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I <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION - BUILDING - MECHANICAL - PLUMBING <br />everett <br />�e <br />OWNER MAIL ADDRESS ZII' PHONL <br />Don Bnrha m 252-961t5 <br />'D <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />z <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Brett Builders 353-7161 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />W <br />W m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />W <br />PERMIT <br />1L❑COMBINATION <br />p BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION (/ny� E7REPAIR <br />-N <br />VALUATION OF WORK <br />S 2,980.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />rT tinn <br />PRO OSED USE <br />Roo <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />OPIESI <br />FOUR COPIES I <br />LOT I1-7 BLoc�OF Ca i t.al �(ol';�/ T7 <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 />JOB ADDRESS <br />"III nierUNIT <br />SPACE & WALL HEATERS - B.T.U. <br />BEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />1 <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 />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />1 <br />SUBTOTAL S <br />I <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS — RAIN LEADERS <br />1 <br />TOTAL FEE $1 <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />/J�/L/J - _ _ <br />77 <br />SING ATUREOFCON7R—YcCTOh OR AU7H.AGENT DA7E <br />SERVICE SINKS <br />SUMPS -- SEWAGE PUMP <br />URINALS <br />1 <br />WATER CLOSETS <br />WATE <br />1 <br />VJATER HEATERS — ELECTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY 'FRAYS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ <br />2.980.00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />I <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />j <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />24'00 <br />VALIDATION WHEN P j 1 $j,? k-lt81j <br />WHEN PROPERLYY VALIDATED 11 II PACE MIT <br />L,J <br />.YO UA 1RECEIPT'" <br />E�CE I1PT ' <br />/YOU <br />THANK 1 OU -` <br />AWLRATIONACCEPTEDRY: <br />PLANS LNECKED by. APPROVFD <br />FOR IAUANCE BY. <br />ADDRESS FILE <br />H <br />