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[{u Evergrcen . <br />��TY°F f'7NSTRUCTION - <br />everett PERMIT PERMIT NO. � 9070 <br />253-8745 <br />❑ DEMOLITION ❑ COMBINA710N �] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWN[R MAILAODRE55 CITV 2iP PHONE <br />Orlo Williams 4417 Crescent Ev2rett, WA 98203 252-7923 <br />APC111TEC10BOESIGNER MRILApDRE55 f.ItY pIP pHONE <br />GENERAL WNiRAGTOF MAIL ApORE55 CITY <br />Z�P PHONE IiCENSE � <br />Xame Same <br />n�ECHANICntCONTRACTOR MpILApDRC55 GiY plP p�10NE LICENSE� <br />FLUM9INGCONTR>CTOR MPILAOOflE55 pITY ZIP PHONE LICENSE� <br />� NEW ❑ ADDITION <br />S 172,195 <br />� ALTERATION ❑ REPAIR O DEMOLITION ❑ BUILOING RELOCATION <br />Construct new 6-unit apartment <br />HEaTSDURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />1y & 3u 789 Everett Div. A <br />�or _ o�ocK _ or <br />3306 Ho; <br />PLUMBING <br />NO. <br />Ave <br />( W4TEflCLOSET�TOILET� <br />( �ATHTUB <br />( LAVATORY�WASN BASIN� <br />SHOWER <br />( KITCHEN $INK 8 DISP. <br />( DISHlVASMER <br />LAUNORYTRAY <br />1 CLOTMES WASHER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEPS <br />ROOF ORAINS — RAtNLEADERS <br />SINK �SERVICE — BAR ETC.� <br />10 <br />use zor�e <br />R-4 <br />TYPE OF CUNST <br />V-N <br />512E oF OLDG <br />V-N <br />FIRE SPRINNLERS R <br />4PPlIUT10NALC OY <br />SH <br />ITEM <br />SUB�OTAL <br />PENMIT <br />TOTAIFEE <br />iR SET��CN <br />20 <br />f PR[n <br />6,000 sf <br />CUP/.NCYGROOP <br />R-1 <br />OPSTORIES <br />R-1 <br />] YES � NO <br />WS CMECNEO �Y <br />Be <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME 1'O GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PRO�/ISIONS OF ANY OTHER <br />STATE OR�OCAL LAW REGULA ING �ONSTRUCTION OR <br />THE PERFfi)qMANCE OF CO TR TIONf, O <br />SIGNATURg�K! CONinnCtOR. nUt� IE�.AGE T.OR O�/� DniE <br />X �iSY / _ � �i / ,IL ! ��� -� <br />FEE NO. ' TVPE OF EOUIPMENT <br />3O OO A�C—AMN�LGUNITS—HP <br />3O OO �EFRIGERATIONUNITS—HP.EA. <br />.iO OO BOILERS—�TUMP <br />GAS FIREL` n C UNITS - � i.U. <br />3O OO FORCED AIR SVSTEMS — � T U M EA <br />SO OO WALLHEHTERS—B7.U. M <br />UNITHEATERS—�T.0 M <br />S OO EVAPORATNECOOLERS <br />1 CLOTHESDRVERS <br />( VENTILATION FAN <br />Fj RANGE HOOD <br />E WATER MEATER <br />WOOD STOVE <br />META� FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEP.T <br />HEATPUMP <br />GAS PIPING <br />EkHAUSTFAN <br />5� 155�� <br />SIOE `[i�ACH <br />5 <br />VACANT SITE <br />❑YES ❑NO <br />NO OF DWELLING UNITS <br />6 <br />Mn% OCC LOnO <br />6 <br />APPq f pH 16LIANCE �Y <br />He <br />PLAN CHECN NUAIBER <br />88/19870 <br />FEES <br />SUBTOTAL <br />PENMIT <br />TOTALfEE <br />RECEIPT NO. <br />472.55 97787 <br />FEE <br />FEE <br />BUILDING I S 172 ,195 895 <br />PLUMBING ZSS <br />MECHANICAL <br />n . �+ <br />iNfY�iilQfaiH3�Plan C ec16�c. aya��� 109 <br />STATE �UILDING SURCHARGE � 3 <br />STATEENEFGVSURCHARGE PW PC S 6.00 ZO <br />DRIVEWAYPERMIT � �— <br />Tora� CHECf; SS'6.50 1,284 <br />PENNIT VALIDATION <br />WHEN PROPERLV VALIpATEO (IN �lIi15 SPACE) TNIS IS YOUR PERh11T <br />�� <br />m <br />