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the Evergreen <br />r'%nRlt TrmI10%. §. .. <br />vV1�.7 1 fltJli 11liIY <br />CITY OF <br />everett <br />PERMIT <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 COMBINATION . BUILDING • MECHANICAL • PLUMBING <br />OWNER <br />MAIL ADDRESS <br />!II' 1•IIUNE <br />Klaus Fleisher P.O. Box 2152 <br />98206 <br />ARCHITECT OR DESIGNER MAIL ADDRESS <br />In <br />PHONE LICENSE NO. <br />GENERAL CONTRACTOH MAIL ADDRESS <br />PHONE <br />LICENSE NO. <br />R. S. T. CiACTO, P.O. Box 2157 98206 252-6666 223-01-RS TC 03 <br />DON Z <br />MECHANICAL CONTRACTOR MAIL AODRCSS <br />C <br />Judd & Black <br />PHONE LICENSE NO. <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />PHONE <br />. IT <br />Jay's Plumbing <br />LICENSE NO. <br />PERMIT <br />CLASS OFWORK <br />❑ COMBINATION <br />[BUILDING ❑PLUMBING ❑MECHANICAL <br />EkNEW <br />❑ADDITION ❑ALTE9ATION ❑REPAIR <br />VALUATION OF WORK <br />S 53�800.00 ❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE 140RK <br />Construct single family residence <br />PROPOSED USE <br />Single family residence <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />TYPE OF EN ERG V <br />❑GAS <br />LOT 13 BLOCK _ OFGranada Seaview Estates Div <br />- <br />❑ELEC. <br />NO. TYPE OF EQUIPMENT <br />1 <br />FEE <br />AIR COND. UNITS-H.P. EA. S <br />_- <br />1 REFRIGERATION UNITS-H.P. Eq. <br />BOILERS-H.P. EA. 1 <br />U 35-29-4 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />Joe ADDRESS <br />\ <br />SOUS Escen :-Drive Q1 jLU 1U� LLJ <br />SPACE &WALL HEATERS -B.T.U. <br />_ UNIT HEATERS-B.T.U. <br />PLUMBING <br />,. EVAPORATIVE COOLERS <br />— <br />CLOTHES DRYERS <br />VENTILATION <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />RANGEHOOD <br />BATH TUB$ $ <br />AIR HANDLING UNIT -C.F.M. <br />CLOTHES WASHER <br />DISH WASHERS 1 0 <br />WATER HEATER <br />DRINKING FOUNTAINS 1 <br />FAC. BUILT FIREPLACE &CHIMNEY I <br />FLOOR DRAINS I <br />GAS. SYSTEM: NO OP OUTLETS 1 <br />KITCHEN SINKS & DISP. I <br />SUBTOTAL S-16 <br />BAR SINKS <br />ion <br />PERMIT <br />ROOF DRAINS - RAIN LEADERS <br />_7 <br />I©U <br />- <br />SHOWER BATHS <br />I <br />TOTAL FEE 5---�' <br />I <br />THIS PERMIT BECOMES NULL ANO VOID IF WORK OR ONS UC <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 HIVE 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 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />I <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />^ <br />_ <br />LAUNDRY TRAY$ <br />1 o <br />8 <br />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 />A 7 <br />� ---(� RAC1 <br />SIGNAT UIIEDFCONTRACTORORAUTH.AGENT GAT <br />— <br />I <br />SUB TOTAL <br />r <br />PERMIT $ <br />70 TAL FEE <br />WATER SERVICE SIZE 3 �� BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REARVARDSETBACK <br />PLAN CHECK NVb1BER <br />-1 <br />7�1 <br />251 <br />PLAN CHECK FEE <br />-USE <br />251 <br />78/461 <br />FEE RECEIPT NO. <br />97.50 32152 <br />ZONE <br />LOT AREA <br />VACANT SITE <br />R-S <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />r.'rE ❑NO <br />NO. OF DWELLING <br />FEES <br />VALUATION <br />FEE <br />V N <br />UNITS <br />I <br />SIZE OF OLDG. <br />NO. OF STORIES <br />MAX, OCC- LOAD <br />BUILDING <br />S <br />I <br />54'6"x56' <br />1 <br />53,800.00 <br />1951 00 <br />PLUMBING <br />331 00 <br />FIRE ZONE BASEMENT FIRESPRINKLERS <br />yes DYES MO <br />1 <br />MECHANICAL <br />19 1 00 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />1 <br />- <br />PENALTY <br />TOTAI -.. --- - - <br />SEC. 303(a) <br />I <br />I <br />247 I 00 <br />PERMIT VALIDATION <br />I tJ PHUPI HI \ VAL.IDAT - <br />ED IIN 1I11:�:PAC Ur 5 5 PE I'I�'IT <br />RECElPr�PI'IICFTIUNU THANK <br />IIIY' <br />Yn45 OIECKLUBV: <br />APPPOV❑1 FOII ISS11RIRtpy <br />K Yo <br />eb I <br />t <br />I <br />n ••r 7Y <br />