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3419 HAYES ST 2018-01-02 MF Import
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3419 HAYES ST 2018-01-02 MF Import
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Last modified
4/17/2025 1:20:39 PM
Creation date
2/21/2017 1:31:35 AM
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Address Document
Street Name
HAYES ST
Street Number
3419
Imported From Microfiche
Yes
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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />,.e <br />everett <br />OWNER MAIL ADDRESS 'L <br />A. H. "AL" LARSON 3419 Hayes 259-9179 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />M <br />-i <br />z <br />C: <br />3 <br />Ip <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICFNSE NO. <br />PERMIT <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW IZADDITION ❑ALTERATION ❑REPAIR <br />CD <br />VALUATION OF WORK <br />S 6,000 00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Addition to Office <br />PROPOSED USE <br />Office <br />MECHANICAL <br />— <br />TYPE OF ENERG V <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR.CONIHS111 323 Shaffer's First Add. <br />LOOT' 7 K FBI OCK_oF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />_ <br />JOB ADDRESS <br />3419 Hays <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS--B.T.V. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS _ <br />I <br />VENTILATION FAN <br />HANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUBTOTAL S <br />1 <br />KITCHEN SINKS & DISP. <br />I <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OIL 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 />12/5/77 <br />X <br />ZNATUOFCONTRACTOROAAUTH. <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE A <br />I <br />WATER <br />SERVICE SIZE BLDG.SUPPLY <br />SIZE <br />AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYAROSETBACK <br />PLAN CHECK NUMBER <br />77/717 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />23.40 26441 <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />BUILDING <br />s6,000.00 <br />36 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIgED <br />OYES ONO <br />MECHANICAL <br />1 <br />I <br />1 <br />SPECIAL CONDITIONS <br />OTHER <br />I <br />T <br />1 <br />I <br />36 100 <br />PENALTY <br />SEC. 3031.) <br />TOTAL <br />—— <br />PERMIT VALIDATION <br />WHEN PROPS RL Y VALIDATED IIa 11PACL;J1169 019�1-:�J.'.'i� <br />THANK YOU U <br />1 <br />p ' t <br />1 . i I ..� v4 <br />_ --- <br />APPLICATIONAQRPIODBY <br />jPLAN!,1JOCKIOBY <br />ITROVI O I Oft ISSOAWA BY <br />K.C.eb <br />ADDRESG FILE <br />
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