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the Evergmen ..ONSTRUCTION ' evereti <br /> CITY OF I^` PERMIT <br /> eve rett <br /> CITY HALL 2698745 . BUILDING • MECHANICAL PLUMBING .e <br /> EVERETT,WA 98201 COMBINATION <br /> OWNER MAIL ADDRESS ZIP I'110N1. <br /> Dolphin HOmes Inc. 18506 52nd West Apt. 10 Lynnwood 98036 776-7413 <br /> m <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Z <br /> DO LP HI @#LNQ c <br /> Same3 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSC NO. W <br /> C)l In <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. OO <br /> u <br /> PERMIT CLASS OF WORK <br /> ❑COMBIN ATION <br /> [BUILDING [PLUMBING 5JMECHANICAL [R*EW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WORK ❑DEMOLISH []FENCE ❑SIGN ❑SWIMMING POOL <br /> S 45,000.00 <br /> DESCRIBE WORK <br /> construt Single family residence <br /> PROPOSED USE MECHANICAL <br /> Bingle family residence TYPE OF ENERGY <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW BELDW OR ATTACH ❑GA9 ELEC. <br /> FOUR COPIES) Np, TYPE OF EQUIPMENT FEE <br /> LOT 7 BLOCK 1GPe is Plat #3 <br /> AIR COND.UNITS-H.P.E& S 1 <br /> ------------------ <br /> REFRIGERATION UNITS-H.P.EA. <br /> BOILERS-M.P.EA. 1 <br /> FORCED AIR SY 8TEMS-B.T.U. MEA. <br /> Q 12-28-4 1 <br /> JOB ADDRESS SPACE h WALL HEATERS - S.T.U. <br /> 310 77th Place S.W. UNIT HEATERS-B.T.U. 1 <br /> EVAPORATIVE COOLERS <br /> PLUMBINGCLOTHES DRYERS 31 00 <br /> VENTILATION FAN <br /> _ RANGEHOOD 31 00 <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. 1 <br /> BATH TUBS <br /> CLOTHES WASHER WATER HEATER <br /> DISH WASHERS 1 FAC. BUILT FIREPLACE b CHIMNEY 31 00 <br /> DRINKING FOUNTAINS GAS, SYSTEM: NO OF OUTLETS <br /> FLOOR DRAINS SUBTOTAL Ifil nn <br /> KITCHEN SIN a_S PERMIT f <br /> BAR SINKS TOTAL F 61 00 <br /> ROOF DRAINS - RAIN LEADERS <br /> T <br /> SHOWER BATHS THIS PERMIBECOMES NULL AND VOID IF WORK OR CO NSTRUC <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> URINALS I HEREBY CERTIFY THAT I HAVE READ ApIpEE�AMINED THIS AP <br /> WATER CLOSETS PLICATION AND KNOW THE SAME TOL�E YRUE AND CORRECT. ALL <br /> WATER HEATERS - ELECTRIC 100 PROVISIONS OF LAWS AND O MCNCES GOVERNING THIS TYPE <br /> 1 OF WORK WILL BE COMP I <br /> WASH BASINS TH WHETHER SPECIFIED HEREIN <br /> LASH DRY TRAYS OR NOT, THE O A OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORI VIO TE OR CANCEL THE PROVISIONS Of <br /> ANY )THE T O CAL LAW REGULATING CONSTRUCTION <br /> I OR TH FOR A E OF CONSTRUCTION. <br /> 1 <br /> SUB TOTAL <br /> PERMIT S _ -— 4.13/75 <br /> TOTAL E X <br /> WATER SERVICE SIZE BLDG. SUPPLY SIZE SIGNATURE OF TRACTORORAUI AGENT DATE <br /> SIDEYARDSETBACK STREFTSETRACK REARYARDSETBACK PLANCHECKNU REM LAN CHECK FEE <br /> ps45,000.00 <br /> RECEIPT NO. <br /> 61 201 201 79/167 .00 37303 <br /> USE ZONE LOT AREA VACANTSITE <br /> R-1 9600 Sq. Ft. ®YES []NO FEES LUATION FEE <br /> T <br /> TYPE OF CONST. OCCUPANCY GROUP UWO NITS DWELLING 1 <br /> V-N R-3 1 — <br /> SIZE OF BLDG. NO.OF STORIES MAx.OCC. LOAD BUILDING 172100 <br /> 261X421 1 PLUMBING 20100 <br /> FIRE ZONE BAS REQUIRED T RINKL R <br /> 3 yes E8NO MECHANICAL 161 00 <br /> SPECIAL CONDITIONS: <br /> OTHER I <br /> N PENALTY SEC.30J IN) 1 <br /> ,E r TO _ :� A 2 00 1 <br /> RMIT VALIDATION <br /> C SA W/IFN PROPERLY VAI IC ED(IN 1111t SPp il�$ 16 YTU PERMIT <br /> i <br /> - e- OUR RECEIPT OUR RECEIN <br /> ftjm 7HANK YOU THAN: YOC <br /> M �• <br /> APPUUJIO T:31 NY ANS 11111xL1)NY. AW"11V III HIII IIAl I AM.I NY 'I <br /> a <br /> ADDRESS FILE <br />