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the Evergreen <br />CITY OF <br />everett <br />:TY HALL 259 8745 <br />E ✓ERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION a BUILDING a MECHANICAL a PLUMBING <br />everetl <br />,e, <br />OWNER MAIL ADDRESS ZIP PHONE <br />King McCauley Homes 7024 Evergreen 98203 355-8600 <br />'D <br />R1 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE - LICENSE NO. <br />Same as above <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Sally as above 223-01-1687 <br />Z <br />e <br />MEFHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Puget Heatin Lake Stevens <br />3 <br />t, m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Art's Plumbing Snohomish <br />na <br />GO <br />PERMIT <br />B❑pc, COMBIN ATION <br />IJ BUILDING CI PLUMBING ❑.'FCHANICAL <br />CLASS OF WORK - <br />❑NEW ❑ADDITION ❑ALTERATION ❑RLPAIIi <br />VALUATION OF WORK <br />s 22,960 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Build single family residence <br />PROPOSED USE <br />Single family residence <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 3 BLOCK 5 OF Plat of Lowell <br />TYPE OF ENERGY <br />OCAS ❑ELEC. <br />NO. <br />TYPE OF EOUIPMEIIT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />_r- <br />- <br />- -- <br />BOILERS-H.P. EA. <br />i <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />4910 South 2nd Avenue <br />SPACE & WALL HEATERS - B.T.V. <br />UNIT HEATERS-R.T.U. <br />I <br />PLUMBING _ - <br />EVAPORATIVE COOLERS <br />1 <br />CLOTHES DRYERS <br />3 100 <br />VENTILATION FAN <br />RANGEHODD <br />1 <br />NO. <br />_ <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />oo <br />BATH TUBS <br />$ <br />— <br />1 <br />CLOTHES WASH=R <br />WATER HEATER <br />DISH WASHERS <br />1 <br />- <br />FAG. BUILT FIREPLACE EPLACE 8, CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />1 <br />KITCHEN SINKS & DISP. <br />2 <br />SUB TOTAL S <br />1200 <br />BAR SINKS <br />PERMIT S <br />3 00 <br />ROOF DRAINS - RAIN LEAD942 <br />TOTAL FEE S <br />1S00 <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 />HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING T141S TYPE <br />OF WORK WILL BE COMPLIED WIT14 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/ 9/9/77 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />11 <br />WATER HEATERS - ELECTRIPLICATION <br />WASH BASINSI <br />LAUNDRY TRAYS <br />1 <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTALFEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />sI ATU RE OF CONTRACTOR OR AV TH. ENT DnTE <br />SIOE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSE TRACK <br />PLAN CHECK NUMBER <br />77 /525 <br />PLAN CHECK FEE <br />FEE R(A RECEIPT NO. <br />?( <br />52.00 Z S3 4 Z <br />USE ZONE <br />LOT AREA <br />VACANT SITE_ <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 />s 22,960 <br />104 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />15 100 <br />FIRE ZONE <br />BASEMENT FIRESPR <br />REOUIRED <br />I NKLERS <br />DYES ONO <br />MEC14ANICAL <br />15 I 00 <br />1 <br />I <br />I <br />SPFCIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PnOPE FLY VAL IUAT L 1)0 1, 2* PACL$ It I5 k 01 IT�MYi� <br />./ 9 aJ <br />YOUR RECEIPTF, <br />THANK YOU -m <br />Q <br />--- — <br />_ <br />PPLIGTIONAMIPTLOtlY: <br />PLAMURCKLONY. AMROVIOTORiWIAMAOY <br />ADDRESS F11.1 <br />-/I�u1/ <br />