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0 <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 B745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />�e <br />everett <br />OWNER MAIL ADDRESS ZIP PHONE <br />gWDY —3402 W T M 98201 Z$11 252-6290 <br />ARCHITECT G MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />SAM <br />MECHANICAL CONTRACTOR MAIL ADDRESS PRONE LICENSE NO. <br />71 <br />m <br />3 <br />-i <br />Z <br />C <br />W <br />� m <br />Q <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICE14SE NO. <br />PERMIT CLASS <br />❑COMBINATION <br />BUILDING []PLUMBING ❑MECHANICAL <br />OF WORK <br />[I NEW ❑ADDITION ❑ALTERATION []REPAIR <br />VALUATION OF WORK <br />S 1000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WORK <br />RE ROCF' <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY 3A5 ❑ EIEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) ��yyuy�yy <br />LOT VXX BLOCKr WOF B1c822 EVE= DIV <br />A <br />10r 31 & 32 <br />NO. <br />TYPEOH.P. <br />FEE _ <br />EA. <br />AIR COND. UNITS-H.P. EA. <br />4 �.__ <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />Sect 30 TWP 29 RAIGE 5 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />3402 WE CRE <br />SPACE b WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />_ <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. I <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 />1 <br />FAC. BUILT FIREPLACE b CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />_ <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />I <br />-�-- <br />KITCHEN SINKS b DISP. <br />1 <br />PERMIT S <br />BAR SINKS <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 15 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 PO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />9-13-78 <br />t/ <br />SERVICE SINKS <br />SUMPS -SEWAGE PUMP <br />URINALS <br />WATERCLOSETS <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />I <br />SUB TOTAL <br />PERMIT <br />s <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />_ <br />SIGNATURE O FCON TR TORORAUTH.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 />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCV PA NCY GROUP <br />UNITS DWELLING <br />BUILDING <br />S 1000.00 <br />10.100 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />I <br />-- <br />i <br />I <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINK LESS <br />REOVIRED <br />❑YES ONO <br />MECHANICAI <br />OTHER <br />SPECIAL CONDITIONS: <br />--— <br />- <br />—_ <br />PENALTY <br />TOTAL <br />SEC. 303141 <br />I <br />10JOO <br />ee <br />WERNI TIVAUDAVI AL IUAI L11 11%2111'A(I till 14t-OMA911 <br />YOUR RECEIPT <br />THANK YOU <br />- <br />A 11"TIONACCEPTEOBY'. <br />PI.ANSUIECKLUNY. <br />AITRUVIOION I"LNXII BY <br />ADDRESS FILE <br />B <br />