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the£rergreen �� CC`ySTRUCTION � �� <br />CITV OF <br />ever�tt PERMIT pERMIT NO.O725G <br />CITY HALL 259�8745 <br />EVERETi.V✓A 90207 C�cCOMBINATION Gc� BUILDING � MECHANICAL � PLU�dBING <br />OWNLN MAILApDPE55 CIiV LR PMONF <br />Lloyd A. Larson 2520 Rockefeller 98201 259-2258 <br />nH('!Irt!'C ORDE9GN[R MFILADpRE55 CIiY ZIP PHONE <br />GENERAL WNTRACIDa MAIL ADDPESS ptY 21P PHONE LIC[NSE � <br />Same <br />MECIIANICALCONiRAGiOR MAILAODR[55 QTY ZIP PIIONE LICENSEI <br />PWMBINGCONiRFCTUN MAILADOR[55 Ui! ZIP PHONE UCENS[I <br />:[(NEW ❑ADDITION ❑ALTERATION ❑PEPA'R ❑DEMOLITION ❑FENCL ❑SIGN ❑GARAGE <br />VAIUAiION JF WORN <br />s 121,790.00 <br />DESCRIBE WOFK <br />Construct Duplex <br />PRCPOSED USE OF BWLOMG <br />Two Family Residence <br />LEGAI DESCRIPTION OF PROPERTY ISHOW �[lOW OR hTT, <br />iot 25,2�i�K 563oF Monitor Add <br />PLUMBING <br />NO. TYPE OF <br />BAT1iTU� <br />LAV�101i1' (JJASH BA <br />SHOWER <br />KITCHEN SINK 8 DISF <br />DISHW4SHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URMAL <br />DRINKING FOUNTAIN <br />FLOCR DRAIN <br />VACUUM BREANERS <br />ROOF DPAI�S — fiAl <br />RWK IRFRVIfF — RAI <br />SIDE VARD SEiBACK <br />5' <br />R-4 <br />SIZE OF BLDG. <br />90'XBS' <br />FIPE ZONE <br />2 <br />PERMI7 <br />TOTALFEE <br />$TREET SLT�ACK <br />10' <br />LO7 AREA <br />6000 Sa. Ft. <br />1. ENVIRONMENTAL CNECK LIST <br />2. BUILDING PLANS � <br />a'— <br />3. FIPE HVDRANT 2r <br />4, FIRE PROTE6QON SYST M <br />�. DRAINqGE <br />1 <br />IMPAGT6TATEMENT <br />R-19-29-5 <br />PEAR VARD SEi�hCK <br />20' <br />VACANT SITE <br />i7YE5 I :NO <br />I HcREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WI1H W�iETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNRTUR�E iFWNiM'CtORORAl11HORIZ[DAGE11t DAtE <br />X c!Y-y.� _ -l'-/ • �a.�--,.� 2 �2i /fl C <br />r <br />MECf;ANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION UNI1S — H.P. EA <br />601LEPS — N P. EA. <br />GAS RRE� AC. UNITS — TONNAGE [A. <br />FORC[D AIR SYSTEMS — �.T.U. M EA. <br />WALL HEATERS — 0 T.U. M <br />UNIT HEATERS — � T.U. M <br />EVAPORATNE COOLFRS <br />CIOTHES DRVERS <br />Q VENTI�ATION FAN B OC <br />2 RANGE HOOD 6 �� <br />�IR HANDLING UNIT — CF.M. <br />SiOVE <br />Z METAL FlREPLACE 8 CMMNEY G OC <br />PEFMIT <br />PLAN CHECK NUMDER PLAN GHEGK Ftc <br />FEE "� CEIPT N0. <br />80/7127 98.50 I �15287 <br />NO. OF DWELLING UNITS <br />' euaoiNc �lZl, 790. 0 319 69 <br />MAX.00C.LOAD <br />BY I DATE <br />'ID�J /!(1E. BV LANS CHECKFD BY APPR. FOR <br />U �n I V.C. <br />C -p <br />— �� — -- � - ---- -- - <br />PLUMBING 40 OO <br />MECHANICAL 36 OO <br />OTHER <br />PENALTY U O C <br />SEC. 303 !a) <br />TOTAL 395 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIi <br />040.00— 3 &660 f3f9.b9---`,�,"f <br />N <br />� <br />EE��. R R�CEfPT ��� �? � f�ECEfPT� <br />'� " YqU <br />�� �`ti ) ^� � i'(lU . � ,.-�.!�:I. <br />