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the Evergreen CONSTRUCTION <br />CITY OF • PERMIT <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 COMBINATION • BUILDING • MECHANICAL <br />11 <br />• PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />rPra' a�n Matteson__213—M_CDQu 1 98201252-5989 <br />ARCHITECT OR DESIGNER MAIL AO ES' PHONE LICENSE NO. <br />m <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑ COMBINATION <br />❑NUILDING []PLUMBING ❑MEC14ANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION [*ALTERATION xALTERATION ❑REPAIR <br />VALUATION OF WORK <br />100.00 ❑DEMOLISH [FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Move back steps & door 4-5' South 2 (on residence) <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY /SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 15-1 §LOCK441DFCa itol Hill Add. <br />- <br />JOB ADDRESS <br />2131 McDougal <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS- H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />—� <br />I <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-A.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE 14000 <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />CLOTHES WASHER <br />' <br />WATER HEATER <br />DISH WASHERS' <br />PAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />- <br />- <br />GAS. SY STEM_N_O OP OUTLETS <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL S <br />1 <br />BAR SINKS <br />PERMIT $ <br />ROOF DRAINS - RAIN LEADERS <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 OH 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 />PRIVATION 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 />X 5-15-79 <br />SERVICE SINKS <br />SUMPS <br />- SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />SUB TOTAL <br />PERMIT $ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY SIZE <br />SIGNATURE OF CON7'RACTORORAUTH.AGENT DATE <br />SIDEYAROSETBACK <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 ❑NO <br />FEES _ <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />_ _ <br />TOTAL <br />$ <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />1 <br />FIRE ZONE <br />BASEMENT <br />pEOUIRED KLERS SPRIN <br />❑YES ❑NO <br />I <br />i <br />SPECIAL CONDITIONS: <br />I <br />SIEC. 303 FBI <br />_ <br />I <br />I <br />- <br />I <br />PERMIT" VALIDATION <br />WHEN PROPERLY VALIOATED RN THIS SPACEI TRIS IS YOUR PERMIT <br />KO'U'R RECEIPT-) <br />THANK YOU' <br />15 PAY 79 <br />I ICA LION ALM P 111) B Y �PtANSCWCKIA)Hy APPHOVI. II IO H IS IIAMA BY <br />