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m�� E��„�„���,,, <br />CITY OF <br />everett <br />ciTv iin�� 2se�e�ac <br />[VERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />, <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />OWNLR A1AIL ADDRFSS ZIP PMONE � <br />Steven J. Kalma 3906 Aigh Street 98203 � <br />ARCNITECT OR DESIGNEfi MAIL ADDRESS PIION[ IICENSE NO. 3 <br />� <br />GENERAL CONTRACTOR M/11L ADDRESS PIIONE LICENSE NO. Z <br />C <br />MECHANICAL CONTRACTOR MqIL ADORE55 PIIONE LICGNS[ NO. W <br />CJ � <br />PLUMOING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. -�� <br />� <br />PERMIT CLASS Of WOFiK Ul <br />� COMBINATION <br />❑ UUILDING ❑ PLUMBING ❑ MECHANICAL <br />❑N[W ❑ADDITION ❑ALTERATION ❑fiEPAIP <br />VALUATIONOF WORK <br />g 300.00 ❑DEMOLISIi ❑fENCE ❑SIGN ❑SWIMMING POOI. <br />DESCRIBE WORK <br />Rebuild front portch decking and subflooring <br />PROPOSED USE MECHANICAL <br />single family residence <br />LEGAIDESCRIPTIONOF PROPERTV ISHOW �ELOW Op ATTACH TVPE OF ENERGY <br />FOVRC PIES ❑GAS ❑ELEC. <br />Lo7 ��-�OCK � OF Smyth Land CO. YRCI NO. _ TVPE OF E�UIPMENT FEE <br />AIR COND. UNITS-H.P. EA. $ I <br />REFRIGERATION VNITS-�Ii.P. EA. <br />[301LEfiS �I�I.P. EA. I <br />FOFCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB A�DRESS SPACE R WAI.L NEATERS - A.T.U. <br />3906 High StYeet uNn �ienrens u.r.�. i <br />EVl�POR/1TIV[ COOLENS <br />PLUMBING — c�oTr�Es onre�s i <br />VLNTILnTION PAN <br />RANGEHOOD � <br />NO. TVPE OF FI%TURE Op ITEM FEE nia �inNDUNG UNIi- C.F.nn. <br />BATH 7UBS 5 � <br />CLOTHES WASHER � wA7ER11EATER <br />DISH WASHERS � f-AC. PV ILT FIREPLACE & CHIMNEV I <br />ORINKING FOUNTAINS � -- - ------ -- -- <br />FLOOR ORAWS � _ GAS. SVSTEM_NO OP OUTLETS _ <br />KI'fCHEN SINKS & DISP. i _____ <br />SU[t TOTAL 5 I <br />BAR SINKS � PEPMIT 5 <br />ROOF DRAtNS - RAIN LEADERS � rOrnL FEE S I <br />SHOWER BATHS TIIIS PLRMIT OGCOMES NVLL ANI� VOID If WOFK OR CONSTRUG <br />SERV�CE SINKS TION 11UTIlOfil7_[D IS NOT COh1MENCED WITHIN 120 DAVS, Ofi IF <br />SUMPS - SEWAGE PUMP CONSTRUCTION ON WOiiK IS SVSP[NDED OR AUANDONED FOR A <br />--� PERIOD Of 170 1lAYS AT ANV l'IH1E AFTER WORK IS GOMMENCED. <br />URINALS <br />WATER CLOSETS I I H[REIIV CERTIFV THAt I IiAVE READ l�ND E%AMINED THIS AP- <br />PLICI�TION AND KNOW THE SAMfl TO 0[ TfiUE AND CORRECT. l�LL <br />WATER HEATERS - ELECT(i1C � NRpvisioN, oF �nWs AND ORDINANC[S GOVEiiNING TMIS TVPE <br />WASH BASINS � OF WOIiK WILL 6E COh1VlILD WITF1 WHETNER SPEf.IF1ED MEREIN <br />LAUNDRV TRAYS OR NOT, THE GR/1NTING OF A PGRMIT OOFS NOT PkESUME TO <br />GNE AUTIIOfiITV TC VIOL/1T[ OR CANCGL TME PROVISIONS OF <br />ANY OTHER 51'ATE OR LOCAL LAW REGVLATING CONSTRUCTION <br />� ORTH[PERPORMANCEOFCONSTRUCTION. <br />_ _" , <br />SUB TOTAL �---���� ij <br />PERMIT 5 /L 1z�21�'�'� <br />TOTAL �EE -� X J L=�R <br />WATERSERVICESIZE BLOG.SUPPLYSIGE SIGNATUfiEOFCONT CTOROFAVTH.AGEkT DnTE <br />SIDEYARDSETOAGK STREETSETUACK REARVAFDSET�l1CKPL/1NCH[CKNUMItBR PLANCHECKFEE <br />FEE RECEIPT NO. <br />USE 70NE LOT AREA VACANT SITE <br />❑rE5 ❑NO FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCV GROUP NO.OP OWELUNG � <br />UNITS <br />SIZE OF gLDG. NO. UF STOR�FS MAX. OCG LOAD 11UILDING 5 300. OO S AO <br />PlUM61NG � <br />f-IREZONE UASEMENT FIRGSPRINKLEflS � <br />REOUIRE� � <br />❑YES ❑NO MECHANICAL I <br />I <br />SVECIALCONOITIONS: OTHER I <br />I <br />PENAI.TV SEC.3031u1 � <br />I <br />- Td1AL S OO <br />PERMITVALIDATION .` �C n�ll <br />-_ WIIEN PROPERI-Y V/1LIDAT[D IIN �fS��CCI ll1� 73'Y7��iT <br />J � v <br />__ !. ; ' <br />-- <br />---- — YOUR REL�i1'�' <br />�,,.����,�;����:«,.,����„ �,�,,,,:,,,�,��,�,� ����„��,,,,��„�.::,,��„, �,. THAN� Yta1�:', <br />KCeb °, . � <br />. , <br />3 ' n n adl 7'1� � T <br />�' <br />�-'�.z �.'a.�i.T'• �.a:...e�-• ... <br />