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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />i <br />OWNER MAIL ADDRESS ZIP I'ncva <br />Chester Smeland 1909 Walnut Ave. 98201 259-2654 <br />� <br />m <br />JJ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Robert C. Erickson 3205 Laurel Drive 259-6672 RO BE RICE 239 10 <br />z <br />c <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />w In <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />L' <br />PERMIT CLA55 <br />❑COMBINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW []ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />4,50000 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />$ <br />DESCRIBE WORK <br />Re -roof comp. - repair post & bea}r,foundation - repair back steps <br />PROPOSED USE <br />Single family residence <br />MECHANICAL <br />-- <br />TYPE Of ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHGW BELOW OR ATTACl/ <br />FOUR SOPLE�1 395 St. Nicholas <br />LOT •Ll 1 BLOCK -OF - <br />YPE OF EQUIPMENT <br />FEE __ <br />UNITS-H.P. EA. <br />S I __ <br />TION UNITS-H.P. EA..P. <br />EA.IR <br />]NO.ap <br />SYSTEMS-B.T.U. MEA.JOB <br />ADDRESS <br />Walnut Avenue <br />ALL HEATERS - B.T.U.1909 <br />ERS-B.T.V.IVE <br />COOLERS <br />PLUMBING <br />__ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.f.M. <br />BATH TUBS <br />CLOTHES WASHER <br />S <br />1 <br />WATER HEATER <br />I <br />�— <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />T <br />DRINKING FOUNTAINS <br />1 <br />OAS. SYSTEM, NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />_ SUBTOTAL 5 <br />I <br />KITCHEN SINKS & UISP. <br />I <br />PERMIT S <br />— <br />TOTAL FEE 5 I <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 />1 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 CANfEI THE PROVISIONS OF <br />OANY OTHER STATE OR LOCAL LAW R THE PERFO MANCE OF CONSTRUCTION... tING CONSTRUCTION <br />AURROF�WATER <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />I <br />1 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />1 <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />r3JCONTRA <br />OR UTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />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 />Wo UNITS DWELLING <br />I <br />BUILDING <br />S 1,500.00 <br />3200 <br />SIZE OF BLDG. <br />NO.OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />-- <br />MECHANICAL <br />OTHER <br />I <br />I <br />SPECIAL CONDITIONS: <br />PENALTY <br />SEC. 00301 <br />TOTAL 32 100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED II 1F7fA, 1 IT <br />YOU R RECEiPTr_ <br />' <br />- <br />APPLICATION AUCLPILD NY <br />PLANS CII[C6lU NY. <br />.11'I'11UV1 LIS511GNG(PY. <br />e.b. <br />