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the Evergraen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS 'W PHONE <br />Steven R. De Rosa 2432 Grand 259-2302 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />V <br />RI <br />-I <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Natural Gas Equipment Co., Inc. 1611 East Grand 258-2441 397 <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />01 <br />L" <br />C <br />PERMIT CLASS <br />❑ CO'ABINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW []ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMINP POOL <br />_- <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANILAL _ <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK --OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />41RCONO. UNITS-H.P. EA. <br />$ <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />JOB ADDRESS <br />243Q Grand <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />SPACE &_WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <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 />CLOTHES WASHER <br />1 <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRIIJ KING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />F LOOH DRAINS <br />1 <br />SUO TOTAL S <br />7 1 nn <br />KITCHEN SINKS & DISP. <br />I <br />PERMIT S <br />3 1 nn <br />BAR SINKS <br />TOTAL FEE S I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <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 #7856 8/8/78 <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />1 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />1 <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZEBLDG. SUPPLY <br />SIZE-. <br />SIGNATUREOF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />__—f_ _ <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />UNITS DWELLING <br />MAX. OCC. LOAD <br />I <br />I <br />I <br />1 <br />5 1 00 <br />BUILDING <br />$ <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />T-IRESREOUI RINKLERS <br />RE❑QVESED ONO <br />MECHANICAL <br />_-4 <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 3031a) <br />1 <br />— <br />TOTAL <br />0 <br />PERMIT VALIDATION <br />WIZEN PROPERLY V ALIDAT ED IIN THIS SPACE) THIS IS YOUR P: RMIT <br />F`� !••hh <br />4HANK YCV <br />0 <br />$ Y� ?� �• <br />f7 t•�tf' x l . <br />AWLI ATIONAMEPTEOUY- <br />PLAMJ 6'NIQWBY. <br />APPUUVED PDU ISSUANUBY <br />eb <br />EA <br />1 <br />ADDRESS ru_r _g__, ._ <br />