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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2599745 <br />EVERETT. WA 90201 <br />CNSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�e,w <br />everett <br />OWNER MAIL AUU1tL55 CIP 1110NL <br />Joe Donnelly 4603 Seahurst <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS OF WORK <br />❑COMBINATION <br />❑BUILDING (PLUMBING ❑MECHANICAL <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />m <br />3 <br />1 <br />Z <br />C <br />3 <br />ca <br />G7 � <br />(� <br />r'1 <br />V7 <br />VALUATION OF WORK <br />$ <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />MECh ANicAL <br />TYPE OF ENERGY❑OAS ❑ ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK_OF__ - <br />JOB ADDRESS <br />4603 Se Dllur St Ave. <br />-- <br />-Na.TYPE <br />EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS N.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <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 />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SVB TOTAL $ <br />I <br />KITCHEN SINKS & DISP. <br />I <br />PERMIT $ <br />- <br />BAR SINKS <br />I <br />ROOF DRAINS -RAIN LEADERS <br />TUTAL FEE $ <br />1 <br />SHOWER BATHS <br />THIS PERMIT OECD"ES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF- <br />CONSTRUCTION Oil 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 OTHEFJ STATE OR LOCAL LAW GUI.ATING CONSTRUCTION <br />OR THaORM NC"C�CONSTRU <br />5/9/79 <br />X <br />SERVIVI CE SINKS <br />SER - SEWAGE PUMP <br />_ <br />URINALS <br />i <br />WATER CLOSETS <br />inn <br />WATER HEATERS - ELECTRIC <br />I <br />--1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />s <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE_ <br />SIGN OF CONTRACTORORAU GENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />BEAR YAROSETBACK <br />PLAR61tCK 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 GROVP <br />NO. OF DWELLING <br />UNITS <br />— <br />BUILDING <br />$ <br />1 <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA X. OCC. LOAD <br />PLUMBING <br />9 100 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />1 <br />SPECIAL CONDITIONS: <br />I <br />I <br />_ <br />PENALTY <br />SEC. 303(a) <br />- -- - <br />-- -- <br />TOTAL <br />- 1 <br />9 100 <br />PERMIT VALIDATION <br />WHENPROPERLYVALIOATEDHN NI PACE 111 114913 PL RMI� <br />YOUR RECEIPIo <br />YOU 0 <br />i <br />B '' lef�il9 <br />AFTLICATIUNACCEPTEUOY- <br />1PLAMMItCKEDBY <br />APPPOVLIItUf1ISSUa....v <br />ADDRESS FILE <br />