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the F,vigreen <br />CtT'r OF <br />everett <br />CITY HALL 259 U745 <br />EVERETT. WA 1b201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />,,e <br />OWNER MAIL ADDRESS ,f n' P/IUNL <br />Barbara Kirchberg 2407 Walnut 252-2872 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Daggett Const. Co. 2619 Harrison 252-7771 DA GG EA R339MP <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />3 <br />Z <br />C <br />9 <br />CD <br />m <br />f`) <br />PERMIT <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING [:)MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 2990.00 <br />❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br />DESLRIBE WORK <br />Insolation-partial roof -vents in attic <br />PROI'CSED USE <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 />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />1 <br />REFRIGERATION UNITS-H.P. EA. <br />_$ <br />BOILERS-H.P. EA. <br />I <br />_ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />2407 Walnut Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />CLOTHES WASHER <br />WATER HFATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />_ <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />BAR SINKS <br />PERMIT $ <br />ROOF DRAINS -RAIN LEADERS <br />I <br />TOTAL FEE $ <br />I <br />SHOWER 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS A <br />P LIGATIOICATIO N 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 P14ESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE nR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMAN::E OF CONSTRUCTION. <br />X 11/13/78 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS -ELECTRIC <br />I <br />ASIN WASH BS <br />I <br />LAUNDRY TRAYS <br />SUB TOTAL <br />$ <br />TOTAL FEE <br />TOTAL <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OFACTOROR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NU R <br />PLAN CHECK FEE <br />FEE RECE IPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION I_ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />I <br />BUILDING <br />$ 2990.00 <br />24 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />1 <br />1 <br />FIRE ZONE <br />BASEMENT FIRE <br />R <br />SPRINKLERS <br />EOUIRED <br />OYES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY R <br />SEC.003o) <br />I <br />TOTA'. <br />24 I OO ; <br />PERMIT VALIDATION 7 <br />well N I'ROP[RLY VALIIJ A'TEn UN TIOS SPACL l lll„ L YOUR PLRMIT <br />io,#*.: FEdEW n <br />TMAiy( YpJ) Iv <br />1 Q.� <br />I.' { <br />I I 1 <br />s - 1 ' tq► J$ �. i IV <br />— <br />-- <br />AILIGTIONACCH`UORY. <br />PLANSLYLCXHINY. M9'POYIDHIn <br />ISaIAW.BY <br />ADDRESS FILE <br />