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the E�ergreen <br />e�erett ^, C �;�JSTRUCTI ON -� . _ _ _ �142 � <br />259 -8745 6�ERM1`� PERBAIT NQ: _ . <br />❑ DEMOLITION ❑ COMBINATION � BUILDING g] MECHANICAL �] PLUMBING ❑ SIGN <br />OWNEF MNLn00tiE95 CiiY ZIP PNONE <br />Steve Cox 5125 75th Ave NE Marysvill.e, WA 98270 059-1277 <br />ARCMITECiOR�E5IGNER ��AILAD�RE55 GrtY ZIP PMONE <br />�haner <br />MECH�NICnt <br />PLUMBINC COrviRACTCB <br />❑ NEW ❑ ADDI710N <br />/AWATION OF WORK <br />S 53,176.00 <br />)ESCRiBE K'OPN <br />New construction <br />+ear_ouacE <br />❑ Ff.ECTRICITY ❑ GA^o <br />>ROPOSE� USE OF DURDINJ <br />MAIL ApDflESS <br />❑ ALT:RATION <br />GTY <br />C�TY <br />CIfY <br />❑ REPAIR ❑ DEMOLITION <br />❑ VJOODSTO'�:' <br />Single family ��[skxekic� residence <br />.E( �L �ESC{i1PTIONOF PROFERTY �SHOW pELOW OR ATTACH FOUR COPIES) <br />�or BZgxo�ocK � <br />2112 Lexington Ave <br />PLUMBING <br />NO. ' TYPE OF FIXTURE OR ITEM <br />2 1NATER CLOSET �TOILEi) <br />1 BATHTUB <br />Z LAVATORV (WASH 6ASIN) <br />SHOWER <br />1 KIiCHEN SINK & DISP. <br />1 OISIiWASHER <br />LAUNDRYTRAV <br />1 CLOTHES�YFSHER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS - RAINIEADEFS <br />� SINK�SERVICE-BAR.E7C! <br />n <br />R-2 <br />TVPE OF CONST OC <br />{7-N <br />SIZEOFf1�pG NO <br />1176 + 2n4 gar <br />SUBTOI'AL <br />PERMIT <br />TOTALFEE <br />20` <br />�IiEn <br />6000 <br />:urnr�cv cncu <br />R- 3 <br />FEE <br />5� RU C <br />�S1 � - - <br />sl 4� C <br />SIf.E SFTBAI;K <br />5' <br />VACANT SIIE <br />�+'1xE5 INO <br />NG OF DWEIIING UNIi$ <br />1 <br />MA% OCC LOAD <br />NA <br />ncc nr r�nr+saiecKeonv I nvrn ron <br />Be <br />fLY <br />ZiP <br />ZIP <br />PMDN[ LIC. NS[ • <br />PMONE LICENSr r. <br />PHONE LIC[NSE> <br />❑ BUILDING RELOCATION <br />❑ OTHEA <br />I FIER[BY CERTIFY THAT� I HAVE REP.D AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAP�tE TO BE TRUE AND <br />CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COIAPLIED WITH <br />WHGTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME T9 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVIS�ONS OF AN'f OTHER <br />STATE LOCAL AW REGULATING CONSTRUC110N OR <br />THE ORMAN�OFCONSTRUCTION. <br />SIf.N� OFWNTR� �UTHORIZLDAGENi.OROWNEF O4T[ <br />x !/lG�'/J /-70�`J <br />MECHANICAL . <br />NO. TYPE OF EOUIPMENT FEE <br />A/C - �MNDLG UNITS - MP. <br />REFRIGERATION UNITS - HP. EA <br />BOILERS - B T.0 �H.P. <br />GAS FIRED A�C. UNITS - 8 T.U. <br />FORCFD AIR SVSTEMS - 9 T.0 1d EA. <br />VJALL HEATERS - B T.0 M <br />UNITHEATERS-�S.U. M <br />EVAPORATIVECOOLERS <br />], fLOTHES DFYERS 6 5� <br />Z VGNTILATIONFAN 1• �� 1 9 �'� <br />]. f7ANGEHOOD 6 S� <br />1 WATER H[ATER � {lOOO�1 ..•� H SO <br />WOOO STOVF, �LO ) � .5�.. <br />]. A1ET.4;FIREPLPCEBfHIM1�FiG 3� �� <br />FIREPLACEINSERT -Hp�ECH SSB. J <br />HEATPUMP fL��-CFT—��.�� <br />GAS PIPING B SRCH b� .. <br />E%MAUSTFAN E SSiCH �IS. U <br />PLAN CHLCN NUMf3t <br />Bf3/�1423 <br />FlUILDING <br />PLUA181NG <br />MECHANICAL <br />E4D ��7 <br />53,176 <br />304(e) <br />UOEIP7 Na. <br />00 19E99 <br />nn <br />FEE <br />43' S0 <br />9 00 <br />58 SQ <br />� 53 95 <br />ST�TE �UILDING SURCHAFlGE 3 S� <br />STATEENERGVSURCHARGE IS OO <br />nv <br />DRIVEN.'AY PERMIT 20 00 <br />707n� 623 45 <br />PERMIT VALIDATION <br />IVHE[N PROPERLY VAUDATEU ON THIS [I'n�Cl THIS IS YOUfl PERM'i <br />�7 <br />N <br />st- <br />� <br />N <br />