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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 0745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />EJ COMBINATION ❑ BUILDING I I MECHANICAL <br />PERMIT NO. 06684 <br />L_I PLUMBING <br />OWNER MAIL ADORE55 —09I u.,'"I <br />ELLA PELKEY _1702 62nd at _)8203_ 353-3293 <br />ARCHITECT OR [:SIGNER MAIL ADDRESS CITY tP' PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECHANICAL CONTRACTOR <br />MAII 400RESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE I <br />SELF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHOIIE <br />LICENSE I <br />CLASS OF WORK <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WOK( <br />f <br />TIESCRIRE WORK <br />INSTALL 22.5 KW FURNACE <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR THORIZ 0 AGENT LATE <br />'X <br />LEGAL DESCRIPTION OF PROPERTY (SHUW BELOW OR ATTACH FOUR COPIES( <br />LOr BLO:K_OF <br />JOB ADDRESS <br />1702 62ND SIT <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY ASH BASIN <br />BOILERS — H.P. EA <br />SHOWER <br />GAS FIRED A UNITS — TONNAGE EA. <br />KITCHEN SINK S DISP <br />DISHWASHER <br />I <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B T.U. M <br />li <br />LAUNDRY TRAY _ <br />UNIT HEATERS — B.T,U. M <br />_ <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FL UNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE S CHIMNEY <br />SINK (SERVICE — BAR, ETC) <br />_ SUB TOTAL <br />SUBTOTAL f <br />0� <br />PERMIT f <br />PERMIT f <br />3 <br />00 <br />TOTAL FEE <br />TOTAL <br />FEE <br />8 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />FEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />TYPE OF OONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OOC. LOAD <br />PLUMBING <br />_ <br />--- <br />nn <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />I )YES []NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U SEC. 303 lal <br />— <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL , <br />8 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE( THIS 15 YOUR PERMIT <br />2213 <br />i.0 <br />YOUR RECEIPTS) <br />THANK YIU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPR. FJR ISSUANCE BY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />ADDRESS FILE <br />13so, 19 <br />