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the Evergreen <br />CTV OF <br />E".v'eY'��Gt <br />25a-8745 <br />'� t�NST�UCTION � <br />PERMIT <br />� <br />PERMIT NQ. = 20`��� <br />❑ UEN�OLITION ❑ COMBINATION J�CBUILDING ❑ MECHANlCAL ❑ PL'JMBING ❑ SIGN <br />OWPER � M/.�LADpPE55 CItY Zlf' PHONE <br />A. �7ay Young 9325 - 234th SW Edmords 98020 546-6368 <br />ARCHITECfUR0E51GNeF MAIIAD�PE55 CIiV 21P PHONE <br />GE�[HRLCONTRACiOP MPILADDRE55 CITY ZIP PMONE UCENSEi <br />O..ner <br />MEpIRNICALCONTRRCTOF NAILFOOFE55 CITV IIP PHONE LICENSE� <br />1'LU�ABINGCONTRACTpp MAILAOORFSS CITV 21P M�.'^' IICENSE• <br />LLn55 OF WORN �yt <br />❑ NEW �7-ADDITION �}CALTERATION ❑ PEPAIR ❑ DEMOLITION ❑ BUILDIN. �ELOCATION <br />VA�U�iION LF WORN <br />5 4,SOO.CiO _ <br />o[=cr�ieE woaK <br />A1ter�Pation of studio apartment in loft, resulting in an increase of 1 housing unit _ <br />MENTSOURCE <br />❑ tLECTRICIT'! ❑ GAS ❑ WOGOSTOVE ❑ OTHER <br />4 unit iiwelli <br />LEGAL DIiSCRIPTION OF ➢POP <br />�0�6-2�e�o�K 488 <br />�oeaooa[ss <br />2314 Iiovt <br />PLUMBIIJG <br />f:[4 <br />TYPE OF FI%TUNE O <br />V/ATER CLOSET (TOLLET) <br />3nTHTUB <br />LAVATORY � WASH BASIN� <br />SH0IVER <br />KITCHEN SINK 8 DI�?. <br />DISHWASMEfl <br />LAUNDRYTRAY <br />CIOTHES WASMLR <br />UPINAL <br />DRIt�KING FOUNTAIN <br />FLOOR DRAIN <br />BACHFLCW PPEVENTEFS <br />ROOF URAINS — FAINLEADERS <br />SINH �SERVICE — BAR. ETCJ <br />SUB TOTAI <br />PERMIT <br />TOTRIFEE <br />rnoNrscroncn n[ansEroncn <br />20' 20' <br />l5E ZONE lOT APEA <br />R-3 6,000 <br />*.reovcor�sr � occuiavcven <br />_ � R-1 <br />512EOFp1DG NOOFSiOFIES <br />30'9x90'8 3 <br />FIFE SPRINKLERS REOUIREO ❑ YES ❑ I <br />APPL�CPTION9CC [IY PLANSCHEGNEI <br />JW <br />NTIACH t04li COPIE51 <br />f <br />5 <br />S <br />I HEREBY CERTIFY THAi I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ,4ND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NO� PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW rIEGULATING CONSTRUCTtON OR <br />TliE PERFORMANCE OF CONSTRUCTION. <br />9GNrlTUR[ OF CONT{iACiOR. AUTMORIZED 4GENT OR OK'NEN OATE <br />X <br />MECHANICAL <br />I'EE NO. TYPE OF E�' P� <br />S OO A��%—A'HNDLGUNI7S—HP <br />REFRI(:ERATION UNITS — K�� <br />_� <br />S OO �OILEI75—D.TJiHP <br />S OO GASFlREDAC UNITS—B.T <br />rj Q� FORCEO 41R SYSTEMS — � <br />_ \4AlL NEATEFS — p T U. _� <br />UNIT HEATERS — B T U <br />EVAPORATIVE COOLER$ <br />CLOTHESDFYERS <br />VENTILATION FAN <br />RnNGEHOOD <br />wATER HEATER � <br />WOODSTOVE <br />META! FIREPLACEBCMIMNEY <br />FIREPLACEINSERT <br />HEAT PU.VUP <br />GAS PIPI�G <br />E�(H�UST FAN <br />5' � 88x8H$8$ <br />VACANTSrtE <br />o YE5 x�,o <br />no ov owew <br />MA% OCC LOt <br />24 <br />[40TG: PERIIYT FEE DOUALED SINCE WORK WAS <br />PGRL•'ORbi�D BSFORG PERidIT ISSUEU. <br />SUBTOTAI <br />PENMIT <br />TOTALFEE <br />FEE <br />FEES <br />eui�o�Nc 1058x15 <br />PLUMBING <br />M:CHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />M EA <br />5 15,870.00 <br />Sec.3041e) <br />TOTAL I I <br />PERMIT VALIDATION <br />\YMEN PROPERIY VALIDATED pN THIS SPACE) TH1515 VOUR PERMIT <br />