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the Evergreen <br />CITY Of <br />everett <br />CITY HALL 2698745 <br />EVFRETT. WA 9B201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />everett <br />,,e <br />t•rvrve n <br />MAIL ADDRESS <br />ZIP PHONE <br />'O <br />ion 6413 <br />123th S. E. #49 98290 568-3341 <br />m <br />ARCHITECT OR OESIONER <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />Design <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />Z <br />ction <br />223-01-34691 <br />c <br />MECHANICAL. CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />9 <br />170 <br />m <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />m <br />01 <br />PERMIT <br />CLASS OF WORK <br />�I <br />91COMBINATb .1 <br />❑BUILDING ❑PLUMBING ❑MECHANICAL <br />�( NEW <br />❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />f 50.000.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Residential Construction <br />PROPOSED USE <br />MECHANICAL <br />S@11 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BOR ATTACH <br />FOUR <br />TYPE OFENERGY <br />❑ <br />GAS 7❑ELEC. <br />COPIES) <br />LOT 29-30 BLOCKO 6 bF Pinehurst <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND, UNITS-H.P. EA. <br />S I <br />Div. D E-8-28-5 <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />---'�- <br />_ <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />SPACE a WALL HEATERS - B.T.U. <br />2119 74th St. S. E. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />3.100 <br />VENTILATION_ FAN <br />_I <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />CLOTHES WASHER <br />2 <br />0 <br />WATER HEATER <br />I' <br />DISH WASHERS <br />DRINKING FOUNTAINS <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />FLOOR DRAINS <br />GAS. SYSTEM: NO OF OUTLETS <br />KITCHEN SINKS & DIS . <br />0 <br />SUB TOTAL $ <br />6.0Q <br />BAR SINKS <br />PERMIT $ <br />ROOF DRAINS -RAIN LEADERS <br />TOTAL FEE $ <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <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 />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN G THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER LED HEREIN <br />OR NOT, THE GRANTING OF A PER DOES OT RESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL HE PR VISIONS OF <br />_ <br />SERVICE SINKS <br />SUMPS <br />- SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS - ELECTRIC <br />WASH BASINS <br />LAUNDRY TRAYS <br />ANY OTHER STAT LOCAL LAW REOUL IND C NST RUCTION <br />OR THE PERFORM NC OF Cp STRUC N. <br />77 <br />� <br />X 5/18/79 <br />I <br />SUB TOTAL <br />PERMI': S <br />TOTAL FEE III <br />WATER <br />SERVICE SIZE BLDG. SUPPLY SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARDSETRACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />5 ft. <br />20 ft. <br />20 ft. <br />79/343 <br />FEE RECEIPT NO. <br />93.50 39378 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-2 <br />6000 sq. £t. <br />DYES ONO <br />FEES <br />VALUATION <br />_ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />- <br />UNITS <br />I <br />V-N <br />R-3 <br />1 <br />197.00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />BUILDING <br />S 50,000.00 <br />401 <br />1 <br />PLUMBING <br />_ <br />14. Q <br />-9 <br />FIHZONNE <br />BASE NT <br />IR.S ql v.LFR <br />R EOUI F'ED <br />3 <br />No <br />❑YE6. {]Nb <br />MECHANICAL <br />SEC. 303(4) <br />6. Q <br />SPECIAL CONDITIONS: _ <br />OTHER <br />I <br />PENALTY <br />TOTAL <br />•.� _ <br />Q <br />- <br />WTION <br />WHEN PROPERLY YAI IHnT ED (IN THIS SPACE) l I1I5 IS YOUR PERMIT <br />UR RECEIPT YOUR R�gbfg <br />Z <br />n 51k <br />HANK YOU; TkLANK YOI& <br />IN:AHMN%IIIL.I pm HY <br />SUQLKIIItlY <br />AWROV11) 1 nN ISti1IAM3 BY <br />c <br />a 16 MAY 19 l a' 1 6 UAY 19 <br />Ca <br />ADDRESS FILE <br />