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the Evergreen <br />CITY OP <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 9B201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER :.ail .'•UORESS II PHONE <br />Earl B. Hope 4715 Seahurst 98203 353-8605 <br />ARCHITECT OR DESIGNER MAIL ADDRESS P11ONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ted Morrison 6519 Olympic Drive 353-8605 <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADO RESS PHONE LICENSE NO.cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />M <br />.A <br />cio <br />Lo <br />PERMIT CLASS <br />❑COMBINATION <br />❑BUI'_DING ❑PLUMBING ❑NECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOLISH ❑FCNCIi ❑SIGN ❑SWIMMING POOL <br />S 11000•00 <br />DESCRIBE WORK <br />New Windows and siding <br />PROPOSED USE <br />TYPE <br />MECHANICAL <br />OF ENERGY ELEC. <br />❑GAS ❑ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW 011 ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />Sec 36 Twp 29 Rge 04 <br />NO, <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. _—�— <br />REFRIGERATION UNITS-H.P. EA. <br />BDILERS-H.P.EA. <br />I <br />JOB ADDRESS <br />4715 Seahurst Avenue <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />SPACE &WALL HEATERS - B.T.U. <br />_ <br />UNIT HEATERS-B: T.U. <br />I <br />EV APO HAT) V E COOLPAS <br />PLUMBING <br />- <br />CLOTHES DRYERS <br />I <br />----r <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE Ofl ITEM <br />BATH TUBS <br />CLOTHES WASHER <br />FEE <br />S <br />I <br />AIR HANDLING UNIT- C.F.M. <br />WATER HEATER <br />I <br />- <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SU0 TOTAL <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT 5 <br />BAR SINKS <br />I <br />__ <br />_4 <br />TOTAL FEE S I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHOR'!LD IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />ONED FOR A <br />PERIOD OFCONSTRUCT120J DAYS AT ANY TIME AFTER WORK IOR WORK IS SUSPENDED OR S COMMENCED. <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CCRRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPL <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 OT14ER STATE OR LOCAL CONSTRUCTION <br />OR THE PERFORMA CE OfCONSTRUCTION REGULATING <br />I <br />10/19/77 <br />�( <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />_�_ <br />1 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />It <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUR TOTAL <br />PERMIT <br />s/y�« <br />TOTAL FEE <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK STREETSETBACK REARYARDSETBACK <br />IGNATURE OFC TRACTORORAUTH.AGEIJT DATE <br />PLAN CHECK N BER 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 GROUP <br />UNO. OF DWELLING <br />NITS <br />I <br />BUILDING <br />$1 / 000 • 00 <br />10 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCG. LOAD <br />PLUMBING <br />LI —_ <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQ❑UIRED ONO <br />MECHANICALYtS <br />1 <br />I <br />1 <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />SEC. 303(e) <br />I <br />.. <br />TOTAL <br />10 IQ 0 <br />— <br />PrRM'T VALIDATION <br />WHEN PROPERLY VALIDATED 04 TOIPACESt4{Y LVfnM1,1 <br />I I I .• , <br />f' i�i�'7C ICCIi�CF.r 1� <br />o <br />' { THANK Y,OU 1c03 <br />- �y{� y7 <br />Q _ 7'fl LASE. / I <br />.— <br />AWLICATION ACCEPIED By <br />PLANS 6NtCKlUbY: <br />M'PRQ4L0 f OR1S. ACE BY. <br />e7J <br />ADDRESS FII_t <br />