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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 9B201 <br />CONSTRUCTION <br />i^* <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • MUMBING <br />Ue <br />OWNER MAIL ADDRESS LIP i'HUNP <br />Paul Onecheim __ <br />ARCHITECT OR DESIGNER MAH ADonr-� PHONE LICENSE NO. <br />LICENSE NO. <br />m <br />z <br />C256QK � <br />W <br />m <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE <br />James Gaffney Const. C. Inc. 9502 19th Ave. S.E. 337-7608 223-01- JA ME <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CUIJTRACTGR MAIL ADDRESS PRONE LICENSE NO. <br />PERMIT CLASS OF WORK <br />®COMBINATION <br />®BUILDING ®PLUMBING 10MECHANICAL 21JEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />v ALUATION OF WORK <br />DEMOLISH ❑NCE ❑SIGN ❑SWIMMING POOL <br />90,000.00 ❑FE <br />S - <br />DESCRIBE WORK <br />Construct single family residence <br />PROPOSED USE <br />single family residence TYPE <br />MECHANICAL <br />OF ENERGY <br />❑GAS L EC. <br />NO. TYPE OF EQUIPMENT FEE.__-- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLDCK_OF <br />29 R e EFIM <br />PTtd SW4 of Sec 34, Twp , 9 <br />AIRCOND. UNITS-H.P. EA. <br />S _ <br />-mot -- <br />REF RI(iERATION UNITS-H.P. EA. <br />BOILERS-H.P.EA. <br />1 <br />S34-29-4 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />5 00 <br />JOB ADDRESS <br />5009 27th Avenue West <br />SPACE & WALL HEATERS - B.T.U. <br />1 <br />UNIT HEATERS-B.T.U.T— <br />_ <br />EVAPORATIVE COOLEPIS <br />PLUMBING <br />CLOTHES DRYERS <br />3 140 <br />_ <br />VENTILATION FAN <br />RANGE HOOD <br />DTI l!— <br />NO. <br />2 <br />TYPE OF FIXTURE OR ITEM <br />BATH TUBS <br />CLOTHES WASHER <br />FEE <br />S 1 <br />AIR HANULING UNIT- C.F.M. <br />- <br />WATER HEATER <br />1 <br />-1 <br />1 <br />DISH WASHERS <br />I <br />_ <br />FAC. BUILT FIREPLACE & CHIMNEY <br />GAS. SYSTEM: NO OP OUTLETS <br />I <br />DRINKING FOUNTAINS <br />' <br />1 <br />_ <br />FLOOR DRAINS <br />KITCHEN SINKS & DISP. <br />I <br />2 I <br />SUBTOTAL S 15 1 00 <br />PERMIT $ <br />TOTALFEE $i <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 15 SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS Al ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I 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 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 />LOCALI ANY OTHER STATE OR REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OFCONSTRUCT CONSTRUCTION. <br />% <br />S ATURE OF TRACT O i. AG NT DATE <br />AN CHECK FEE <br />rHECK NUMBER FEE RECEIPT NO. <br />FEE <br />78/517 103.50 32821 <br />FEES VALUATIOV FEE <br />I <br />BUILDING $ 90,000,00 QR2 1 OO <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />' <br />I <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />1 <br />URINALS <br />WATER CLOSETS <br />1 <br />WATER HEATERS - ELECTRIC <br />2 1 0 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />I <br />SUB TOTAL <br />In <br />PERMIT <br />S <br />TOTAL FEE <br />WATER SERVICE SIZE i/d/ BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />74' 25 251 <br />USE ZONE <br />R-2 <br />TYPE OF CONST. <br />V-N <br />LOT AREA <br />21751 S . Ft. <br />OCCUPANCY GROUP <br />I <br />VACANT SITE <br />RYES ONO <br />UNO. OF NITS DWELLING <br />SIZE (1F BLDG. <br />761x24' <br />NO. OF STORIES <br />1 <br />MAX.00C. LOAD <br />PLUMBING <br />'•SEC. 3031a) <br />32 I <br />I <br />15 1 00 <br />I <br />T, <br />j <br />FIRE ZO NE <br />3 <br />BASEMENT <br />yes <br />FIRE SPRINKLERS <br />R aUISED NO <br />MECHANICAL <br />OTHER <br />PEN ALTV - <br />SPECIAL CONDITIONS' <br />-• <br />TOTAL 314 1 00 <br />1 ATY v' ,ran `��i7'Pf�F1h11t <br />JC S <br />VQEN PROPErLY VALI AT�D ( SPA I <br />1iil�JR-RECEIK VQ IR RECE1Fi{-) <br />HANK YOU , WAK YOU <br />' t <br />I 1 <br />QQ <br />4 $f �V 1` T <br />2 <br />,. <br />— 7r 'S <br />1 <br />AYPLIUi10l "[MHY <br />ANS OI(CKLU HY <br />N <br />V.C. <br />APPIt0V(D10D1$UAWCL'aY <br />eb <br />