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the Evergreen <br />CITY OF <br />eve rett <br />CITY HALL 259874S <br />EVERETT, WA 18201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />,.e <br />evereit <br />OWNER MAIL ADDRESS ZIP PHONE <br />R.S. Brashear 3007 9st Street S.E. Everett 98204 337-3381 <br />m <br />p <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />--I <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />z <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />J�:, m <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />X�- <br />CD <br />PERMIT <br />❑COMBINATION <br />12BUILDING ❑PLUMBING []MECHANICAL <br />CLASS OF WORK <br />❑NEW []ADDITION ❑ALTERATION qjEPAIR <br />VALUATION OF WORK <br />$ 500.00 <br />❑ DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL' <br />DESCRIBE WORK <br />Box in Stairway <br />PROPOSED USE <br />apartment <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 19-2QILOCK8?.�—OF Everett Di <br />NO. <br />TYPED <br />FEE _ <br />AIR COND. UNITS-HH.P..P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />JOB ADDRESS <br />3424 Rucker Avenue <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />_ <br />I _ <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHESDRYERS <br />_T— <br />VENTILATION FAN <br />RANGEHOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UN T- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHEfl <br />1 <br />WATER HEATER <br />I _ <br />1 <br />T <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM. NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUBTOTAL S <br />KITCHEN SINKS & DISP. <br />1 <br />OAR SINKS <br />1 <br />PERMIT 8 <br />� <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE 5 <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 HEREBY CERTIFY TIIA7 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 />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 W CONSTRUCTION. <br />h`[' <br />X 5/18/78 <br />SIGNATURE OF CONTRACTOR OR'AUTH. AGENT DATE <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />- <br />WATERCLOSETS <br />1 <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />1i//? <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE _BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />UNITS <br />1 <br />BUILDING <br />B 500.00 <br />5 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAO <br />PLUMBING <br />I <br />— —�— <br />1 <br />1 <br />1 <br />T <br />1 <br />5 100 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLESS <br />REQUIRED ❑YES ONO <br />MECl/ANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(a) <br />_ <br />TOTAL <br />PERMIT VALIDATION S-� 4 ��� <br />WHEN PROPERLY VALIDATED (IN I�W.�t nCCI 1 t P[HA111 <br />YOVOR RECENT <br />. THANE: YOU <br />1 9 4AY 78 <br />— <br />------I­­ <br />MPIlr H0NACCFP1EUaT' <br />PLANSUIECKLOaY: <br />l <br />APPKOVtU rOIIC::UANCI RY <br />K.C.eh <br />ADDRESS FILE <br />