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[he Evcmgreen '`°4' ��..ti� � �� � � �� � � � � � � <br />C!TY OF <br />ever�tic PERl1AIT PERMIT NO. _ ���' -' � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADOPE55 GIi1 21P PH04E <br />Mel E�cx;c Forrey 7531 Lower Ridge Rd. EverPtt 98203 353-4659 <br />TENANT MAILADDRESS CITY ZiP PHONE <br />nRCHITECTOR0E51GNER MAILAC�PE55 CITY 2iP PHONE <br />GENEPALCONTRACTOH MOALAODRESS CITY ZIP PHONE IICENSE♦ <br />Owner <br />MEGHANICFLCONTRACTOR MAILADDRE55 CITY Z;P PHONE LICENSEM <br />PLUMBING CONTRACTOR MAIL ADORESS CITV ZIP PHONE IICENSE � <br />CLASS � F WORK <br />&l NEW ❑ AD�ITION ❑ ALTERATION O FiEPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br />CONTfCT PERSON AND PMONE NO. IF OTHEP TNAN ABOVE <br />CONTRACT PRICE OF WOFK: S 8S$O.00 <br />DESCRIDE WOPK ANO SOUARE FOOTAGE INVOLVED <br />Construct garage <br />PliDPOSED USE OF 6UILDING <br />Garage <br />LEGAL �ESCRIPTION OF PROPENTY (SHOW BELOW OR ATTACH FOUR COPIES� <br />8 18 �x�s� Beverly Acreage R Tracts <br />lOT _ BLOCK - OF <br />JB A�OPESS <br />7531 Lower Ridge : <br />PLUMBiNG <br />NO. TYPE OF FIXTURE OR <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTflAV <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOYJPREVENTERS <br />ROOF DFAIIJS — flAINIEADERS <br />SINK (SEHVICE— BAR, ETC.) <br />20 <br />USE ZONE <br />R-2 <br />7YlF OF CONSiNUCiION ALLOWAOIE <br />V-N <br />SIZE OF BLDG <br />5%Z <br />OCCUPANCYLOAp <br />N/A <br />REASONFOfiSPRINHL[RS <br />APPLICATION NCC. BV <br />M.M. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />fiEAfl SETBACH <br />5 <br />LOT AREA <br />V-N <br />NOAF STORIES <br />1 <br />FIFE SPRINKLERS PEO'D <br />] VES E� NO <br />J. [9. <br />�—� <br />�� <br />�—. <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />A/C — A/HNULG UNITS — H.P. <br />FORCED AIR SYSTEPAS — B.T.U. M EA. <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS FIPING <br />E%hIAUST FAN <br />SUB <br />SIOE SETeACR PLAN CHECK NUMBER <br />5 & 10 a9�22a92 <br />VAC�NT SITE FEES <br />❑ YES � NO <br />�„a„=• rvOOFowetunGUrurs BUILDING <br />M-1 0 <br />PLUMBING <br />BASEh1ENT <br />❑ YES � NO MECHANICAL <br />NEIGHT�IA11!4TION OTHER <br />1:; <br />STATE BUILDING SURCHARGE <br />ST�TEENERGVSURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS rorn� <br />�in� <br />FEE <br />5 <br />IECI� �ji ��EIPTNO. <br />70.20 20671 <br />WHFN PROPERLY VALIDATED THIS IS <br />3 <br />111 50 <br />PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ^� `� i� !'; '� <br />ADDRESS FILE _ <br />�80 DAYS OR CEASES FOR MORE THAN 180 DAYS. - <br />