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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2698745 <br />EVERETT. WA 88201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS tn' PHONE <br />Gilbert E. Mell 4216 South 3rd Avenue 98203 252-4317 <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />z <br />K <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PLUMBING CONTRACTOR MAIL. ADDRESS PHONE LICENSE NO. <br />CL1 <br />PERMIT CLASS <br />[I COMBINATION <br />QBUILDING ❑PLUMBING ❑MEC4ANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 1,800 00 <br />❑ DEMOLISH ENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />install chain link fence <br />PROPnSED USE <br />single family residence <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CGPLE51 B Lowell Div <br />BLOCKOFAIR <br />--- <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />COND, UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />_ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />1 <br />JOB ADDRESS <br />4216 South 3rd Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />_ <br />_ <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />_ <br />AIR HANDLING UNIT- C.F.M. <br />TH TUBS <br />OTHES WASHER <br />$ <br />I <br />WATER HEATER <br />1 <br />SH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />RINKING FOUNTAINS <br />I - <br />OAS. SYSTEM: NO OP OUTLETS <br />�— <br />OOR DRAINS <br />I <br />_ <br />-- — <br />SUBTOTAL S <br />—� <br />1 <br />TCHEN SINKS & DISP. <br />I <br />PERMIT S <br />— <br />AR SINKS <br />I <br />OOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I <br />HOWER 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 />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 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 07 HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />` aa (� 5/31/78 <br />JKI <br />RVICE SINKS <br />UMPS -SEWAGE PUMP <br />RINALS <br />ATER CLOSETS <br />ATER HEATERS - ELECTRIC <br />I <br />ASH BASINS <br />I <br />AUNORV THAVS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEEL�i�E <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCV PANCV GROUP <br />t ELLING <br />UNITS <br />BUILDING <br />S 1,800.00 <br />181 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />PIgE ZONE <br />BASEMENT <br />FIRESPHINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />--T <br />PENALTY <br />SEC. 3031A1 <br />1 <br />TOTAL <br />I <br />181 00 <br />PERMIT VALIDATION 1-I i t� 11ta- <br />PERMIT PROPERLY VALIDATED II PAC 1 RMI <br />PER <br />YOUR RECEWT7 ' <br />' 1 THANK �� x-1 <br />ll <br />T <br />eIPLICAi10N ACCl PIEI, tlY <br />PLANS IARCItIP tlY <br />APPROVIBIOB ISWANCL tlY <br />eb <br />ALIUKUbS FILE_ <br />