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the Evergreen CONSTRUCTiO everett <br /> CITY OF �� pERMIT � � <br /> everett <br /> CIT� HALL 259�8745 . PLUMBING <br /> EVERETT, WA 9ezo, COMRINATION • BUILDING • MECHANICAL <br /> OWNER MAIL AODNESS ZIP PHONE � <br /> Dave Bea�s 3411 Kromer 98201 259-2980 m <br /> � <br /> ARCHITECT OR DESIGNER MAIL ADORESS PHONE LICENSE NO. 3 <br /> i' i <br /> GENERALCONTRACTOR MAILA�DRE55 PHONE LICENSENO. Z <br /> '� Sa111E C <br /> i 3 <br /> MECHANICAI CONiRACTOR MAIL ADORE55 PHONE LICENSE NO. W <br /> - � m <br /> PLUMBING CONTRACTOR MAII AODFi[SS PHONE LICENSE NO. � � <br /> � <br /> PEFMIT CLASS OF WORK � <br /> [.�RO MBIN ATIO N <br /> [,.kRU1LD�NG [,��LUMBING [��.'IEC1iANICAL f.1NEW ❑ADDITION ❑ALTERATION ❑REPAIP <br /> 7F3[ <br /> VALUATION OF WORK <br /> S S3�OOO.00 ❑OEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> Const-ruct single family residence <br /> PROPOSED USE MECHANICAL <br /> t Single Family Residence <br /> TYPE OF ENERGV <br /> LEGAI DESCRIPTION OF PROPERT V ISI/OW BELOW OR ATTACM ❑GAS ❑ELEC. <br /> FOUa COviE51 � NO. TYPE OF EOUIPMENT FEE <br /> LOT�_ OLOCK�OF qIR COND.UNITS-H.P. EA. 5 � <br /> i PEFRIGEPATION UNITS �M.P. EA. <br /> C•OII.ERS-I�I.P. EA. � <br /> FOflGEO AIH SVSTEMS-D.T.U. MEA. <br /> I <br /> JOB ADORESS 5�'�10E & WALL HEAT@RS - B.T.U. <br /> 3606 Friday Avenue UNIT HEAiER$-f1.T.U. � <br /> E V/1PURATI V E COOLERS <br /> PLUMBING L CLOTHESDtiVEPS 3 � <br /> VENTILATION FAN <br /> 1_ RANG[ FIOOD � <br /> NO. TVPE OF FIXTURE OR ITEM fEE nia r��nNDUNG UwT- C.F.M. <br /> BATH TUBS S I <br /> CLOTHES W�ISHER Z �OO WnTER HEATEA <br /> DISH WASHERS � FAC. BUILT FIREPLACE t4 CMIMNEV I <br /> DRINKING FOUNTAINS � GAS. SVSTEM' NO OP OUTLETS <br /> FLOOR ORAINS ���Q — Su0 7o7nL 5 I <br /> KITCHEN SINKS& DISP. ��.TV PEPMIT 5 <br /> BAR SINKS � - - -- <br /> ROOF DRAINS - RAIN LEADEPS i TOTnI. FEE S I <br /> SHOWER BATH$ TMIS �'ERh11T BECOM[5 NVLL AND VO�D IF WORK OR CONSTRUC <br /> SERVICE SINKS TION AVTHORI2ED IS NOT COMMENCEO WITHIN 170 DAVS, OR IF <br /> SUMPS - $EWAGE PUMP CONSTNUCTION OR WORK IS SUSP@NDED OR ARINDONEO FOq A <br /> � PFRIOD OF 170 OAYS 4T l�NV 71ME AFTER WORK IS COMMENCEO. <br /> URINALS I HEftE[7V CEIiTIFV THAi � IIAVE READ AND E%AMWED THIS AP <br /> WATEfi CLOSETS � PLICATION ANO KNOW THE SAM[ TO 0[ Tf1UE l�ND CORfiECT. ALL <br /> WATER HEATERS - ELECTRIC � PfiOVI510NS OF LAWS AND Of1DINANCES GOV[RNING THIS TYPE <br /> 3 WASH BASINS i OF WORK WILI 6L Wh1VLl[D WRII WMEiHER SPECIFIED HEREIN <br /> LAUNDRY TR/1VS �R NOT. THE GRl�NTING OF A FEFIMIT DOES NOT PRESUME TO <br /> — � GIVE AUTHORILY TO VIOLATE OF CANCf:L TNE PfiOVI510N5 OF <br /> ANV OTMER STATE OR LOCAL LAW ��EGUL/�TING CONSTfiUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> i <br /> SUB TOTAL � . � <br /> PEHMIT S 7 �% - <br /> TQTAL FEE X ,//� . - ���-F�� �!�J lO 11 78 <br /> JL-�_ i'c✓ . <br /> WATERSERVICESRE 3/4" RLDG. SUPPLVSILE 1" siGNniUii[o�CorviRnCTononnUni.nGENr DnrE <br /> SIDE VARD SET6AGR STREET SETOACK FCAR YAR�S[T9ACK PIAN CMECK NVM(3ER PLAN CNECK FEE <br /> FEE f�ECEIPT NO. <br /> 6' 20' 20�_ 7g/571 96.50 33250 <br /> USE ZONE Ln - q{,Ef1 VACANi SITE <br /> R-1 I RO00 SQ� £t. , �iEs ❑No fEES VALUATION E <br /> TVPE OF CONST. OCCUYANCY GROVP NO.OF DWELLING � <br /> UNITS <br /> V-N R-3 1 - i <br /> 512E OF OLDG. NO. OF STORI[5 MA%.OGC. LOAO BVILDING 5 rj3�QQ�.� 193 I �� <br /> Z PLVMl31NG ZB � OO <br /> FIREZONE . ❑ASCMENi FIHESPPINKLGNS � <br /> 3 yes R ❑YESEO �`l0 MECHANICAL ZS � OO <br /> i i <br /> SPECIAL CONDITIONS: OTtiER I <br /> •.� I � <br /> � . �T ' �� PENALTY SEC.90JIa/ <br /> � I <br /> � r ��� TOTAL � 236 � 00 <br /> _�.� �� O_ WI ��6VI411rID�F.U1���1�SP/�C������M� � <br /> � <br /> � � � �. <br /> ' -Y UR RE <br /> .� m--cR - CEIPt . . �OUR �6GrE1l7F-' <br /> - m � _ ' H A N K YC�U ' < T�i+�tK �f O U �-�► <br /> 6WUL/�TIOVPCC119IU .PNtiO1lL UHV nrr�nnv�uruniv,unuu uv <br /> f ! 1 + <br /> v.c: . � � , + t <br /> ADpRESS �ILE�l ,g ` � ' � i { � � � Ta <br />