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the Evergreen <br />CITY DF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />�e <br />OWNER MAIL ADDRESS ZIP <br />John W. Ahlquist 4724 Seahurst 252-4795 <br />rD <br />3 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑COMBINATION <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />[]ADDITION[]ALTERATIONWr� <br />❑NEW ADDITION ALTERATION }yxREPAIR <br />VALUATION OF WORK <br />$ 400.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Reroof composition <br />PROPOSED USE <br />single familvrpgillenc p <br />MECHANICAL. <br />TYPE OF ENERGY <br />[]GAS ❑ELEC. <br />LEGAL'IESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT S4 53 BLOCK —OF---M-a-Pl2 B-1 <br />NO. <br />TYPE OF EQUIPMENT <br />_ FEE <br />AIR COND. UNITS-H.P. EA. <br />I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />i <br />JOB ADDRESS <br />4720 Seahurst <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_ I <br />VENTILATION FAN <br />_ <br />RANGE 1/00D <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />__ <br />DISH WASHERS <br />I <br />_ <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTSET <br />FLOOR DRAINS <br />I <br />TOTAL S <br />j <br />KITCHEN SINKS & UISP. <br />1 <br />BAR SINKS <br />I <br />PERMIT 5 <br />_ <br />ROOF DRAINS - RAIN LEADERS <br />---� <br />TOTAL FEE S <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 THAT I IIAVE 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 OF CONSTRUCTION. <br />X B/31/7A <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I — <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE. BLDG� SUPPLY <br />SIZE <br />SIGN UR F ONTRAC R611A T i.AGENT DATE <br />RIDF YARD SETBACK <br />STREET SETBACK <br />REAR YARD SE TB ACK <br />PLAN C11EC UMBER <br />/ PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLINC <br />UNITS <br />1 <br />BUILDING <br />4 400.00 <br />5 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT FIRE <br />REOUI RINKLERS <br />R 0YES D <br />YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OT11ER <br />-- <br />PENALTY <br />SEC. 30314) <br />TOTAL <br />5 100 <br />PERMIT VALIDATION �rj " <br />1IR <br />WHLN PROPERLY VALIDATED (I rr nCLA II}I..O PERMIT <br />�RE'�'iE�• <br />tr�a:,z You <br />' <br />o t ±1SIi79 • <br />- <br />MWDU110NA=PTLD8Y <br />PLANS LIILCKLI) NY'. JAIVROWLIt011 <br />ISSIIANU fly <br />eb <br />ADDRESS FILE 1_ iz,' ... <br />