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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259874G <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />eve rett <br />,,e <br />OWNER - MAIL ADDRESS PHONE <br />Harold Thompson 1811 Walnut Ave. 93201 252-0861 <br />&$$Yx m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />1?.24-77�S <br />i <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Riverside Roof Company 1522 Walnut Avenue 252-7950 g2 VE RR <br />z <br />I,302TO C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />(A, m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />(D <br />Q <br />PERMIT <br />❑COMRIN ATION <br />❑ BUILDING []PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />cn <br />VALUATION OF WORK <br />S �; 9�6. �fl <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Hot built un roof over existing roof <br />PROPOSED USE <br />single family <br />MECHANICAL <br />TYPE OF ENERGY <br />❑ GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY !SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK --OF <br />_ <br />NO. <br />TYPE F EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB AOn RFSS <br />1811 Walnut Avenue <br />SPACE & WALL HEATERS - B.T.V. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES ORYERS <br />i <br />-� <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT-- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHER5 <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FONTAINS <br />U <br />I <br />- <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />— <br />SUB TOTAL S <br />I <br />KITCHEN SINKS & UISP. <br />I <br />BAR SINKS <br />I <br />PERMIT S <br />I <br />RCJF DRAINS - RAIN LEADERS <br />_ <br />I <br />TOTAL FEE S <br />I <br />SHOWEI BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF :CORK 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 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Check 054.07 8/11/77 <br />x <br />SERVI(,t SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />_ I <br />LAUNDRY TRAYS <br />I <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE S <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 YARDSEIBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />BUILDING <br />S 1,916.00 <br />20 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />i <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />I <br />) <br />SEC. 3031.) <br />I <br />I <br />- <br />TOTAL <br />I <br />20 I 00 <br />'ERMIT VALIUAI IUN <br />VHEN PROPERLY VALIDATED (IN THISSPACEI THIS IS.YOURPERNIT f_ <br />W <br />Cn <br />APPLICANT'S COPY <br />