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the Evergreen <br />CITY OF <br />eve rett <br />CITY HALL 259 $745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />i <br />OWNER MAIL ADDRESS I'IIONL <br />Billy Bakko 2027 Virginia Everett, WA 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS YIIUNE LICENSE NO. <br />33 <br />3 <br />-i <br />GENERALCONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />General Home Services 6820 Rainier Av Everett 353-5060 GE-NE-RHS23ER8 <br />c <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />(J7 m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CD <br />N <br />PERMIT CLASS <br />❑COMBINATION <br />k]BUILDING ❑ PLUMBING ❑ MECHANICAL <br />OF WORK <br />[]NEW ❑ADDITION ❑ALTERATION ®REPAIR <br />VALUATION OF WORK <br />$8,000 00 <br />❑DEMOLISH ❑rENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Repair Fire Damaged house <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 />416 Plat of Capital Hill <br />LOT BLOCK_OF <br />So. 1 of Lot 13 and all of 14 <br />NO. <br />TYPE OF EOUIPMENT <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.V. MEA. <br />I <br />JOB ADDRESS <br />2027 Virginia <br />SPACE & WALL HEATERS - B.T.V. <br />UNIT HEATERS B.T.V. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- G.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUB TOTAL S <br />I <br />KITCHEN SINKS & DISP. <br />I <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE $ <br />I <br />SHOWER BATHS <br />�- <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />1 11EREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PRIVATION AND KNOW THE SAME TO OE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LAWS <br />OF WORK WILL RE 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 ER STATE LOCAL LAW REGULATING CONSTRUCTION <br />E OF CONSTRUCTION. <br />OR THEPERFORMANCE <br />/() <br />4-23-79 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />ICONSTRUCTION <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />- <br />1 <br />SUB TOTAL <br />PERMIT S <br />TOTAI EE SI <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE F CONTRACTOR OR AUTA. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK REAR <br />YARDSETBACK <br />PLAN CHEC NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />OYES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />BUILDING <br />$ 8,000.00 <br />48100 <br />SIZE OF BLDG. <br />NO. OF STORIES VAX. <br />OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />PEOUIRED <br />❑YES <br />ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />1 <br />PENALTY <br />SEC. 3031a1 <br />TOTAL <br />I <br />481 00 <br />- <br />WHEN PROPERLY VALIDLON <br />VA 51 �O ST64 p•_ILa <br />W RMITVALID VALIDATED II 1 PACE W 99 'e� RTrrtMIT <br />JT <br />YdU'R RECEIPT(D <br />THANK YOU._,-, <br />3 1 <br />NTLIGi1pN 11LT:EPIEDBY: <br />IL�NS CIIILRIUtlY. NY'UOVIIIfUP <br />I.5Ul1N(:F flY <br />ADn; <br />2 5 Ott 19. <br />