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tha Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />,,e <br />Jerry Fisher 2410 Walnut <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />GENERAL CONT RACTOR MAIL ADDRESS <br />W F -n_ Box 535 nohomish <br />M ECNANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />:IP PHONL <br />98201 252-8508 <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />98290 334-8668 RO BI NW E2 <br />PHONE LICENSE NO. <br />PHONE LICENSE NO. <br />lQL <br />Cn <br />N <br />v <br />m <br />M <br />9 <br />-1 <br />Z <br />C <br />3 <br />W <br />m <br />PERMIT <br />❑COMBINATION <br />[� BUII.DING []PLUMBING ❑ MECHANICAL <br />CLASB OF WORK <br />❑NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />N <br />VALUATION OF WORK <br />S 2,451.00 <br />❑DEMOLISH <br />[:]FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK -- <br />footing and foundation <br />PROPOSED USE <br />single family residence <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIESI <br />LOT BLOCK —OF <br />Sec 20, Twn. 29 Rge OS <br />TYPE OF ENERGY <br />❑GAS ❑cLEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />.AIR COND. UNITS-H.P. EA. <br />$ <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />1 <br />_ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />2410 Walnut <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRVE RS <br />VENTILATION PAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />CLOTHES WASHER <br />I <br />I <br />DISH WASHERS <br />WATER HEATER <br />DRINKING FOUNTAINS <br />, <br />FAC. BU ILT FIREPLACE &CHIMNEY <br />FLOOR DRAINS <br />, <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & OISP. <br />I <br />SUB TOTAL S <br />BAR SINKS <br />, <br />PERMIT $ <br />1 <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />I <br />TOTAL FEE S 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 />I HEAEOY CERTIFY THAT 1 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 />On NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OT14ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />lLdC•)" �OJI/ 11�KA_-IC;A../,u 10/17/78 <br />x �, <br />SE RVICC- SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATERHEATERS - ELECTRIC <br />, <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />SUB TOTAL <br />PERMIT $ <br />O TAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SFGNATURE 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 />LOTAREA <br />VACANT BITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />1 <br />SIZE OF BLDG. <br />NO. OF STDIIIES <br />MAX. OCC. LOAD <br />BUILDING <br />S 2451.00 <br />24 1 00 <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FI HESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />i <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />24 1 00 <br />PERMIT VALIDATION mz �r <br />WHEN PROPERLY VALIDATED (IN TIIIS M'ACI:I ippll, pL Fvy'(R/P E�RMIT <br />T�YV IK Y�{ I-" <br />,-, <br />i <br />1 <br />v 1 7AN 72 <br />I <br />I <br />gPPUCgTIUN qW@iEU tlY <br />PLRNS'NECXLU tlY. <br />gMPUV(0 fO111RUgNC[tlY <br />eb <br />ADDRESS F11_F <br />