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the Evergreen <br />CITY OF <br />eve rett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />O NSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�.e <br />everett <br />OWNER MAII. ADDRESS ZIP PHONE <br />Jed N. Purvis 2120 Cedar St., Everett 98201 251-8920 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />10 <br />IT!y <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Remodel' <br />Sound Buildini �gi0 Cedar St., Everett 252-6920 S0-ON-DB-R2 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO . <br />Z <br />4 3 <br />w M <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />N <br />00 <br />w <br />PERMIT CLASS <br />[COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$43,800.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />House to be moved from 3527 Hoyt to 3827 Grand Ave. <br />PROPOSED USE <br />Private residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOURICD.•77!If51 2 Smyth Land Co. 2nd Add. <br />LOT ObBLOCK__OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S <br />REFRIGERATION VNITS-H.P. EA. <br />BOILERS- H.P. EA. <br />1 <br />FORCED AIR SYSTEMS-II.T.U. MEA. <br />2KW <br />JOB ADDRESS <br />3827 Grand Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. _ <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />_ <br />RANGE HOOD <br />NO. I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />i- <br />DRINK NO FOUNTAINS <br />I <br />AS. SYSTEM: NO OP OUTLETS <br />I <br />FLOORDRAINS <br />100— <br />SUB TOTAL S <br />KITCH S 61 IS. <br />I <br />PERMIT $ <br />BAR SINKS <br />TOTALFEE S 11 lUU <br />O UC- <br />THIS PERMIT AUTHORIZED IS NULL AND VOID W WORK OR CONSTDAYS. <br />CON RUCTION O IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED CH 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 ,,UTHORITY 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 />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />SERVICE SINKS <br />SUM - SEWAGE PUMP <br />URINALS <br />--+ <br />WATER CLOSETS <br />WATER HEATERS -ELECTRIC <br />21RV <br />WASH BASINS <br />I— <br />LAUNDRY TRAYS <br />— <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />A F E <br />77 In <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />6 <br />STREET SETBACK <br />20 <br />REAR YARD SETBACK <br />20 <br />PLAN CHECK NUMBER <br />%J <br />� " S.s � <br />PLAN CHECK <br />FEE <br />84.50 <br />FEE <br />RECEIPT NO. <br />-Z EI� 7 <br />USE ZONE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />LOT AREA <br />OCCUPANCY GROUP <br />I <br />VACANT SITE <br />t4YES ONO <br />VNITOS DWELLING <br />1 <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ 43,800.00 <br />1694100 <br />SIZF. OF BLDG. <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />PLUMBING <br />27100 <br />FIf.EZONE <br />3 <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ®NO <br />MECHANICAL <br />12 100 <br />BI'DIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 3031a) <br />--- <br />TOTAL <br />208 100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOL69 PERMIT <br />t <br />!(OU.R RECEWF <br />'''HANK Y10C <br />w <br />B 19 SP 77 <br />- <br />/�PPI iI'4ilON AICl VT1UIfV <br />I'LPNti U1111K1 U'!Y <br />p1991(IVGI 1011ISSULNCf Hy <br />x.c. <br />AUUHIz6b t-ILt <br />