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the Evergreen <br />CITY OF <br />everett <br />CITY BALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />4114-7 f J�, .� �t�.,, �RERMIT <br />COMBINATION • BUILDING MECHANICAL • PLUMBING <br />ev Ilett <br />""UNE <br />Paul A. Heinzen 1824 74th 98204 353-2005 <br />ARCHITECTOR DESIGNER MAIL ADDRESS - PIIONE LICENSE NO. <br />m <br />GENERALCONTRACTOR MAILADDRESS PHONE LICENSE NO <br />Same. <br />Z <br />3 <br />W <br />FITMAIL <br />MECHANICAL—CONTRACTORC MAIL ADO RESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR ADDRESS PHONE. LICENSE NO. <br />(D <br />PERMIT <br />COMBINATION <br />BUILDING [PLUMBING [MECHANICAL <br />CLASS OF WORK <br />UFy� <br />I.�U[EW ❑ADDI'ION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 31,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOI <br />DESCRIBE WORK <br />erect new residence <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 8 BLOCK 27 OF To J LC <br />TYPE <br />OF ENERGY <br />❑GAS ❑ELEC. <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 />B5-28-5 <br />BOILERS H H.P. EA. <br />_ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />5409 NNKK South 2nd Avenue <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />1 <br />_ <br />SPACE & WALL HEATERS - B.T.V. <br />UNIT HEATERS O.T.V. <br />EVAPORATIVE COOLERS <br />I <br />CLOTHES DRYERS - <br />VENTILATION FAN <br />�f <br />RANGE HOOD <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />§ <br />1 <br />CLOTHES WASHER <br />1 <br />DISH WASHERS <br />1 <br />WATER HEATER <br />GRINKING FOUNTAINS <br />PAC. BUILT FIREPLACE & CHIMNEY <br />I <br />FLOOR DRAINS <br />1 <br />GAS. SYSTEM. NO OP OUTLETS <br />KITCHEN SINKS III OISP. <br />I <br />SUBTOTAL S <br />BAR SINKS <br />1 <br />PERMIT § <br />ROOF DRAINS - RAIN LEADERS—T <br />TOTAL FEE S <br />00 <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CUNSi RUG <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />FERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />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 THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, T14E 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 />/ <br />R 3 3 78 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />Ino_ <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS — <br />1 <br />6 <br />LAUNDRY TRAYS <br />00 <br />- <br />' <br />SU8 TOTAL <br />PERMIT <br />TOTAL FEE <br />$ <br />�� <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SI ATUREo O TRACTORORAUT . GENT DATE <br />SIDE YARD SETBACK <br />10'-22' <br />STREET SETBACK REAR <br />251 <br />YARD SETBACK <br />551 <br />PLAN CHECK NUMBER <br />78�176 <br />PLANCHECK FEE <br />FEE RECEIPT NO. <br />65.00 <br />OC,37 <br />USE ZONE <br />LOT AREA VACANT <br />7,200 <br />SITE <br />MIES ❑NO <br />FEE§ <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP NO. <br />UNITS <br />I <br />Or DWELLING <br />1 <br />-- <br />1 <br />SIZE OF BLDG <br />40'x28' <br />NO. OP STORIES MAX. <br />2 <br />OCC. LOAD <br />BUILDING <br />— <br />$ <br />130 00 <br />PLUMBING <br />2Fj 100 <br />FIREZONE <br />3 <br />BASEMENT FIRE <br />--- REQUIRED <br />SPRINKLERS <br />EYES �rj(p <br />MECNANI[AL <br />11 100 <br />SPECIAL CONDITIONS'. <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 3031a1 <br />I <br />166 <br />r - <br />�1y <br />TOTAL <br />— <br />" — +— <br />WHEN PROPERLY VDIU.I ATED I152I1!,P/CS�I ���f TP{iinb1 <br />UR RECEIP VOUR RECEIPT <br />ANK YOU? <br />7NANK YOU <br />k I tlf.R 7R <br />----YC <br />-7O <br />FV <br />w"-3 �r.I iury rr nr <br />po... m <br />c v <br />srrn ualuxr <br />rm..... nlnmis,vnNCr nv <br />-j_ K.C.e13 <br />