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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />..wcn MAIL ADDRESS .'ir - PHONE <br />Allen Sandberg 1823 Sultunitt 98201 252-1217 <br />ARCI-RWCTOR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />In <br />n <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />ie Builders 7514 Juniper Dr. 353-2331 223-01-So Ll EB 3 <br />Z <br />2PD C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />O7 <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />N <br />co <br />PERMIT <br />❑ COMBIN ATION <br />R OUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />IV <br />VALUATION OF WORK <br />S 3500.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIOE WORK -- ' <br />construct garage <br />PROPOSED USE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 27-28BLOCK 353 OF St. Nicholas Add. <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERAI-ION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />1822 Summitt <br />PLUMBING <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <br />I <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <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 />DISH WASHERS <br />1 <br />DRINKING FOUNTAINS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />1 <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S1 <br />I <br />SHOWER BATHS <br />THIS PERMIT ❑ECOME.T 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 A13ANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 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 F.E 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 />(SU/ <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />L� <br />WATER CLOSETS <br />-I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />SUB TOTAL <br />PERMIT <br />OTA L FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />ENGNATUR O NTRACTORORAUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />78/677 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />14.00 <br />34668 <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 <br />NO. OF DWELLING <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />VAX. OCC. LOAD <br />BUILDING <br />S 3500.00 <br />28 1 00 <br />PLUMBING <br />SEC. 1011., <br />1 <br />-- I <br />I <br />1 <br />I <br />00 <br />FIRE ZONE <br />BASEMENT f113ESPRIKKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />PENALTY <br />TOTAL <br />PERMIT VALIDATION <br />WIILN PROPERLY VAL IDAI LO 11N TI113 SPACI I I IRS IS'YOUR PL RMII <br />to R RE %1RT, <br />THIK <br />0 Ji* <br />AFTLICATIONACCEPTEBRY: <br />PLANSLIIECMURY APPROVED <br />EB <br />FOR BUANW BY <br />ADDHFSS FILE <br />