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the Evergreen <br />CITY Of <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTION everett <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS <br />MARINA WFORD <br />ARCHITECT OR DESIGNE IT MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />m <br />37 <br />--I <br />z <br />C <br />� <br />m <br />ccl <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE '.ICENSE NO. <br />SNOHOI,aSH PLBG. _ <br />CD <br />PERMIT <br />❑COMBINATION <br />❑BUILDING ®PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW []ADDITION ❑ALTERATION GREPAIR <br />N <br />VALUATION OF WORK <br />S <br />0DEMOLI511 ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />[]GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT - BLOCK —OF <br />NO. <br />TYPEEQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS- H.P. EA. <br />I <br />FORCED AIR SYSTEMS—B.T.U. PEA. <br />I <br />JOB ADDRESS <br />2405 IIM%7.IS0II <br />SPACE Q WALL HEATERS — B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />_ I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TORS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE A CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OF OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL $ <br />I <br />KITCHEN SINKS & DISP. <br />I <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE $ <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORI2 ED 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�J <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />I <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIG TORE OF CONTRACTOR OR AUTH. AGENT DAT <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SET -BACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES []NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />BUILDING <br />S <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />13100 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 7031a1 <br />I <br />TOTAL <br />13100 <br />PERMIT VALIQATION <br />WHEN PROPE RL Y VAL IDATED(INSACEI�„I 11 AlniP�RMFT; <br />j U u 1 1 <br />YOUR REC E I PTA <br />THANK YOW J <br />Q <br />APPLICATION ACCIPTLO By <br />PLANS LTILCKLD BY. <br />APPROVED FOR FS. ANCL BY. <br />1. O• <br />i <br />ADDRESS FILE <br />1 7 1" I S <br />