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the Evergreen <br />(CONSTRUCTION <br />everett <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS PHONE <br />Harrell Muller 2807 21st 252-5203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />R' <br />7J <br />5:_ <br />z <br />C <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Daggett Const. 2619 Harrison 252-7771 DA GG EA R 339MP <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />J BF <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CJ <br />PERMIT CLASS <br />❑COMBINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />g JMKX. 6675.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING; POOL. <br />DESCRIBE WORK <br />change garage to living room reroof refloor (Chip) <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BC .OW OR ATTACH <br />FOUR COPIES) <br />LOTi.7-18 BLOCK 10 or -Ready Land Co. 1st <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />2807 21St Street <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />_ <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />I <br />1 <br />T <br />VENTILATION FAN <br />RANGEHOOD <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 />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />SUBTOTAL S <br />_ <br />1 <br />KITCHEN SINKS & DISP. <br />L <br />PERMIT S <br />BAR SINKS <br />ROOF DRAINS — RAIN LEADERS <br />TOTAL FEE S, <br />I <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 A9ANOONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WOPK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND r_XAMINED 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 WHETHCR SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DO:S 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 />9/13/78 <br />X <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELEC?RIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />t_ <br />I <br />G <br />SUB T01'AL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATUREOFC N TO AUTH.AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSET3ACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />TYPE OF CO, ST. <br />LOT AREA <br />OCCUPANCY GROUP <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />UNITS DWELLING <br />BUILDING <br />S 6,675.00 <br />36 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />SPECIAL CONDITIONS: <br />OTHER <br />I I <br />I <br />PENALTY <br />SEC. 303(a) <br />TOTAL <br />36 100 <br />PERMIT Cnte A 1 <br />WHI,RMITV VALIDATION <br />VALIDATED II WfP1Y 31 r!C E U4.S�I@Y IIT <br />Cn <br />�W <br />f <br />APPLICATION RCCEPTEUtlY <br />PLANS LYICCKkb tlY: <br />APPHOVID f0111S5UANCl pV. <br />eb <br />DRESS NL'c ,._ <br />