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the Evergreen <br />CITY OF <br />eve rett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />C"NSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�e� <br />everett <br />OWNER MAIL ADDhaSS ZIP PHONL <br />David A Brandvold P.O. Box 3066 98203 355_1135 <br />Fn <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />31 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same BR AN DO A299 QK <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Evergreen State Sheet Metal <br />W <br />A In <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ray's Plumbing <br />G <br />00 <br />PERMIT CLASS <br />❑ COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑flEPAIR <br />VALUATION OF WORK <br />$ 34,000.00 <br />❑ DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Single Family Residence <br />PROPOSED USE <br />MECIANICAL <br />_ <br />TYPE 0= ENERGY❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <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 />5 <br />REFRIGERATION UNITS--H.P. EA. <br />BOILERS- H.P. EA. <br />I <br />feet Of: <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />2402 Mukilteo Blvd. <br />SPACE & WALL HEATERS - B.T.V. <br />UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />VENTILATION FAN <br />non <br />gANGEHOOD <br />1ng <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 />Ion <br />WATER HEATER <br />DISH WASHERS <br />9IonFAC, <br />BUILT FIREPLACE Be CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />- <br />SUB TOTAL�Sj <br />a 1 0 <br />KITCHEN SINK5 & DISF. <br />1 <br />BAR SINKS <br />I <br />PERMIT 5 <br />3 00 <br />ROOF DRAINS - RAIN LEADERS <br />TOT, FEE 5 <br />T T INN <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUC <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 AI'TER WOPK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION A D ✓NOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS F 'VS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WI L 'I)MPLIEO WITH WHETHER SPECIFIED HEREIN <br />OR NOT, TVG ING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTM Il .. VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV THER TA T LL CAL LAW GV ING CONSTRU ]TION <br />OR T /E PER ORM, .E UF- CONSTR 10 <br />8/14/78 <br />X 1 <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 />SUB TOTAL <br />11 <br />PERM' <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE SLOG. SUPPLY <br />SIZE <br />SI Nn qE OFC NT RACTORORAUTM.AGENT DATE <br />SIDE YARD SETBACK <br />7Y <br />STREET SETBACK <br />25' <br />REARYARDSETBACK <br />25' <br />PLAN CHECK NUMBER <br />78/397 <br />FEES <br />PLAN HECK FPE <br />FEE 69 5 RECE.i T NO. <br />31587 <br />USE ZONE <br />R-S <br />LOT AREA <br />13124.346 <br />VACANT SITE <br />OYES ONO <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />l <br />NO. OF DWELLING <br />UNITS 1 <br />1 <br />__ <br />BUILDING <br />5 34,000.00 <br />139i 00 <br />SIZE OF SLOG. <br />34'x56' <br />NO. OF STORIES <br />1 <br />WAX.00C. LOAD <br />PLUMBING <br />17160 <br />FIRE ZONE <br />3 <br />BASEMENT -. <br />none <br />FIRESPRINKLERS <br />REOUIRED <br />DYES XHNO <br />MECHANICAL <br />1- <br />11± 00 <br />SPL.:IAL CONDITIONS: <br />OTHER <br />House is not -to kA constructed over sewer <br />PENALTY <br />SEC. 3001a1No <br />I <br />easement. — fmillawmotto be staked prior to <br />— <br />TOTAL <br />I <br />1671 00 <br />constr <br />:]If YC,' <br />E EflLY VM IDATED 11 PACIR PF gMIi <br />LIGY71d� ws19*S <br />WE <br />RECUPT <br />NK YOU, YOUR RKEIPTCO <br />THANK YOU co�, <br />;0 <br />YOUR <br />-- p m - — <br />MWLICATIONACCIPIw <br />PLANS LH CKLO BY. <br />V.C. <br />APPBLIVHI FOB ISaUAW111Y <br />K.Ceb <br />I <br />I <br />