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JBc <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598146 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION - BUILDING - MECHANICAL A PLUMBING <br />everett <br />OWNER MAIL ADDRESS lrr PM ictl <br />ongtrSGB-3341 <br />�c_tion 6413 123th S. E. A49 98290 CENSLL Nil <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE I.I <br />Design 1 <br />m <br />M <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE No <br />nstruction 223-01-34691 <br />Z <br />c <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />a) m <br />A <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />C <br />CT7 <br />J <br />PERMIT <br />®COMBINATION <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />RjC NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 50.000. OO <br />A <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Residential Construction <br />PROPOSED USE <br />Sell <br />MECHANICAL _ <br />TYPE OF ENERGY <br />❑GAS :❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT 29-30 BLOCKO & bF Pinehurst. <br />Div. D E-8-28-5 <br />110. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND, UNITS-H.P, EA. <br />S I <br />REFRIGERATION UNITS-H.P, EA. <br />EA. <br />I <br />.BOILERS-H.P. <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />2119 74th St. S. E. <br />SPACE & WALL HEAfERS - B.T.U. <br />_ <br />UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS _ <br />.00 <br />VENTILATION FAN <br />RANGE HOOD <br />3.00 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />CLOTHES WASHER <br />WATER HEATER <br />DISH WASHERS <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />GAS, SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />SUBTOTAL S <br />6. 0 <br />KITCHEN SINKS a1 CIS <br />2. <br />PERMIT $ <br />BAR SINKS <br />ROOF DRAINS - RAIN LEAUERS <br />TOTAL FEE $ <br />SHOWER BATHS <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />THIS PERMIT 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 AOAKDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. <br />I HEREBY CERTIFY HAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNl V THE SAME TO BE TRUE AND CORRECT. ALI. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN G THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER IEb HEREIN <br />OR NOT, THE GRANTING OF A PERMIT' DOES OT RESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL HE PR VISIONS OF <br />ANY OTHER STAT LOCAL LAW REUUL ING C NSTRUCTION <br />OR THE PERFORM NC OF Cp STRVC N. <br />r, <br />X 5/18/79 <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />LAUNDRY TRAYS <br />I <br />SUB TOTAL <br />PERMIT S <br />WATER <br />SERVICE SIZE BLDG SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />S1DE YARD SETBACK <br />5 £t. <br />STREET SETBACK <br />20 £t. <br />REAR YARDSETBACK <br />20 £t. <br />PLAN CHECK NUMBER <br />79/343 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />93.50 39378 <br />USE ZONE <br />R-2 <br />LOT AREA <br />6000 sq. ft. <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />6 O$ DWELLING <br />UNIT <br />1 <br />I <br />4— <br />BUILDING <br />$ SO OOO.00 <br />1 <br />187.00 <br />SIZE OF BLDG. <br />361 X 401 <br />NO. OF STORIES <br />1 <br />MAX.00C. LOAD <br />PLUMBING <br />14. 0 <br />FIRE ON <br />3 <br />HAS ENT <br />No <br />qEffTS_P _R D��Y�Da <br />❑YES ZINO <br />MECHANICAL <br />OTHER <br />_ 6. 0 <br />SPECIAL CONDITIONS: <br />1 <br />PENALTY SEC. 0001-I 1 <br />_l— <br />TOTAL <br />&Ant An <br />PERFMIPWILVIMTION <br />Will NPROPFill Y VAI IDPTEO 11N 71115 CPACEI II/1S I5 YOUR PE RMIT <br />UR RECEIPT Yc1UR R�E� <br />HANK YOU; 7NAINK Y01V' <br />_ <br />� <br />—--71 <br />-- <br />�_ - <br />� <br />�;a, = -- — <br />_-w- a <br />C� <br />S <br />rnfl rlppv I Am nnvin Non twlAwl Pr <br />