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the Everpeen ":ONSTRUCTION r•,^ evereti <br /> CITY OF f" PERMIT ' <br /> eve xett <br /> CITY HALL 2598745 ' <br /> EVERETT, WA OB201 COMBINATION • BUILDING • MECHANICAL PLUMBING <br /> OWNER nr PHONE -0 <br /> Jeff Larsen 1809-Mmili en 3"-3iq'fr 33?- 3a7 v n <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 3 <br /> GENERAL CONTRACTOR MAIL DDORLAS— PHONE LICENSE NO. Z <br /> Same D-272996 C <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. � <br /> In <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. (V <br /> PERMIT CLASS OF WORK O�) <br /> [](COMBINATION <br /> [](BUILDING [PLUMBING [MECHANICAL ,-1NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WORK I <br /> ❑DEMOLISH ❑FENCE ❑BION ❑SWIMMING POOL <br /> S 66,938.00 <br /> DESCRIBE WORK <br /> construct Duplex <br /> PROPOSED USE MECHANICAL <br /> two unit dwelling <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY <br /> FOUR COPIESI ❑OAS ECSC. <br /> ❑ <br /> LOT 36A BLOCK—OF Fairview Heights NO, TYPE OF EQUIPMENT FEE <br /> AIR COND.UNITS-H.P.EA. S I <br /> REFRIGERATION UNITS-H.P.EA. <br /> BOILERS-H.P.EA. I <br /> L/M 6-28-5 FORCED AIR SYSTEMS-B.7.U. MEA. <br /> I <br /> JOB ADDRESS SPACE a WALL HEATERS - B.T.U. <br /> 630 A 6 B 60th STREET S.E. UNIT HEATERS-B.T.u, I <br /> EVAPORATIVE COOLERS <br /> PLUMBING 2 CLOTHES DRYERS F Ino <br /> VENTILATION FAN <br /> 2 RANGE HOOD 1 <br /> NO.I TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- c I M. <br /> BATH TUBS I <br /> CLOTHES WASHER -41 nn WATER HEATER <br /> DISH WASHERS 1 FAC. BUILT FIREPLACE a CHIMNEY <br /> DRINKING FOUNTAINS OAS. SYSTEM: NO OF OUTLETS <br /> FLOOR DRAINS SUB TOTAL 12 1 <br /> nn <br /> KITCHEN SINKS & UISP. <br /> PERMIT <br /> BAR SINKS - S <br /> ROOF DRAINS - RAIN LEADERS TOTAL FEE $ 100 <br /> SHOWER BATHS I THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF <br /> SUMPS - SEWAr,E PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WORK 13 COMMENCED. <br /> URINALS 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> WATER CLOSETS PLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> WATER HEATERS - ELECTRIC _ 1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> WASH BASINS a I nn OF WORK WILL BE COMPLIED WI rH WHETIIER SPECIFIED HEREIN <br /> LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DJES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE nR LOCAL LAW REGULATING CONSTRUCTION <br /> I OR THE PERFORMANCE OF CONSTRUCTION. <br /> 1 <br /> SUB TOTAL 1 16 00 <br /> PERMIT s 10/30/78 <br /> TOTALEno <br /> in9w/1.11A�1 �'� <br /> WATER SERVICE SIZE_ BLOC. SUPPLY SIZE SIGNATUREOFCONTRA RORAUTI/.AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REARYAROSETRACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 51 201 201 FEE RECEIPT NO. <br /> USEZONE LOT AREA VACANT SITE 78/639 110.50 34259 <br /> R-2 7988 sq. ft. Xp ES ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING 1 <br /> UNITS <br /> V-N R-1 2 <br /> SIZE OF SLOG. Ngo—.OF STORIES MAX.OCC. LOAD BUILDING • 66,938.00 211 100 <br /> 241x6OI 2 PLUMBING36 100 <br /> IR ONE BASEMENT IR SPRINKL RS — <br /> REQUIRED MECHANICAL 12 1 00 <br /> 3 none OYES [NO <br /> SPECIAL CONDITIONS:_ OTHER 1 <br /> _ I <br /> • - PENALTY SEC.303 ttll I <br /> r TOTAL - 259 100 <br /> PERMIT VALIDATION <br /> WIII NPROPERLY VAIIDATrO (II Illy PACj.?ArrijjI�MIj <br /> 1. , <br /> Fcn <br /> - <br /> YOUR RYECE11 <br /> W. <br /> U�Ufl1 IkNS OIFCkIU tlY •Mfl11Y111IPII 1?X�l YOU . , 71'-TANK YOU W <br /> V.C. ' . ; /� j <br /> AD4f1F&4. 5ikE. ___ 3 0 OG7 78 <br />