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the Evergreen <br />CONSTRUCTION <br />LVC'YCn <br />CITY"' <br />everett <br />PERMIT <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 COMBINA,riON • BUILDING <br />MECHANICAL PLUMBING <br />OWNER <br />MAIL ADDRESS <br />s <br />'IP PHONE �� <br />Roger Danielson 10431 7th <br />OR DESIGNER <br />Avenue <br />MAIL ADDRESS <br />gA�na LIPHONEARCHITECT <br />PHONE NO. <br />GENERALCONTRACTOR <br />MAIL ADDRESS <br />-PHONE LICENSE NO. Z) <br />Same <br />cl <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />m <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PERMIT <br />CLASS OF WORK <br />' <br />EkROMBINATION <br />BUILDING [g PLUMBING MECHANICAL <br />❑NEW <br />❑ADDITION El ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S C) 000.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />construct work room and garage <br />PROPOSED USE <br />Single family garage <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LOT 1 BLOCK —OF Pete's <br />Plat <br />NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P. EA. $ I <br />REFRIGERATION UNITS-H.P. EA. —�— <br />BOILERS-H.P. EA. I <br />FORCED AIR SYSTEMS-B.T.U. MEAT <br />1 <br />JOB ADDRESS <br />SPACE & WALL HEATERS - B.T.U. <br />3.0431 7th Avenue <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />I <br />PLUMBING <br />CLOTHES DRYERS <br />i <br />V <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />{ <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />1 <br />- <br />CLOTHES WASHER <br />' <br />WATER HEATER <br />DISH WASHERS <br />I <br />PAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS__ <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />I <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS — RAIN LEADERS <br />I <br />TOTAL FEE $ <br />1 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />.� <br />SERVICE SINKS <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 />SUMPS — SEWAGE PUMP <br />URINALS <br />I <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 />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />I <br />WASH BASINS <br />I <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 />LAUNDRY TRAYS <br />ANY OTHER STATE OR LOCAL LAW REGULATING' CONSTRUCTION <br />I <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />7/20/78 <br />X <br />TOTAL FEE <br />WATER SERVICE SIZE BLDG. <br />SUPPLY SIZE <br />SMNACF ONT Rn1:T ROR AUT GE T DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REARYARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />78/447 <br />16.00 31918 <br />USE ZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />UNITS DWELLING <br />1 <br />BUILDING <br />$ 5,000.00 <br />32 100 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ONO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 3031a1 <br />1 <br />TOTAL <br />I <br />32,100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TINT I ACE) 11 1 U PERMIT <br />Y9UjR REgiPY <br />THANK YOUc, <br />APPLICATION ACCEPTED BY: PLANSCIIECKLO BY: <br />APPROVED FOR ISWANCF BY. <br />I <br />F V.C. <br />K.C.eb <br />7 <br />ADDRF'iS <br />FILi .ti . <br />