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the EVPFtJ/PI'll <br />CII"V Ifl <br />everett <br />CITY HALL 25911146 <br />EVERETT, WA nR201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PI womr\lc <br />. .._. 1 <br />.. ._.,.' <br />21f. <br />Dallas R. Olson Jr. <br />P.O. Box 607 Mukilteo, Wa. <br />98275 <br />355-3".34 <br />.tm IIITECI d1111E8il.r.l <br />M41L AUSRESS <br />.1 Rl. 1. CONTRACTOR <br />1'1/6NE <br />LICENSI <br />IIANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSI <br />',"TING CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSI <br />PERn1IT CLASS OF WORK <br />[3COMSINATION <br />BUILDING ❑PLUMBING ❑NIECHANICAL <br />❑NEW ❑A1101110N ❑ALTERATION ❑REPAIR <br />,I UATION OF WO11K <br />S 50,000.00 ❑DEMOI ISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE YlURK <br />Construct Single Fam:.ly Residence <br />PROPOSED USE <br />Single family residence <br />MECHANICAL <br />' <br />'. <br />IVPE OF ENI Iv❑OAS ❑ <br />NQI I Y PF OF EOUIPMENT <br />- <br />n i. i i• n r 1 A. <br />ELEC. <br />FEE_ <br />- <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR CppPIE51 <br />10 <br />LOT BLOCKOF Plat of Conifir <br />_- <br />S <br />.., H.P. EA.-T— <br />ILL II I' I A <br />L- <br />1 <br />-- <br />M 18-ZB-S <br />uRCED AIR SYSTEMS-B.T.U. PEA. <br />j �0 <br />JOB ADDRESS <br />336 91et Place S.E. <br />T—_ <br />SPACE & WALL /IEATERS - B.T.U. <br />_ <br />UNIT14LATERS-11.1.4. <br />----- <br />PLUMBING <br />T <br />3 1 00 <br />EVAPORATIVE COOLEP_S_ <br />1 <br />CLOTHES DBVERS - <br />]. <br />2 1 00 <br />_ <br />VENTILAT ION F AN <br />1 <br />RANGE HOOD <br />j I QQ <br />NO. <br />_ _ <br />TYPE. OF FIXTURE OR ITEM <br />FEE <br />AI" HANDLING UNIT C.F.M. <br />T <br />1 <br />BATH TUBS <br />-- <br />----- <br />-- <br />--- <br />_ <br />-------------"---"— <br />WATER HEATER___ _ <br />F_AC. BUILT FIREPLACE Er CHIMNEY <br />-- - - - - -- <br />OA6. SY STEM -NO OP OUTLETS <br />CLOTHES WASHER <br />" <br />DISH WASHERS <br />1 <br />1 <br />DRINKING FOUNTAINS <br />FLOUR DRAINS <br />I <br />sun TOTAL !1 13 100 <br />--___ PERMIT $ <br />TOTALFEE $131 DD <br />T111% PERMIT nE.COMES NULL AND VOID IF WORK OR CONSTRUE <br />LION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONS7 RUCTION OR WORK IS SUSPENDED On 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. ALI. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, TH GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUT11 ITV TOVIOLATEOR AL (C(T(ANCEL THE <br />PROVISIONS Of <br />ANY OR 1HE PFn nMAI'u(QI ` CONSTRUtI ON.An// ONSi/iUCTION <br />renmll a <br />A <br />i <br />I <br />WATER SERVICE 512E BLDG. SUPPLY SIZE <br />SGNAIU EDP CONTRACTO RA TI.AGEN rDA E <br />/ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />"FAR YARD SETBACK <br />PLAN CkVCK NUMBE II <br />IPIAN HECI FEE <br />61 <br />201 <br />201 <br />FEE BASIC I {EIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-1 <br />7632 Sq. Ft. <br />WES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GRDUP <br />R-3 <br />NO.OF DW LLINO <br />UNITS 1 <br />I <br />BUILDING <br />S 50,000.00 <br />187 1 00 <br />S12E OF BLDG. <br />Nd. 07 STORIES <br />MAX. OCC. LOAD <br />341x641 <br />1 <br />--- <br />PI_UMnING <br />22 1 00 <br />I TRY ZONE <br />3 <br />BASEMENT <br />none <br />FR S RI KL.R <br />REQUIRED <br />OYES ONO <br />MEClINNICAl_ <br />O71/ER <br />131 00 <br />,PECIAL CONDITIONS. <br />PENA'.1Y SEC. 3031s1 I <br />TOTAL - - - - 222 1 00 <br />�27Tj'*IOATIOVt 1 . <br />1' TTI"YUAII.II TIN I!; VI'llil, l'I f1mo. " <br />— <br />,N <br />�. <br />•� <br />RECEIPT Y�U,R RECEIP2 <br />N.K } I . P THANK YOU <br />'Ov �T' <br />_,. , <br />13ma72 <br />w Y <br />YOUR <br />—°-_"------ �11 <br />rtIN AC' If <br />�� <br />MI :IIILkIONY <br />V.C.. <br />NWIIIIVI I1111115511In <br />t <br />'' <br />