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the Evergreen <br />CI1 Y OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING - MECHANICAL - PLUMBING <br />E <br />i <br />OWNER MAIL ADDRESS :'II' PHONE <br />Irja M. Hassinen 2120 Cedar, Everett, WA 252-0998 <br />.O <br />m <br />m <br />z <br />_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACT09 MAIL ADDRESS PHONE LICENSE NO. <br />Sound Building & Remodeling 252-8920 SO-um-DB-R283 <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />rn <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Q <br />CO <br />PERMIT <br />COMBINATION <br />BUILDING ❑ PLUMBING ❑ MECHANICAL <br />1 <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTEflATION IjREPAIR <br />'A <br />VALUATION OF WORK <br />$ 1,075 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WORK <br />Handrail, Repair Front Porch & Reroof Rear Section of House <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY [:)GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 11&128LOCK 397 OF Saint Nichols Add. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S �_ <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />1911 STATE STREET <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />I <br />EVAPOfl ATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />\ "NTILATION FAN <br />RANGEHOOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT— C.F.M. <br />RATH TUBS <br />S <br />I <br />CL"JTHES WASHER <br />I <br />HEATER <br />DISH WASHERS <br />I <br />_WATER <br />PAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUBTOTAL S <br />1 <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT S <br />BAR SINKS <br />ROOF DRAINS — RAIN LEAJERS <br />TOTAL FEE $ <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 I4ERE13Y CERTIFY THAT 114AVE 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 8/19 77 <br />SERVICE SINKS <br />SUMPS —SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS — ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />PERMIT $ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SI ATURE OF CONTRA TOROR AUTH. AGENT VATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYAROSETRACK <br />PLAN CHECK 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 GROUP <br />UNITS DWELLING <br />BUILDING <br />S 1,075 .00 <br />11100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />1 <br />FIRE ZONE <br />BASEMENT <br />FIRESPI KLERS <br />REQUIRE❑YES ONO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />( < <br />PENALTY <br />SEC. 8071n1 <br />TOTAL <br />it 100 <br />PERMIT VALIDATION 4 i 1 $At> <br />WIZEN PROPERLY VALIDATED (IN 1 PA CLI v <br />L <br />YOUR RKC!!Pf <br />THANK YOC. <br />, 1 <br />ADDRLSS FIl1 <br />