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the fvergreen �ONSTKUCTION ,...,. ,_,,. everett <br /> "T�°F '�` pERMIT <br /> everett <br /> CITY HALL 259�8'!45 <br /> FVERETT,WA yazo� COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNEfl MAIL A�DRESS 21P PHONE <br /> William W. Burch 8041 Florida Drive 98203 353-2334 m <br /> � <br /> AFCHITECTORDESIGNER MAILAOOFESS PHONE LICENSENO. 3 <br /> � <br /> GENERALCONTRACTOR MAILAODFE55 PNONE LICENSENO. Z <br /> Same C <br /> MECHANICAL CONTRACTOR MAIL AODRESS PHONE LICENSE NO. 3 <br /> W <br /> � m <br /> PLUMBING CONTRALTOR MAIL ADDRE55 PHONE LICENSE NO. ,(� � <br /> Q <br /> PERMIT GLASS OF WORK � <br /> �COMBINATION <br /> �BVIL�ING ❑PLVMBING ❑MECHANICAL <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAI'.i <br /> VALUATION OF WORK <br /> $ 59�000.00 ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> Move reaidence from 9907�i 7th Avenue to 8041 Florida Drive <br /> PROPOSED USE MECHANICAL <br /> LEGALDESCRIPTION OF PqOPERTY ISHOW BELOW OR ATTACH TVPE OF ENERGY <br /> FOVRCOPIES) ❑GAS ❑ELEC. <br /> LOT 3 BIOCK S oF Beverly Park NO. TVPEOF E�UIPMENT FEE <br /> AIR CONO. UNITS-H.P.EA. $ I <br /> REFRIGEFATION UNITS-H.P. EA. <br /> DOILERS-H.P.EA. � <br /> FORCED AIF SYSTEMS-B.T.U. MEA. <br /> I <br /> JOB ApDRESS SPACE & WALL MEATERS - B.T.U. <br /> ' 8041 Florida Dxive uNir r+enTeas-a.r.u. i . <br /> EVAPORATNE COOLERS <br /> PLUMBING CLOTHESOPVERS i <br /> VENTILATION FAN <br /> � RANGE MOOD 3 I OO <br /> NO. TVPE Of FIXTURE OR ITEM FEE AIR HnNDLING UNIT- C.F.M. <br /> BATH TU85 S I <br /> CLOTHES WASHER � WATER HEATER <br /> 1 DISN WASHERS � � <br /> FAG. BUILT FIREPLACE F CHIMNEV � <br /> DHINKING FOUNTAINS � GAS. SVST[M: NO OP OUTLETS <br /> FLOOR DRAINS i <br /> KITCHEN SINKS& DISP. i SU�TOTAL S (� I OO <br /> BAR SINKS � _ PEHMIT S � <br /> ROOF ORAINS - RAIN LEADERS TOTAL FEE 5 ( I OO <br /> SHOWER BATHS THIS PERMIT BECOMES NULL AND VOID IF WOPK OR CONSTRUC- <br /> SERVICE SINKS TION AUTMORIZED IS NOT COMMENCED WITHIN 120 DAVS,OR IF <br /> SUMPS-SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A <br /> � PEftIOD OF 120 DAYS /1T ANV TIME AFTER WORK IS COMMENCED. <br /> URINALS I HEHEBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP� <br /> WATER CLOSETS ,_ � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> WATER HEATERS - ELE�iRIC Z � O PROVISIONS OF LAWS AND ORDINANCES GOVEPN�NG THIS TVPE � <br /> WASH BASINS (> 1 OF WOpK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ` LAUNDRV TRAYS OR NOT. TME GRANTING OF A PEFMIT �OES NOT PRESUME TO <br /> GIVE AI�THORITV TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANV OtHER STATE OR LOCAL LAW REGULATING CONSTRUCT�ON <br /> � OR TI1E PERFORMANCE OF CONSTPUCTION. � <br /> _ ' <br /> SUB TOTAL <br /> � PEf1MlT S � j lY����B <br /> T TA L FEE �� <br /> C <br /> WATERSERVICESIZE BLOG. SUPPLVSIZE SIGNATUFbJFCONTHAG FOFAUTl .AGENT DATE � <br /> SIDEYApDSETBACK STREETSETBACK REAFVAFDSETBAC PLANCNECK NUMBER PLANCMECKFEE <br /> ZO� FEE REGEIPT NO. <br /> US�ZONE LOT AREA VACANT SITE <br /> R-1 22352 Sq• Ft. �i1Es ❑No FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP UNIT�S OWELLING I <br /> V-N R-3 1 <br /> SI2EOF BLDG. NO.OF STORIES MAX.00C. LOAD BUILDING $ S9�OOO.00 ZOS I OO <br /> 30'x60' 1 pLUMBING ZO � �0 <br /> ( FIFE20NE BASEMENT FIRESPRINKLEflS <br /> 9 none R �VESEO �10 ��ECMANICAL ( I �0 <br /> SPECIAL CONOITIONS: OTHER � <br /> I <br /> ouse to be ut '�zed explicitaly for single pENALTY SEC.303(al i <br /> � 'f�[nily purpose � � No Business/Commercial <br /> � rorn� � <br /> . yr2nturas�o 'be rmitted on premises. ' 00 4 i <br /> .- �) P A ATION . � � ' t .,t <br /> T_,�. WHENPROPERLV.VALi[JATE�IINTHISSPACEII' S15�1'OUpP�1bIlT • <br /> .. 4 • • � � t�� <br /> x '. `" ti.R RECEIPt �Q9 <br /> �- "' , � hif�I�K YOyJ , ���� Y�� <br /> AYnI.ICN1pNP�� Pl Y'. YL SLIIfIXLONV. PPPqOV1O�011l.l"•WNCCPY j� � � ' � � .L� <br /> 1 <br /> C �- � - v.c. ; � 8�.. ��l0 �� _,t ] � �!-. '��.•i� <br /> ' ADDRESS FILE _ i�. _ _�_` '_. : <br />