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Ihe Evergreen <br />CITY OF <br />everett <br />259-8745 <br />r' C'�NSTRUCTION <br />PERMIT <br />PERMII' NQ: _. � S J O� <br />❑ DEMOLITION ❑ COMBINATION C� BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOORE55 CITV Z;P PHONE <br />Fransis E. Main 2607 Leonard �verett 98201 <br />ARCMITECTOq0E51GN[R MAILAOORESS CITY ZIG PHONE <br />GENERALCONTPACTOR MAILADDRE55 CIiY ZI� PHONE LICENSE� <br />Star Home Improvement Co. 5314 2nd Ave. S. Everett 353-9278 STARHIC177RB <br />MECNFNICRLCONTRAQOq AIAILAOpRE55 CITY ZIP PHONE �ICENSE� <br />PLUMBMG CONiRACTOR <br />MAIL <br />CLASS OF WORR <br />❑ NEW O ADDITION � Al7ERATION ❑ REPAIii ❑ DEMOLITION <br />VALUATION OF WORN <br />5 QrJ00..7� <br />OESCPIBE WORH � <br />Install Block Foundation <br />HEn*sauncE <br />❑ ELECTRICITY ❑ GAS ❑ WOOOSTOVE O OTHER <br />21P PHONE LICENSE� <br />O BUILDING RELOCATION <br />rn�.woo vx vr uuumu� <br />Sinqle family residence I HEREBY CERTIFY THAT : HAVE READ AND EXAPdINED THIS <br />��7+1 2 �K 7 <br />PLUMBING <br />TYPE OF �I%TURE OR <br />WATER CLOSET �TOILET� <br />OnTHTU� <br />LAVATORY �WASM ��SIN� <br />SHOWER <br />KITCMEN SINN 8 OISV. <br />DISHVlASHER <br />Li�UNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIPlG FOUNTAIN <br />PLOOR �RAIN <br />BRCKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC � <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />ITBACN PEARSET�ACN <br />20' 20' <br />R-2 <br />iVPE OF CONST <br />V—N <br />SIZE Of O�JQ <br />fOl1IlC{ <br />FIRE SPflINKLERS R <br />qoPLICpTION FCC pY <br />M.M. <br />LOTARE� <br />4500 <br />occuraNcvcr+0ur <br />R-3 <br />NO OF STORIES <br />1 <br />� G YES LS NO <br />PLPNS CMECn[0 Hv <br />B.E. <br />APPLICATION ANU KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED WITH <br />WHETHFR SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATt OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE F CONSTRUCTION. <br />Sir.N��iO�i[oGCONTnncro./aun�oPREdnGEM1�.ORJY/NER. �nTt <br />X.G'�,.�/a <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />A�C — A�HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA <br />BOILEFS — BTL MP. <br />GAS FIFED A C. UNITS — 8 T U. <br />FOflCED AIR SYSTEMS — �S U. M EA. <br />WALLHEATERS—BSL M <br />UNITHEATERS—BS.0 M <br />EVAPOf7ATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEATPUMP <br />GAS PPING <br />E%MAUSTFAN <br />� <br />S <br />f <br />siGE sErt�nCrc <br />5' <br />VACANT SITC <br />❑Y[5 �NO <br />�+o oF o�^euwc uwts <br />1 <br />Mnc OCC IOAD <br />N/A <br />niTfi FOf1155WNCE0Y <br />L. C. <br />87/18383 <br />FEES <br />�UILDING <br />PLU1.iBING <br />MECHANICAL <br />INVESTIGATIC/N FEE <br />SUBTOTAL <br />PEflMiT <br />TOTALFEE <br />FEE <br />��� <br />�1 � � � '`� <br />Sec.30d(e! :.'i <br />S7ATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE � <br />DRIVEWAV PERMIT <br />TOTAL A <br />PEPMIT VALIOATION ___— <br />WNEN PROPERLY VAl1�A?GD �IN TNIS tiPACE) iHi51S YOUR PERM17 <br />�r-i <br />m <br />c� <br />ac� <br />�--- <br />