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theEver9reen .= I CONSTRUCTION ._ ' � . . � <br />CITY OF PE,RMIT <br />eyerett <br />CITV HALL 259�8745 <br />EVEqEI"'., WA �azo, COMBINATiOfv • BUILDING • MECHANICAL • PLUMBING <br />OWNEfl MAIL ADDFE55 2 p p E <br />David A. Brandvold P.G. Box 3G66 9E�03 �'��`-113 <br />Same <br />❑COMBINATION <br />[��UILOING �PLUMBING [�MECHANICAL <br />270�000.00 I <br />IIBE WOiiK <br />�onstruct Three Four Plex <br />BP. AN DD A299QK <br />LICENSE NO. <br />OF <br />LBNEW ❑ADDITION ❑ALTERl+TION ❑REPAIR <br />❑�EMOLISH ❑FENCE ❑SIGN ❑SW�MMING POOL <br />12 Family Units <br />LEGAL DESCRIPTION OF PROPERTY (SHOW DELOW �F ATTACH <br />FOUR COPIES) <br />�or 4-5 9LOCK 13oF Pinehurst <br />except portion deeded to Washi:igtcn <br />S;:ate Highway Department. <br />XS-28-S <br />JOB ADDRESS <br />2527 Madison Street <br />PLUMBING <br />WATER SERVICE SIZE 2� BLDG. SUPPLV 512E_� <br />SIDEVARDSETDACK STREETSETBACK REARVAflDSETOi <br />i <br />$' 20' 20' <br />� USE 20NE �OT AREA VACANT SITE <br />�. R'3 {�'es ❑No <br />i TVPE OF CONST. OCCUPANCY GROUP NO.OF OWELLIYG <br />i v-r� g-i uN�rs 12 <br />i SIZE OF BLDG. NO. OF STORIES MAX.00C. LOAD <br />3-50'x36' 2 <br />� FIRE20NE � ' BASEMENT FIRESPRINKlEflS <br />� H � lIORE? :�EDUIRED <br />� ❑VES �NO <br />�Y ^ SPECIALCONDITIONS: <br />� � . . N <br />s <br />i <br />�� <br />� <br />m <br />MECHANICAL <br />TYPE OF ENERGV <br />❑GAS <br />AIR COND. UNITS—H.P. EA. <br />f1EFq�GERATION UNITS—H.P. EA. <br />DOILERS—H.P. EA. <br />FORCED AIR SVSTEMS—B.T.U. MI <br />SPACE & WALL N'cATEFS — B.T.V. <br />UNIT H[I�TER�—B.T.U. <br />CLOTHESDRVERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR Hl1NOLING UNIT— C.F.M. <br />WATER HEATER <br />FAC. Ol11LT �IREPLACE & CHIMNEV <br />❑ E LEC. <br />I5 <br />everett <br />v <br />m <br />� <br />� <br />-i <br />Z <br />C <br />TOTAL FEE 5� 96 � 00 <br />THIS PERMIT �ECOMES NULL AND VOID IF WORK OR CONSTFUC- <br />TION AUTHORI2EO IS NOT COMMENCE� WITHIN 120 DAVS, OR IF <br />CONSTRUCTION OR WORK IS SUSPEN�EO OF A�ANDONED FOR A <br />PEi110O OF 120 DAYS AT ANY TIME I�FTER WORK IS COMMENCED. <br />I NERE�Y CERTIFV THAT I HAVE READ AND E%AMWEO THIS AP� <br />PLICATION AND KNOW THL SAME TO f3E TfiUE AND CORRECT. ALL <br />PROVISIONS OF L11W5 AND ORDINANCES GOVERNING THIS TVPE <br />OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OF NOT, THE GRANTING OF A PEflM1T DOES NOT PFESUME TO <br />GIVE AUTNOftITV TO VipLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE Ofi LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x <br />si <br />PL <br />79/251 <br />FEES <br />eui�oiNc <br />PLUM�ING <br />MECHANICAL <br />OTHEfl <br />PENALTY <br />S -�._ �/�/6; <br />.AGENT OATE <br />PLAN CNECK FEE <br />FEE �.73.SS R��6�(�T�fVO. <br />371. 15 1�p8a7 <br />VALUATION FEE <br />$270,U00. <br />SEQ 8081a1 <br />n i r, n. ii n—.-t i <br />PERMIT VALIOATION �. <br />WHEN PROPERLY VALIOATED <br />12 RECEIPT � <br />',N`: YOU <br />�$,��J I9 <br />ADDRESS FILE <br />592 � 00 <br />—t— <br />168 i QO <br />96 � 00 <br />1 <br />I <br />I <br />806 i 00 <br />i � � <br />r I SPAC HI 3 qPERMI. <br />V <br />1'�UR RcCEIP7�;. <br />i!-f.ANK YOi� W <br />.. <br />I8��t7,� ; <br />