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�,�°E�°�"�°��„ _ CONSTRUCTION __ <br />°"v°' PERMIT <br />everett <br />pTV HALL 259 8]45 <br />eveaerr,wn 9A201 COMBINATION • BUILDIPIG • MECHANICAL • PLUMBING <br />�WNEF M(1I� AUDIiLSS 211' f'IiON[ <br />Rob Lund 2812 Riverview 98203 355-0427 <br />AflCHITECT OR DESIGNEti MAIL ADOfiGSS PIiONE LICGNSE <br />ANICAL <br />��yC.COMBINATION <br />V•DUILDING �.] PLUMDING [�MECFIANICAL <br />S 54����.�� <br />SCRIBE WORK <br />Construct Duplex <br />)POSED USE <br />4tvo Unit Apartment <br />L <br />LU WD SC S341N2 <br />MlIILADDRE55 VFIONG LICENS <br />Mt11LADDRE55 P.•�IONE LICENS�� <br />�IEW ❑AU�ITION ❑ALTERl�TION ❑REPAIR <br />❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMWG POOL <br />LOT —_ BIACK_OF <br />S.P. 12C2 9 78; Lots 55 & 56, Plat of <br />Beverly Hil'�s Div. 3 U 6 28 5 <br />6420 :a s B Fleming Street <br />PLUMBING <br />WATER SERVICE S�ZE_ <br />SIDE V<.RDSETOACK 5 <br />5� <br />USE 20NE L <br />R-? <br />TVP[ OF CONS7 C <br />V-N <br />s¢e oF e�oc. n <br />36' x4`�' <br />FIRE ZOWE E <br />3 <br />SPECIAL �_ONUITIONS: <br />V� <br />— � <br />_� V <br />i <br />— �... C N <br />� A o <br />x� <br />�r,—�' <br />� �---� <br />-� m <br />, ��•o������� ������„�: „� <br />�X � � <br />�`+ BLDG.SUPPL'! SIZE + <br />'.ETSETBACK FiEARVAFOSETPACI <br />20' 20' <br />4RiA vncnr�rsire <br />�.O%Sl..�i SQ. ❑yES ❑NO <br />1PAPlCV GROUP NO.OF DWELLING <br />R-3 uNirs Z <br />everett <br />MECHANICAL <br />TVPE OF ENERGY <br />❑Gq5 ❑ELEC. <br />NO. TVPE OF EUUI�'MENT FEE <br />AIR COND. UNITS-H.P. EA. 5 I <br />REFFIGEHt.TION VNITS-H.P. EA. —� <br />�OILERS-H.P. EA. � <br />_ FORCED 41R SVSTEMS-B.T.U. MEA. —, <br />_ I <br />SPACE 2L WALL HEATERS - O.T.U. <br />VNIT HEATERS-(3.T.U. I <br />EVI�HORATIVECOOLERS _—� <br />9 CIOTHES Df1YERS (� I <br />AIR Hl�NDLING UNIT- CF.M. � <br />— I _ <br />WATER HEATER <br />FAC. BUILT PIREPLACE & CHIMNEV � <br />GAS. SVSTGM: NO OP OUTLETS —7— <br />—�_ -- SUp TOTAI 5 I <br />_ _ _ PERMIT $ � <br />TOTt1L FEE 5 � <br />l'HIS PF-f�Ml"i 6ECOMES NVLL AND VOID IF WOPK OR CONSTRVG <br />TION AUTFIOlti2[D IS NOT COhIMENCED WITHIN 120 OAVS, OF IF <br />CONSTRUCTION OR WORK IS SUSPENDEn OF A6ANOONED FOR A <br />PERIOD Of 720 DnYS AT ANY TIME AFTER WOfiK IS COMMENCED. <br />I NERE6� CERTIFY THAT i HAVE READ AN� E%AMINED THIS AP� <br />PLICATION AND %NUW THE SAME TO 6� TRUE AND CORRECT. ALL <br />P�OVISIOAIS pF LI�WS ANO ORDINANCES GOVERNWG THIS TVPE <br />OF WORK WILI �� COMPLIED WITH WHETHER SPECIFlED HEREIN <br />0(i NOT, TIiE GRl�NTING OF A PERMIT DOES NOT PRESUME TO <br />GNE AUTHOR'TY TO VIOLATE OR CANCEI. THE PROVISIONS OF <br />ANV OTHER S1AT[ UR LOCAL LAW IiEGUTATING CONSTRUCTION <br />OH THE PERFORMANC[ Of CONSI'RUCTION. <br />�!rG: NUMBCR PLAN CHECK FEE <br />�9�189 rEE Hd51C RECEIPT NO. <br />FEES VALUATION FEE <br />�F sroaies nnnx. oca �ono BUILDING 5 54,000.00 <br />1 <br />PLII N���, NG <br />M[NT FIHESPRINKLERS ._ <br />RE�UIREO <br />none n„�G �}�o nneciinN�cn� <br />OTHER <br />PENALiY S[C.3071a) <br />�OTAL <br />PERMIT VALIDATION � <br />WIiP.N PROP[FLY VALI�AT[D UN 1Ii15 <br />-�- S 018. 0 0- 3 <br />,,,,, ,,,,,-- ,„—�C! R R EC E I Pi � <br />r ��NK YO U ` <br />�. 3 <br />,�; j i,-:,a -- — — 1 <br />95j 00 <br />— r— <br />28j 00 <br />I <br />12i 00 <br />I <br />I <br />2ssi oo t j <br />�CEI T iI5 15 YOUR PERMIT S <br />�. <br />1fOUR REc:��R� % <br />7Fi .A..�lK '�Q.�.� <br />; ; • cn <br />' ' . 1 ' • <br />: 39�1� � i.=: <br />� <br />