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, � , <br /> rheEvergreen COJ�ISTRUCTION � � ;' <br /> everett <br /> "T� °F r" PERMIT � <br /> everett � <br /> CITV MALL 759�8745 <br /> EVEFETT, WA �azo, COMBINATION • BUILDING • MECHANICAL • PLUMBING � <br /> OWNEF � MAII AODRESS 21P PHONE <br /> Helen M. Johneon 2417 Pine Street 252-4867 � M <br /> ARCHITECT OR DESIGNER MAIL ADOR[55 PHONE LICENSE N0. 3 � <br /> i <br /> GhNERALCONTRACTOR MlILADORESS PHONE LICENSENO, Z �, <br /> Donald Willita 2417 Pine Street 252-4867 C r <br /> MECHANICALCONTRACTOR MAIIqD�RE55 � <br /> PHONE LICENSE NO. 3 <br /> � � <br /> � m <br /> PLUM8ING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Q � i <br /> l.� i <br /> PEFMIT CLASSOFWOFK N j <br /> ❑COMBINATION <br /> ❑BUILDING � PLUMBING �MECHANICAL <br /> ❑NEW ❑ADDITION j�ALTERATION ❑REPAIR � <br /> VALUATION OF WpRK � <br /> § 3� 000.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMINGPOOL ,� <br /> DESCRIBE WORK - i <br /> interior remodel and repair � <br /> PROPOSED USE <br /> i <br /> aingle family reaidence MECHANICAL � <br /> LEGALDESCflIPTIONOF PRpPERTY �SHOW BELOW OR ATTACH TVPE OF ENERGV � <br /> FOURLOP�ESI S4O ❑C.AS ❑ELEC. t <br /> � Miley LBtld Co. 3rd NQ TVPEOFEOUIPMENT FEE <br /> LOT BLOCK_OF � <br /> AIR COND. UNITS-H.P.EA. S I +� <br /> REFRIGERATION UNITS-H.P. EA, i <br /> —' BOILEFS-H.P. EA. � � <br /> FORCED AIH SYSTEMS-B.T.U. MEA. <br /> I I <br /> JOB ADDRE55 SPACE & WALL HEATERS - B.T.U. i <br /> 2417 Pine Stzeet UNITHEATERS-B.T.U. � <br /> PLUMBING EVAPORATIVECOOLERS i <br /> CLOTHES ORVERS � I <br /> V E NTI�ATION F AN <br /> RANGEHOOD � <br /> NO. TVPE OF FI%T�=RE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> BATH TUBS S — I <br /> CLOTiIES WASHEq i � � <br /> DISH WASHERS i WATER HeATER � <br /> FAC. BUILT FIREPLACE b CHIMNEV <br /> DRINKING FOUNTAINS i -- I � <br /> FLOOR DRAINS � GAS. SVSTEM: NO OP OUTLETS <br /> . KITCHEN SIN 8 DISP. � SUO 7U7n� S � � <br /> BAR SINKS � PERMIT E I <br /> ROOF DRAINS - RAIN LEADERS io'fnLF[E S � I <br /> , SHOWER BATHS THIS PENMIT BECOMES NULL ANO VOID IF WOFK OR CONSTqUC- i <br /> SEHVICE SINKS TION AUTI10RI2EC IS NOT COMMENCED WITHIN 120 DAVS,OR IF ! <br /> SUMP$ -SEWAGE PUMP CONSTflUCT10N OR WOHK IS SUSPENDED OR ABANDONED FOfl A <br /> � URIN�iL$ PERIOU OF 120 DAYS AT ANV TIME AFTEH WORK IS COMMENCED. � <br /> WATcH CLOSETS I� � HEHEOV CEqTIfY THAT I HAVE READ AND EXAMINED THIS AP- g <br /> � WATEFi HEATER$ - ELECTRIC �"— PLICATION I�.VD KPIf1W TME SAME TO BE TRUE AND CORRECT. ALL <br /> PR(1V�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE � <br /> . WASH BASINS i OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN � <br /> i LAUNDRV TRAYS OR NOT. THE GfiI�NTING UF A PERMIT OOES NOT PRESIIME TO <br /> � - - GIVE AUTHORITY TO VIOLAI'E OR CANCEI THE PROVISIONS OF � <br /> � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> , � OR THE PERFORMANCE OF CONSTFUCTION. <br /> I � <br /> �. SUB TOTAL � • j <br /> PERMIT S <br /> , T fEE v 5�24�] I <br /> WATERSERVICESI2E BLOG. SUPPLVSIZE IGNATUREOFCON7RACTORORAUTH.AGENT DATE I <br /> SIDE VAPD SETOAC" STREET SETBACK REAR VARO SLT9AC PLAN CHECK NUM9@R PLAN CHECK FEE I <br /> . FEE RECEIPT NO. � <br /> � <br /> USE ZONE LOT AREA VACANT SIT6 <br /> ❑vES ❑NO FEES VALUATION FEE I <br /> TVPE OF CONST. OCCVPANCV GROUP NO.OF OWEU.ING I <br /> UNITS i <br /> � <br /> 512E OF BLDG. NO.OF STORIES MA%.000. LOAD BUILOING � �OOO. OO �4 I OO � <br /> ' PWMBING � ' <br /> FIREZONE BASEMENT FIRESPRINKLERS � <br /> RE�UI HED <br /> ❑VES ❑NO MECHANICAL � � <br /> SPECIAL CONOITIONS: OTHEq � <br /> I <br /> PENALTV SEG. 3071a1 I <br /> TOTAI 2 4 I O O <br /> PERMIT VALIDATION - f `'� <br /> - — WliENPPOPERLVVAL�VATEDI��I�1,SPAC�Of�S�ryy�iM� � <br /> �y <br /> -_ _ • i � � <br /> �ro�� ���El�� <br /> `_\ �PPIICATIONACCEPIlUNY' PLANSCIIfCKIDNV�. f.PP110V111 1 011 155U�NLfOY. T7 1rQ�K Y�� � . <br /> � � . i <br /> . .�. <br /> ' <br /> ADDRESS FILE ,,, _ � S �ar .�q ; <br /> r,. <br />