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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 />i <br />OWNER MAIL ADDRESS ZIP PHONE <br />J��tes Ca/�t=Phft 837— 7[FO8 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />.D <br />FIT <br />z <br />� <br />W <br />W m <br />cq <br />N <br />GENERAL CONTRACTJR MAIL ADDRESS PHONE LICENSE NO. <br />Pub�,R 6f GLYv __ 3 O-7CtdB <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT CLASS <br />[&CO MEIN ATIO N <br />❑BUILDING ❑PLUMBING []MECHANICAL <br />OF WORK <br />('ArJI NEW [I ADDITION ❑ALTEl:ATION ❑REPAIR <br />VALUATION OF WORK <br />e)600 /lJl <br />V�/ <br />S 7 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOURCOPIES) <br />LOT 3ZBLOCK—OF <br />-p y <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 />BOILERS-H.P. EA. <br />I <br />JOB ADDRESS <br />colb IJ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />SPACE &WALL HEATERS -B.T.U. <br />UNIT HEATERS-B.T.U. <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <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 />1 <br />WATER HEATER <br />DISH WASHERS <br />f <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT $ <br />-> 92 <br />BAR SINKS <br />f <br />-' <br />TOTAL FEE S ZZ ILY,% <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />Tit 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 />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OOF R NOT. HILL BE COMPLIED WHETHER SPECIFIED <br />E GRANTIINGOF A ERMITDOES 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 />,I <br />X % I <br />ROOF DRAINS - RAIN LEADERS <br />$ROWER BATH$ <br />1 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />f <br />WATERCLOSETS <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />I <br />I <br />SU13 TOTAL <br />%.G <br />S <br />PERMIT <br />TOTAL FEE <br />- <br />WATER <br />SERVICE SIZE It BLDG. SUPPLY <br />SIZE Lf�a� <br />SIGNA RED CO T A <br />, <br />ROR AU H. AGENT D T <br />SIDE YARD SETBACK <br />` �_ <br />USE ZONE <br />STREET SETBACK SETBACK <br />C��T- <br />LOT AREA <br />REAR YARDSETEACK <br />' ^�T <br />VACANT SITE <br />BYES [:]NO <br />PLAN CHECK UMBER <br />%/ / <br />_ PLAN CHECK <br />FEE' <br />G <br />FEE <br />RECEIPT NO. <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF OWELLI NG <br />UNITS 1 <br />_ <br />BUILDING <br />S�D .`� <br />n <br />11z IFi0 <br />SIZE OFBLDG. <br />SO Y,710 <br />FIRE ZONE <br />NO. OF STORIES <br />Z <br />BASEMENT <br />. r <br />/4o <br />MA%.00C.LOAD <br />FIR SPRINKLERS <br />REQUIRED <br />❑YES C1}NO <br />PLUMBING <br />/ OO <br />MECHANICAL <br />OTHER <br />) <br />Z-IQ <br />I <br />I <br />SPECIAL CONDITIONS: <br />PENALTY <br />SEC. 007(a) <br />_ <br />— _ <br />- <br />TOTAL <br />I <br />7j V <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />w <br />cn <br />B <br />APPLIJ1I0f1 A1.1a Y11.Il Ul <br />I'IN:Sl11jj LU11Y <br />APPIIOVfDf011.!MJANCf 11Y. <br />