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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598146 <br />EVERETT. WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />_...-_.. mn IL nUURC55 <br />ZIP - PHONE <br />Sherstad & Williams, Inc. P.O. Box <br />419 Kirkland, 98033 827-0494 <br />To <br />ARCHITECT OR OE. SIGN[ H MAIL ADDRESS <br />_ <br />PHGNE LICENSE NO. <br />X <br />Same as above <br />3 <br />GENERAI CONTRACTOR MAIL ADDRESS PHONE LICENSE N0. <br />same as owner <br />SH-ER-SW-24613 <br />C <br />___ <br />MECHANICALCONTRACTOR L RE Se. N.PHONE LICENSE No <br />1141 H livE. <br />'K <br />REliable Sheet Metal <br />�.�] <br />PLUMBING CONTRACT OR-i�-�yaan�-'98��3-8�8E-�23�=634 <br />Er <br />C <br />ITI <br />TR dy Plumbing Drawer 52FrR <br />i NL L SE NO. <br />Iv11 <br />enoqualm LAST D65-888- 7V--223--02=T1=.DY-2_-_2,7L <br />RF cn <br />OF WO <br />❑COMBINATION <br />A <br />1213UILDING ❑PLUMBING ❑MECHANICAL <br />NEW <br />❑ADDITION ❑ALTE RATION ❑Ii EPAIR <br />VALUATION OF WORK <br />$ 29,850.00 <br />❑DEMOLISH ❑FENCE ❑SION ❑SWIMMING POUL <br />DESCRIBE WORK <br />Build new single family residence <br />PROPOSED USE <br />New home <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH <br />TYPE OF ENERGY <br />POUR Co"1 <br />Wellington Manor <br />GAS ❑ELEC. <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />LOT BLOCK —OF <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />-"-- -- <br />BOILERS H.P. EA. <br />1 <br />- <br />FORCED AIR SYSTEMS-B.T.11. MEA. <br />1 <br />8430 86th St. S.E. <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS A.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />0 -- <br />- <br />VENTILATION FAN�� <br />RANOEHOOD <br />E OF FIXTURE OR ITEM FEE <br />NO• TYPSATH <br />4 <br />AIR HANDLING UNIT C.F.M. <br />iU <br />CLOTHES WASHER <br />DISH WASHERS <br />I <br />- <br />_ <br />_WATER NEATER <br />T--" <br />DHI rnING FOUNTAINS <br />FAC. BUILT FIREPLACE & CHIMNEY _ <br />GAS. SYSTEM: NO OP OUTLETS <br />_ <br />1 <br />F..00R DRAINS <br />KITCHEN SINKS & IS. <br />1 <br />SUBTOTAL S <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />SHOWER BATHS <br />THIS PERMIT FIECOMES NULL ANO VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMCNCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF f29 DAVS AT ANY TIME AFIER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TG 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 />OH NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />SERVICE SINKS <br />SUMPS -- SEWAGE PUMP <br />URINALS - <br />WATER CLOSETS <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BASINS <br />1 <br />LAUNDRY TRAYS <br />1 <br />ANY OT',IER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF C STRIICTION. <br />b �F-�� <br />SUB TOTAL <br />PERMIT S <br />.— TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />ATURE OF CONT RACTO R TH. AGE T <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SE.TnACK <br />PLAN CHECK NUMIIER <br />PLANCHECKFEE <br />6/6 <br />20' <br />201 <br />77-599 <br />_ <br />FEE RECEIPT NO. <br />$63. 50_ t <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-1 <br />MES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />I 'CCU PAN9YGROUP <br />NO. OF DWELLING <br />— <br />V-N <br />I <br />UNITS 1 <br />V2E OF flLG6. <br />NO. OF STORIES <br />WAX. OCC.I.OAD <br />BUILDING <br />s 29,850.00 <br />127 00 <br />1311 SF <br />2 <br />10 <br />-- <br />1 <br />PLUMBING <br />— <br />'2 <br />IR OZ Nr— <br />BAS <br />-I KLE S <br />6 RED <br />3 <br />Yes <br />UIR <br />R ❑YESKIND <br />_ <br />MECHANICAL <br />_ <br />OTHER <br />I <br />16 100 <br />SPECIAL CONDITIONS: <br />1 <br />I <br />PENALTY <br />_ <br />SEC. 3031e1 <br />1 <br />—'----'--------'----• <br />TOTAL <br />16 6 1 0 <br />PERMIT VALIDATION <br />YOUR RECE10,1; <br />THANK Y,OV- <br />: 1 I. <br />1 5 sU 77 <br />