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the Evogreen <br />��N aF <br />everett <br />259-8745 <br />� CA"1NSTRUCTION+1 -- � <br />PERMIT <br />PERMIT NO. 2 O�� O <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADOPE55 CITY ZIP PHONE <br />Grea J. Killouqh 1813 MadiGon FverPtt wa ap�na �sa_sp�i <br />APCNRELTOROESIGNER MAi.A00RE5S CITY ZIP PHONE <br />GENENAL CONTRAGTOfl MAIL AOORE55 GITV 21P PMONE LICENSE � <br />Owner <br />MECHNWGALCONTflACTOR MAILH�DRESS dTY ZIP PHONE LICENSE� <br />PWMBING LONTFACTOR MAIL ADORE55 CITY ZIP PHONE LICENSE � <br />CLASS OF WOi�K <br />❑ NEW I� ADDITION ❑ ALTERATIDN <br />S 17,631.00 <br />OESCRIBE WOR% <br />Addition <br />MEATSOURCE <br />❑ ELECTRICITY <br />PFOPOSED USE OF DUI�OING <br />Single family <br />IEGNL OESCflIPT10N OF PFOP', <br />LOT21 BLOCK _ <br />�oenooaess <br />1813 Madison <br />PLUMBING <br />NO. lYPEC <br />� GAS <br />residence <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORY�WASHBA'. <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHIYASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTI <br />ROOF �RAINS — RAIN <br />$INK (SERVIC[ — BAR <br />USEZONE <br />R-1 <br />TVPE OF CONST. <br />V—N <br />srzeoFoioc <br />320ADD+44 <br />FIRE SPRINKLERS R <br />APPLICATION ACC. 9V <br />S.H. <br />N. BFlK <br />❑ HEPAIR <br />❑ WOODSTOVE <br />1R COPIES� <br />rlv Park <br />❑ DEMOLITIOIi <br />❑ OTHER <br />O BUILDIPJG RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION i+P:D KNOW THE SAME TO BE TAU[ AND <br />CORRECT. ALL PROVISIOiVS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOFK WiLL QF COMPLIED WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTINu OF A <br />PERMIT DOES NCT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR Cl1f'rCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LP.W REGULATING CONSTRI�CTION OR <br />THE PERFORMANCE OF-£.ON3�RNCTION. <br />SIGNhTURC�`,�CPNTRACTOF.IUTHORi2ED - r?bROWNEP ��TE <br />X '� �e���- �feC���"��t, 5_ �'�'_ <br />MECHANICAL <br />E OR ITEM FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. 11N1T5 — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHES DRVERS <br />VENTILATION PAN <br />RANGEHOOD <br />WATER HEATER <br />ERS WOODSTOVE <br />� METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL S <br />PEflMiT S <br />TOTALFEE S <br />�RSETBFCR SI�ESETBACK <br />20 6 <br />f AREA VACANT SITE <br />❑ves i3Wo <br />LUVANGYGflOUP NO.OFOWELLINGUNITS <br />R-3 1 <br />�AFSTOPoES MA%.00C.LOAD <br />1 N/A <br />❑ YES �L VJO <br />ANS CHECNED OV APPfl. FOR ISSIJANCE BY <br />B.E. I B.E. <br />SUB T iTAL ' <br />PEflMI �r <br />TOTA <br />PLAN CHECK NUMBEfl FE�'c� <br />88/20120 ,,,�s'f�0 <br />u�c� <br />FEES VALUATI( <br />BUIIDING 517�631 <br />PLUMBING <br />MECHANICAL. <br />97698 <br />FEE <br />C�' � 1 <br />INVESTIGATION FEE pldtl k�c.30a�e� 69 35 <br />STATE BUILDING SURCHARGE 3 S� <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL 256 85 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS VOUR PERMIT <br />� <br />N <br />e-- <br />O <br />C�.7 <br />i a:,: �,: � . . . <br />