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the Evergreen <br />CITY OF CONSTRUCTION r� pn <br />everett PERMIT PERMIT N0: 21 389 <br />259-8745 <br />❑ DEMOLITION <br />F*COMBINATION ❑ BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />OWNER <br />Julia Walrond <br />3420 Wetmore Everett <br />98201 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />¢P PHONE <br />CITY <br />ZIP PHONE LICENSE <br />r- uPRAI CONTRACTOR <br />MAIL ADDRESS <br />Ave. <br />252- <br />2300H <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION RXALTERATION Or REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />E 14,000.00 <br />DESCRIBE WORK <br />Reroof, foundation work, drywall, 3/4 bath, chimney repairs <br />HEAT SOURCE <br />rl ...� Fl wnoDS7OVE ❑OTHER <br />LJ CLCI.I Ni VII . u --- <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />SFR <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />OF PROPERTY (SHOW BELOW OR A I PACH FOUR COPIES) <br />LEGAL DESCRIPTION <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />822 Plat of Everett Div A <br />LOT 21-2aLxK of <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />_� <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATE <br />� <br />X 1 <br />JOB ADDRESS <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />Cj <br />A - AMNDLG UNITS -- H P <br />WATER CLOSET (TOILET) <br />Fj <br />REFRIGERATION UNITS - HP EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - B. T.0 M P. <br />GAS FIRED A C. UNITS -- B T U <br />SHOWER <br />FORCED AIR SYSTEMS - B T.0 M EA <br />KITCHEN SINK & DISP. <br />WALL HEATERS -BTU M <br />DISHWASHER <br />UNIT HEATERS - B.T U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE 11000 <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT � <br />_�;I. <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />: <br />_ <br />v9 <br />no <br />PERMIT <br />S <br />PERM <br />TO7AL FEE <br />f <br />TOTA �FE� <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMFER <br />F vE F 4 <br />0.00 NO. <br />CHECK, $1 <br />7.50 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE _ <br />DYES LING <br />BUILDING <br />$14 QQQ, QQ <br />153 <br />00 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />OF OWELLMf. UNITS <br />PLUMBING <br />20 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX.00C. LOAD <br />MECHANICAL <br />11 <br />00 <br />INVESTIGATION FEE <br />Sec 304(e) <br />FIRE SPRINKLERS REQUIRED ❑ YES LINO <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />187 <br />50 <br />S.H. <br />PERMIT VALIDATION <br />WHEN Pi OPERLY VALIDATED (IN THIS SPAGLI I Hlo IJ TvL;R r�... <br />co <br />m <br />ADDRESS FILE <br />