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the Everg rely <br />CITY OF <br />everett <br />CITY HALL 76!1 S74b <br />FA EnETT. WA nBT)I <br />CONSTRUCTION everett <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />OWNLR MAIL AOUIII I: ZIP PHONL <br />Wm. Blandford 10433 23rd Pl. <br />ER <br />Z <br />� <br />IP <br />m <br />ARCHITECT OR DESIGNLH MAIL ADDRI '.' PHONE LIC NS' NU <br />GENERAL CONTRACTOR MAIL AUURI `.•. PRONG LICENSE NO. <br />0/Conner & Oehler 9210 Evergreen Way 353-7700 <br />MECHANICAL CONTRACTOR MAIL AOURESS PHONE LICENSE NU <br />PLUMBING CONTRACTOR MAIL ADDnESS PHONE LICENSE NO. <br />Robinson Plumbing 355-6171 <br />UI <br />CU <br />PERMIT <br />,�O�FCOMBINATION <br />1qp BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />XXNEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATIONOF WORK <br />S 35,000.00 <br />[]DEMOLISH ❑S10N ❑SWIMMING POOL <br />_ <br />DESCRIBE WORK <br />Construct duplex <br />PROPOSED USE <br />Two Unit Apartment <br />MECHANICAL <br />TYPE OF ENERGY <br />[]GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY [SHOW BELOW OR ATTAC/1 <br />FOUR 4FIE 1 <br />- 33 Pinehurst Div. D <br />LOT LOCK OF <br />NO. <br />TYPE OI_EOUIPMENT <br />FEE <br />_.__._ <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REF RIGERATION UNITS H P. LA. <br />—L <br />BOILERS H.P. EA, <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />2217 73rd Street S.E. <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS R.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />cwTHE$_unvEn_s <br />Sjrl !) <br />VENTILATION FAN <br />4. <br />RANGE HOOD <br />I <br />O. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />__ <br />_n u+ unNol wcuNll c.F.M. <br />_ <br />WATER HFATER <br />I At: BU11 I 1 IRFPLACE & CHIMNEY I <br />GAS SVST EM NO OP OUTLETS <br />SUBTOTAL S 3 0 I 00 <br />- PERMIT S <br />TOTAL FEE $ I <br />- <br />THIS PEFIM17 BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 170 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 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 />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Of' 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 T/IE PERFORMANCE OF CONSTRUCTION. <br />/Ci•—�� <br />AFT <br />BATH TUBS <br />CLOTHES WASHER <br />D <br />DISH WASHERS <br />DRINKING FOUNTAINS <br />FLOOR DRAINS <br />KITCHEN SINKS IN UISF. <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUM <br />_ <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />_ <br />WASH BASINS <br />LAUNDRY TRAYS <br />I <br />SUB TOTAL <br />PERMIT f <br />WATER SERVICE SIZE BLDG. SUPPLY SIZE <br />§I U LOF SNT nnc On ORAUTH. ENT DATE <br />SIDE YARD SETBACK <br />51 <br />STREETSETBACK <br />201 <br />REAR YARD SETBACK <br />201 <br />PLAN CHECK NUMBER <br />ggXygygg 77/63 <br />PLAN CHECK <br />AEE 75.50 <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />R-2 <br />LOT AREA <br />6871 <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />rL OF CONST. <br />V-N <br />i.'E OF BLDG. <br />inl. 20NE <br />3 <br />I CIAL CONDITIONS: <br />OCCUPANCY GROUP <br />I <br />NO. OS DW 6LLING <br />UNIT2 <br />I <br />_ <br />BUILDING <br />— <br />$38, 000. 00 <br />151.1t00 <br />NO. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />31100 <br />BASE i <br />I S 1 KL S <br />REOUI RED y�T NO <br />❑YES •1:l <br />MECHANICAL. <br />131OG <br />;— <br />I <br />I <br />OTHER <br />Varience Granted 10L3L7 <br />— ----- -- -- <br />PENALTY <br />TOTAL <br />SEC. 3031n1 <br />I <br />195 100 <br />W LIEN PROPT <br />. RI Y VAI IOATLU II! •Ivg.'+P AC I1LLTiMl_ <br />B <br />LI <br />YOUR RECEIPT, <br />THANK YOU <br />7boff 77 <br />i■ <br />I1 <br />