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flit, Evergrem) <br />CITY OI' <br />everett <br />CITY HALL 259.8745 <br />EVERETT. WA 08201 <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />David A Brandvold P.O. Box 3066 98203 355_1135 <br />•Q <br />m <br />ARCHITECT OR DESIGNER M/•IL ADDRESS PHONE LICENSE NO. <br />3 <br />1 <br />_ <br />GENERAL Cn NT RACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same BR AN DO A299 QK <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PI10NE LICENSE NO, <br />Evergreen State Sheet Metal <br />rA <br />.p rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ra•7's Plumbing <br />C 'A <br />W <br />,eERMIT— <br />F3 COMBINATION <br />i1 BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CCASS OF WORK <br />❑NEW El ADDITION ❑ALTERATION ❑REPAIR <br />VALUAI ION OF WORK <br />g 34, 000.00 <br />❑FE DEMOLISH ❑NCE ❑❑ SIGN SWIMMING PGOL <br />IBE W DESCRORK <br />Single Family Residence <br />PROPOSED USE <br />MECHANICAL <br />TYPE Or ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACII <br />FOUR COPIES) <br />LOT 2 BLOCK 3 OF Darlington <br />Easterly 103.26 feet of the Westerly 300.62 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA <br />I <br />- <br />feet of: <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />24D2 Muki].teo Blvd. <br />SPACE & WALL HEATERS - B.T.II. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I ng <br />N0.1 <br />TYPE OF FIX URE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />1 <br />CLOTHES WASHEf' <br />91n <br />WATER HEATER <br />DISH WASHERS <br />IOnFAD. <br />— <br />BUILT FIREPLACE &CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />1 <br />GAS. SY STEMS NO OP OUTLETS__ <br />KITCHEN SINKS & DISP. <br />I 00 <br />SUBTOTAL $ <br />g 100 <br />BAR SINKS <br />1 <br />PERMIT S1 <br />3 00 <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE S <br />I on <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 I HAVE I _A' AND EXAMINED THIS AP- <br />PLICATION A D KNOW THE SAME I -, BI TRUE AND CORRECT. ALL <br />PROVISIONS F LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WI L BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, TH BEOF A PEF ..IT DOES NOT PRESUME TO <br />GIVE AUTM ITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV TITER TATE OR LOCAL LAW GV ING CONSTRUCTION <br />OR T E PER ORMANCE OF CONSTR ID <br />9 <br />x 8/14/78 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSE .S <br />I <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />go <br />— <br />1 <br />I <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE_ <br />SI A RE OFC NTRA:TO RORAUTH.AGENT DATE <br />SIDE YARD SETBACK <br />7+ 1 <br />STREET SETBACK <br />25' <br />REAR YARD SETBACK <br />25' <br />PLAN CHECK NUMBER <br />78/397 <br />PLAN HECK FEE <br />FEE 69.5 RECEIPT NO. <br />31587 <br />USE ZONE <br />R-S <br />LOT AREA <br />13124.346 <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CJNST. <br />V-F <br />OCCUPANCY GROUP NO. <br />i UNITS <br />OF DWELLING <br />1 <br />I <br />BUILDING <br />$ 34,000.00 <br />139:OG <br />S17.E OF BI OG. <br />341x56' <br />NO. OF STORIES <br />1 <br />MA%, OCC. LOAD <br />PLUMBING <br />171 OD <br />FIRE ZONE <br />5 <br />BASEMENT- <br />none <br />OYESMECHANICAL <br />OTHER <br />I <br />11100 <br />SPECIAL CONDITIONS: <br />nprior <br />I <br />I <br />House is not•-te lio constructePENALTY <br />SEC. 7001a1 <br />I <br />easement. _ t to be sta <br />TOTAL 167100 <br />WI E ERLY IDATEDI14594S AC��F RPFpMI� i <br />RECEIR YOUR RECEIW, <br />NK YOU - <br />THANK YOU 00 <br />CO. <br />.,1 •'+ <br />7J <br />eonstr <br />bC <br />-- �� <br />"'° "'iOUR <br />#— <br />O m — <br />AP LICAIIONACCLPIjmY� <br />PIA16S 11 CKIOIIY APPO„YIIIIONISSOAN('I <br />V.C. <br />in <br />K.Ceb, <br />ADDRESS FILE __� 15 We 78 <br />