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0 <br />the Evergreen <br />CITY Or <br />everett <br />CITY HALL 259-3745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS .'W PHONE <br />Bob Greer <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE N.O. <br />7 <br />rn <br />-i <br />z <br />2560K C <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />James Gaffney Const 9502 19th AVE. S.E. 337-7608 223-01-JA ME SG <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />W <br />m <br />PLUMBING CONTRACTOR MAIL ADDI':ESS PHONE LICENSE NO. <br />PERMIT <br />COMBINATION <br />El COMBINATION <br />E3 BUILDING URLUMBING ',{MECHANICAL <br />CLASS OI' WORK <br />EW ❑ADDITION ❑ALTERATION ❑REPAIR <br />xx <br />VALUATION OF WORK <br />s 36000.00 El DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK - <br />construct Duplex <br />PROPOSED USE <br />TWO Family unit <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT_BLOCK—OF Cornwell Addition <br />W 12' Of 4 <br />NO. <br />TYPE OF EQUIPMENT <br />FEE_ <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />1 <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-O.T.U. MEA. <br />I <br />JOB ADDRESS <br />730 53rd Street <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS—B.T.V. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />_00 <br />VENTILATION FAN <br />ion <br />•1 RANGE HOOD <br />6100 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S 4 00I <br />CLOTHES WASHER <br />4'nQ <br />WATER HEATER <br />DISH WASHERS4 <br />i 00 <br />FAC. BUILT FIREPLACE &CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS _ <br />- I <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL S <br />irl <br />BAR SINKS <br />I <br />PERMIT S <br />I On <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE S <br />19too <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 HAVE READ AND EXAMINED THIS AP <br />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 />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />0 E PERFORMANCE OF CONSTRUCTION. <br />5/2/7B <br />--,C <br />SEHVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />4 00PLICATION <br />WATER HEATERS - ELECTRIC <br />I On <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />E <br />SUB TOTAL <br />I On <br />PERMIT S <br />3 100 <br />TOTAL FEE <br />WATER <br />SERVICE SIZE--BLDG. SUPPLY <br />SIZE <br />SI N TURF O RA TOFl R U I GE ATE <br />SIDE YARD SETBACK <br />51 <br />STREET SETBACK <br />201 <br />REAR YAROSETB CK <br />20' <br />P AN CHECK NUMBER <br />78/267 <br />P N C K FEE <br />FEE = RECEIPT NO. <br />63.50 29601 <br />USE ZONE <br />R-2 <br />LOT AREA <br />VACANT SITE <br />JRYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />= <br />NO. OF DWELLING <br />UNITS <br />I <br />BUILDING <br />$ 36,000.00 <br />145 1 00 _ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />31 00 <br />FIRE ZONE <br />3 <br />BASEMENT <br />REOUI RINKLERS <br />R QUISED ENO <br />MECHANICAL <br />OTHER <br />19 100 <br />SPECIAL CONDITIONS: <br />I <br />PENALTY <br />'SEC. 303(a) <br />I <br />-- <br />.TOTAL <br />I V LDATION ` ..ram <br />WHEN I'ROP`RI Y VALIQA FED (IN THIS SPACEI THIS15 YOU^ PERMIT <br />YOU7M,RNK YOI� <br />j60 <br />; r . <br />03 my 78 :: ► _ 3 W1! I$ ' <br />"' -- s7J <br />J-� '------- <br />-- n -• -THANK <br />ca <br />fALLON.N P1 1V <br />v w!� <br />G <br />I' UII I:KkU tlY: <br />I <br />3 <br />APPHOVEi"It'.':IIANGI IIY <br />K.C.eb <br />i=l E",D FSS rI LC <br />