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the Evergreen CgJSTRUCTION , everetl <br />CITY DI. • PERMIT <br />everett <br />CITY HALL 2598745 <br />EVERElT,WA 9B201 COMBINATION • BUILDING • MECHANICAL • FLUMBING .e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Joe Donnelly 4603 Seahurst 98203 259-3663 F33 <br />ITARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 3 <br />1 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Z <br />--HANI!710aFiXiNT RRCIOR kRRklt1<X B Browns Remodel & Repair353-0295 1728Q C <br />MECHANI xxxxk Imdxft MAIL ADDRESS PHONE LICENSE NO. 9 <br />W <br />Ul 7mf7 <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />PERMIT CLASS OF WORK D <br />❑COMBINATION <br />BUILDING []PLUMBING ❑MECHANICAL <br />❑NEW []ADDITION ❑ALTERATION []REPAIR <br />VALUATION OF WORK <br />$ g$SSY®s 8,000.00 ❑DEMOLISH []FENCE ❑SIUN []SWIMMING POOL <br />DESCRIBE WORK <br />Construct addition 14'x16' <br />PROPOSED USE <br />single family residence MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH TYPE OF ENERGY <br />FOUR COPIES) ❑GAS ❑ELEC. <br />LO127-28 BLOCK_OF Ma le Heights Div. #2 NO. I TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS-H.P, EA. 5 1 <br />JOB ADDRESS <br />4603 Seahurst Avenue <br />PLUMBING <br />TER SERVICE <br />)E YARD SETB. <br />6' <br />V-N <br />SIZE OF BLDG. <br />14'xl6' Add <br />FIRE ZONE <br />3 <br />SPECIAL CONDITIONS: <br />R-3 <br />EA. <br />EVAPORATIVE CO <br />CLOTHES DRYERS <br />WATER HEATER <br />FAC. BUILT FIREPLACE & CH IMNEV I <br />GAS. SYSTEM: NO OP OUTLETS <br />SUBTOTAL S 1� <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I I/EREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI/IS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T11F. eER.FORMANCE OF CONSTRUCTION. <br />t <br />BLnG. SUPPLY SIZE SIGNAT E <br />BACK REAR YARD SETBACK PLAN CHECK <br />20 1 20' 78/768 <br />VACANT SITE <br />OYES JRND FE <br />1 <br />12/15/78 <br />)RORAUTH.Ap E14T <br />DATE <br />PLAN CHECK FEE <br />FEE <br />NO. <br />22.00 <br />(RECEIPT <br />35795 <br />VALUATION <br />FEE <br />T— <br />I <br />BUILDING <br />PLUMBING <br />$ 8.000.00 <br />44 i 00 <br />)AD <br />.ERS <br />O <br />MECHANICAI <br />OTHER <br />PENALTY <br />TOTAL <br />j <br />I <br />— -- <br />-- - - <br />---- - <br />SEC. 3031e1 <br />I <br />44 i 00 <br />PERMIT' VALIDATION <br />IVi1t N PRUPERLY VALIDATED 11Nd IJI0yACEI(V911j: PE�MITj 1, <br />Y1vi + 4 � <br />HtEfPrtj <br />V.C. <br />IB <br />ADDRESS FILE <br />