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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 />OWNER MAIL ADDRESS LIP PI IONI:— <br />William E Strong 2908 21st Street 98201 <br />— <br />m <br />'m <br />_ _ _ <br />ARCHITECT OR DESIGNER MAIL ADDnE55 PRONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE ____ LICENSE NO. <br />Same <br />7 <br />z <br />C <br />W <br />m <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />C, J <br />00 <br />PERMIT <br />❑ COMBINATION <br />W)PUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITIOPI ❑ALTERATION 'N�T lyyREPAIR <br />VALUATION OF WORK <br />S 400.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />repair foundation and pour concrete slab 15'x25' <br />PROPOSED USE <br />single familyTYPE <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />�W61 _7 BLOCK 14 OF Ready Land Co. 1st Add <br />OF ENERGY <br />❑GAS ❑ ELEC. <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H,P. EA. <br />BOILERS-H.P, EA. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />2908 21st Street <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />�— <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />I <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />SUB TOTAL S <br />BAR SINKS <br />1 <br />PERMIT $ <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 ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 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 />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />%�%�78 <br />x <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />F <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />I <br />BUILDING <br />S 400.00 <br />5 1 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRE <br />REQUIRED <br />SPRINKLERS <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />PENALTY <br />SEC. 303181 <br />— <br />TOTAL <br />5 j 00 <br />--- --- <br />PERMIT VALIDATION <br />WHEN PROPE FLY VAL IDAT ED IIAI a1Q SPAC�'PE Ij <br />YOU R•'RECElPT000 <br />THANK YOU 00 <br />:. I PI I CATION ACLLPT ID BY <br />PLANS CEIL CKL ITHY r <br />ROVED EO itISSU AWE BY. <br />eb <br />ADDRE"• ( n'9i. 7R <br />