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the Evernrcen CONSTRUCTION ' everett <br /> CITY OF , • � pERMIT � � � <br /> everett <br /> CITV HALL 259�6745 <br /> EVERETT, WA ,azo, COM(;INATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MAIL ADDFESS ZIP PNONE � <br /> Keith Revoir 4607 Forest Drive 252-4328 m <br /> � IARCHITECTORDESIGNER MAILADDRESS P���ONE LICENSENO. 3 <br /> "'� <br /> GENERAL CONTRACTOR MAIL ADDftF.SS PHONE LICENSE NO. Z <br /> Everett Builders 5606 Evergreen 47ay 353-7161 223-01/EU ER EB 301 PH C <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 <br /> W <br /> � m <br /> PlUM61NG CONTRACTOR MAIL AODRE55 PHONE LICENSE NO. ,A � <br /> � <br /> PERMIT CLA55 OF WOPK CD <br /> ❑COMBINATION <br /> �OVILDING ❑ PLUMUING ❑MECHANICnL <br /> ❑NEW �I�UDITION ❑ALTERATION ❑REPAIR <br /> VALUATION Of-WORK <br /> �3 SOO.00 ❑DEMOL�SH ❑FENCE ❑51(�N ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> 16 x 36 Addition interior work <br /> PROPOSED VSE MECHANICAL <br /> LEGAL DESCRIPTION OF PROPER7V �SHOW �[LOW OR ATTACH TVPE OF ENERGY <br /> FOURCOPIESI ❑GAS ❑ELEC. <br /> LOT 14 BLOCK—oF FOTESt Park Addition NO. TVPE OF E�UIPMENT FEE <br /> AIR COND. UNITS-H.P. EA. 5 I <br /> R[FRIGERATION UNITS-H.P. EA. <br /> �OI LERS-H.P. EA. I <br /> FORCED AIR SVSTEMS-B.T.U. MEA. <br /> I <br /> JOB ADORESS SPACE & WALL MEATERS - B.T.U. <br /> 4607 Forest Drive uNiT rienreas-e.r.u. i <br /> evnroanrivecoo�eRs <br /> PLUMBING c�oTries onveas i <br /> _l_ VENTILATION f-AN <br /> FnNGEHOOD I <br /> NO. TYPE OF FIXTURE OR ITEM EE /UR HANDLING UNIi- C.F.M. <br /> BATH TUBS S � <br /> CLOTHE$ WASHEFi � WATEfl HEATER <br /> DISH WASHERS � FAC. ftUILT FIREPLACE & CHIM1INEV I <br /> DRINKING FOUNTAINS � - oqS. SVSrEnn No ov oU7�E7s <br /> FLOOR DRAINS i -- ----- <br /> KITCHEN SINKS 2L UISP. i _ Suo TOTnL 5 <br /> BAR $INKS i PERMIT 5 <br /> ROOF DRAINS - RNN LEADEf�S � iorn� FeE 5 2 �DO <br /> SHOWER BATHS THIS PERMIT 138COMES NULL AND VOIO IF R'ONK OR CONSTFUC- <br /> SERVICE SINXS TION AUTHORIZ[O IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK IS SUSPENDEO OR A[3ANOONED FOF A <br /> � PERIOD OI° 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. <br /> URINALS <br /> WATER CLOSETS 2 I HERLIIV CERTIPV tHAi I HAVE REAO ANIJ E%AMINEU THIS AP� <br /> PLICATIOPI �1NfJ KNOW TRE 511ME TO ISE TRUE AND CORRECT. ALI. <br /> WATER HEATERS - ELCCTRIC � PROVISIOIJS OF LAWS i1NU OROINl1NCES GOVEftNING THIS TYPE <br /> 1 WASH BASINS zi OO OF WOflK WILL BL COMVLIED WIiH WHETHEft SPECIFIED HEREIN <br /> LAUNDRV TRAYS OR NOT, THF. GRl�NTING Of A PERMIT �OES NOT PFESUME TO <br /> i GIV[ AUTIiORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> /�NV Ol'HER STATE OR LOC/1L Ll�W REGULATING CONSTRUCTION <br /> � OFi TIiE PERFORMl�NCE OF CONSTRUCTION. <br /> I <br /> SUB707A� �� <br /> PERMIT $ --r— <br /> TOTAL FEE �- X <br /> WATERSERVICE512E E1LOG. SUPPLVSIZE SIGNl1T'Vfl[OFCONTql�CTORORIIVTN.AGENT oni <br /> SIDE VARD SET�ACK STf�BLI SET6ACK REAR VARDSETOl�CK PLAN CHEGK NUMI3ER PLAN CHECK FEE <br /> 6 feet 20 feet 20 feet FeE fiECEIPT NO. <br /> 78/749 39.00 35495 <br /> USEZONE LOTAREA VACANTSITE <br /> R-1 ❑vEs �]No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF OWELLING <br /> V-N g_3 UNITi —1- <br /> SIZE OF E3LDG. NO.OP STORIES MA%. OCC. LOAD 6UILDING 5 � <br /> 1G x 36 add'n 1 — — �"�,5nn_nn <br /> r�uMaiNc 6 p0 <br /> FIRLZONE OASLMFNi FIRESPiiINKLEFS <br /> REOVIF2ED I <br /> 3 ❑VES ❑NO MECHINICAL <br /> SPECIAL CONDITIONS' pTHER � <br /> _ I <br /> __ - PENALTY SEG3031a) � <br /> - — -� TOTAL 76 j00 <br /> PEFMITVALIDATION 6�f�� � Y:�����D �fv7T . <br /> WII[NPROPBRLVVALIUIITEDIIIi �'ACE I R <br /> _ YQ�k3 R R�C41�";: <br /> _ Y , rn <br /> nrri.rennan nccu��tu ur: vi.nnsurtcrcin ur. nrrnovrn iu��c:::unr�ct uv � �.:. . p .. ..:5�(1 <br /> y ` ; �- , ; �,-�i{.� <br /> 3 � � , �. ;�'' ' �.t' ,i <br /> tN . <br /> ADDRESS FILE ' <br />