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the Evergreen CONSTRUCTION eve rett <br />CITY OF PERMIT <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNED MAIL ADDRESS iP I'in�;a <br />Marion Obeig 615 Maulsby Lane 252_0147 <br />T <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GC NE RAL CONTRACTOR MAIL ADDRESS I HONE LICENSE NO. <br />Everett Builders 5606 Evergreen Way 353-7161 223-03-EV ER <br />z <br />EB 201ei <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />co <br />m <br />PLV MBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />-� <br />L � <br />PERMIT <br />❑ COMBINATION <br />BUILDING []PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />(P� <br />❑NEW [I ADDITION ❑ALTERATION dAnEPAIR <br />VALUATION OF.WORK <br />S 3,800.00 <br />❑DEMOLIGH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />reroof <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />FEGAL OUR COPIIESIIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />I.OT 12-19 BLOCK 132OF BayyieW <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 />FORCED AIR SYSTEMS-O.T.U. MEA. <br />I <br />JOB ADDRESS <br />615 maulsby Lane <br />SPACE & WALL HEATERS P.T.U. <br />UNIT HEATERS-R.T.U. <br />1 <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />NO. <br />TYPE OF FIXTURL 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 />_ <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 />I <br />SUB TOTAL S <br />1 <br />BAR SINKS <br />I <br />PERMIT § <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE § <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECUMES 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 READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING rH15 TYPE <br />OF WORK WILL BE COMPLIED WITP 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 RFORMANCE OF CONSTRUCTION. <br />7/26/78 <br />x z <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />I <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE__ <br />SIGNATURE OF CONTRACTOROR AUTII.AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />I <br />13UILDING <br />S 3F800.00 <br />28 100 <br />512E OF BLDG. <br />NO. OF STORIES <br />VAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRE <br />REQUIRED <br />SPRINKLERS <br />❑YES NO <br />MECHANICAL <br />I <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />— <br />PENALTY <br />SEC. 303w <br />I , <br />TOTAL <br />100 <br />PERMIT VALIDATION <br />WIZEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />U � 'R>r4�ila'h <br />THANK YOU o <br />B 76A14 <br />- <br />- - <br />AKFH TION ACUPiI U RY <br />PIANI.LIIHIKIIIRY APPROVCO <br />FOR ISSUAN rBY <br />eb <br />