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the Evergreen <br />(,ITV 0i <br />CONSTRUCTIf�V <br />everett <br />PERMIT <br />PERMIT NO. <br />15201 <br />CITY HALL 259 B745 <br />EVERETT, WA 98201 ElCOMBINATION <br />XXI BUILDING ,__ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />Zip <br />98203 <br />PHONE <br />259-4551 <br />Jack Olson <br />4434 <br />leahurst Eve <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE UCEN SEA <br />486-5571 <br />GENERAL CONTRACTOR <br />Bothel <br />Connor Const. <br />21P <br />PRON[ LICENSE N <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />CONNOC*167M6 <br />MAIL ADDRESS CITY <br />ZIF <br />PHONE LICENF54 <br />PLUMBING CONTRACTOR <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ V400D STOVEIFIREPLACE INSERT <br />f 16,000.00 <br />Construct Garage <br />Resident <br />LOT14 BLOCK _OF <br />PLUMBING <br />W <br />OF FIXTURE <br />ET (TOILET) <br />ASH BASIN) <br />K B DISP. <br />LAUNDRYTRAY <br />CLOTHESWASHER _ <br />WATER HEATER <br />URINAL <br />DRINK114G FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUIT TOTAL <br />PERMIT <br />TOTAL FEE <br />TIDE YARD <br />SETBACK <br />STREET SETBA <br />61 <br />20' <br />1SE ZONE <br />LOT AREA <br />R-1 <br />TYPE OF GONST. <br />OCCUPANCY G <br />V-N <br />SIZE OF BLDG. <br />NO. OF STORI <br />624 Sq. Ft. <br />FIRE ZONE <br />BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2, BUILDING PLANS <br />_ <br />FOUR <br />FEE <br />S <br />S <br />S <br />CK <br />ES <br />REAR YARD SET[ <br />VACANT SITE <br />--..YES -- 0 <br />ROUP <br />NO. OF DWELLIN <br />M <br />N/A <br />MAX. OCC LOAC <br />1 <br />N/A <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY APPR. FOR ISSUi <br />STG� NNM I LC <br />I 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 OR NOT. -THE GRANTING OF A <br />PERMIT DOES NOITIPRESUME ITO GIVES AUTHCRITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOC�AL LAW REGULATING CONSTRUCTION OR THE <br />PERF-bMANCE OF CONSACTION. DATE <br />eI.T116RIZED AGENT <br />X \,A\ %� -- L X—v ^ <br />MECHANICAL <br />IFlIH <br />TYPE OF EQUIPMENT <br />ONG. UNITS — H.P. EA. <br />IGERATION UNITS — H.P. EA. <br />RS — H.P. EA. <br />FIRED A.C. UNITS — TONNAG <br />ED AIR SYSTEMS —B.T.U. <br />L HEATERS — B.T.U. <br />HEATERS — B.T.U.ORATIVE COOLERSHES DRYERSILATICN FANGE HOODHANDLING UNIT — <br />VE — WOODAL FIREPLACE & CHIMNEYPLACE INSERT <br />HEAT PUMP <br />EA. <br />M EA. <br />M <br />M <br />C.F.M. <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />CK NUMBER <br />F <br />85/15201 <br />FEE 75.73 <br />RRwR <br />I <br />VALUATION <br />BUILDING $ 16,000 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />FEE <br />SES <br />CHECK FEE <br />RECEIPT NO. <br />_7$299 <br />FEE <br />116 50 <br />PENALTY <br />SEC. 3031B1 <br />116 <br />50 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />O <br />N <br />LC) <br />—4 <br />ADDRESS FILE <br />