />everett <br />259-8745 <br />� C�N�TRUCTIOI� <br />PERMIT <br />�.,. ; �.. <br />PER9VIIT NO. � � 7 `+ � <br />❑ D'eMOLITION ❑ COMBINATION �ticBUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MFIIAD�AE55 CITY ZIP PMONE <br />Everett Housing Authority 14th and Poplar Everett, WA 98201 258-9222 <br />RRCHIiCCT OP UESIGNER MAIL ROORE55 CITY ZIP GhONE <br />SaI}12 <br />GENEAAL CONTRACTOR MAILADDRE55 CITV ZIP PMONE UCENSEv <br />Total Builders and Develop P.O. Box 75386 Seattle, t9A 98125 TOTALBD144BT <br />MECHANICAI CONTRRCTOR MnIL ApORE55 CiTY ZIP PHONE LICENSE e <br />PLUMB�NGCONTRACTOR IAAILAOORE55 CITY ZI4' PHONE LICENSE• <br />CLA55OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERAI'�ON L� flEPAIR <br />VAWATION OF WORK <br />s 19,990.00 <br />DESCAiBE WORN <br />xenovation of fire damaged units <br />HEnrsounce <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Apartment <br />IEGAL OFSC�iIPTiON OF PiVOPERTY (SHOW DELOW OF ATTACH fOUli GOPIESI <br />LOT _ B�OCN _. <br />602 Linden <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />'NATER CLOSET �TOILET� <br />BAINTUB <br />LAVATORYIW�"'��ASIN� <br />SHOWER <br />NITCHEN SINK 8 DISP <br />[115HWASHEP <br />LAUNORYTRAY <br />CLOTHESWASHER <br />URINAL <br />DRINKING -OUNTAIN <br />FLOOFi �R/�lt: <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — �AN. ETCJ <br />SILE <br />APPIJf,ATION ACC !1V <br />S.H. <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />�OTAB[A <br />OCCUP�NCYGROUV <br />NO OF STORIES <br />) ❑ YES ❑ NO <br />{'LANS CH[CKEOOY <br />B.E. <br />VACANT SITE <br />❑YES ❑NO <br />NO OF DWELLING UNITS <br />MA% OCC LOAD <br />prrr+ ron issunr�:e �r <br />B.E. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEC THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYr'E OF WORK �YILL BE COMPLIED WITH <br />WHETHER SPECIFIE� HEREIN OR N��T. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TC� GIVE AUTHOFITY TO <br />VIOLATE OR CANCEL THE PROViSIONS OF ANY OTHER <br />STATE OR LOCAI. LAW REGULATIYG CONSTRUCTION OR <br />THE PERFORMAP,�E OF S RUCTION. <br />S,GNAT�RE OF CONTRAC ii �VIZ AGENT.OR OWNF.R �.�iE <br />V .C�'�� L�� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — 4�HN�LG UNITS — H.P. <br />REFRIGEFATION UNITS — H.P. EA. <br />BOILERS -- F3 T.U.iH P <br />GASFlREUAC UNITS—�SL. <br />FORCED AIR SYSTEMS — B T U. M EA <br />WALLHEATERS—�TL M <br />UNIT HEATERS — B TL. M <br />EVAPOfiATIVE COOLERS <br />CLOTM[S�RVCRS <br />VENTILATIOIJ FAi 1 <br />HANGEHOOD <br />WATEP HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FlREPLACEINSERT <br />HEAT Pl1MP <br />GAS PIPING <br />E%HAUSTFAN <br />SUOTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />INVESTIGATIONFEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />ORIVEWAY PERMIT <br />519,�990.00 <br />SnC�.30A(e) <br />�EE <br />TOTAL I � <br />PERMIT VALIDATION <br />WNEN PRDPEFLV VALIDATE[) �Itl THIS SPACE) TIII515 YOUR PLRM1I�T <br />: , ;;., <br />207�00 <br />SO <br />