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� - , <br /> 4 - <br /> 1 <br /> thc Evcrgreen � rONSTRUCTION - everett <br /> "'� °� PERMIT <br /> everett <br /> CITV HALL2590)4v <br /> EVERET-i, WA �azo� COMBINATION • BUILDING • MECHANICAL • PIUMBING <br /> OWN[R A1NL AUDHGSS ZIP PHONI � <br /> Roy E. St. Clair 7329 Lower Ridge Road 98203 353-1206 � <br /> ARCHIT[CT OH DEdIGNER MAIL 40DfiL55 PHONE LICENS[ NQ 3 <br /> �� <br /> GENERAL CONTfiACTOR MAII AODR[SS PHONf I�CEN.`.E NO. Z <br /> ��e C <br /> MECMANICALCCNTHACTOR MML AODRESS PHONE LICENSE NO. W <br /> p m <br /> PLUM�ING CONTRACTOR MAIL ADDRESS PI10NE LICENSE NO. CO � <br /> W <br /> PEPMIT CL�155Of WORK � <br /> ❑COMBINATION <br /> �UILDING [��LUM�ING �MGCH/1NIC/1L <br /> �QJEW ❑ADDITION ❑ALTERATION ❑REPAIfi <br /> VALUATION OF WORK <br /> E S3 OOO.00 ❑DEMOLISH ❑PENCE ❑SIGN ❑SW�MMING POOL <br /> DES RIAE WORK <br /> Construct single family re�idence <br /> PROPOSFD USE MECHANICAL <br /> Single Family residence <br /> TVPf: OF ENEFGV <br /> LEGAL�ESCRIPTIONOfPROPERTVISHOWBELCWORATTACH ❑GAS ❑ELEC. <br /> FOUR COPIESI <br /> LOT � oLOCK�oF Shore ACT'es NO. __ TVPE OF E�U�PMENT FEE <br /> AIR COND.VNITS-N.R EA. 5 � <br /> (iEfFIGERATION UNITS-H.P. E/1. <br /> OOILERS H.P. EA. I <br /> Q 3429-9 _ 1 f�RG�D AIF SYSTEMS-U.T.U. MEA. Q 00 <br /> � <br /> JOB A�DP.E55 SPACE F WALL HEATEFS - B.T.U. <br /> 34]Q Shore Avenue VNi� 11EA1@n5��13.T.U. _ � <br /> [VAPOfiMIVE COOLEIiS � <br /> PLUMBING 1 c�on�es or�vens s � <br /> — _1 V[NIILMI'NI�AN _2_� <br /> _1 RANGE HOOD _ _ � <br /> NO. TVPE OF FIXTURE OR ITEM FEE nin unNDUNG UNIi - cF.M. <br /> BATH TUBS S T � <br /> CLOTHES WASHER � Q WATE1i IiEATER <br /> DISH WASHER$ � FAC. AUILT FIREPLAC[ P. CHIMM[V I <br /> ORINKING FOUNTAIiJS � GAS. SVSTEM: NO OP OUiLETS <br /> FLOOR DRAINS � — �— <br /> KITCHEN SINKS & DISP. i�0 ___ SUo toTnL 5 I <br /> BAR SINKS i ______ __ r[i�Mlr 5 0_ <br /> ROOf- ORAINS - RAIN LIcADENS � tUln�FEE 5 I <br /> $HOWER DATM$ THtS P[RMIT IIECOM[i NULL AND VOID IF WORK Oii CONSTNVG <br /> SERVICE SINKS 110�! .1UTIIOHIZED 6 NOT COMM@NC[D WITHIN 120 OAVS, OR IF <br /> SUMP$ - SEWAGE PUMP CONSTRUCTION OR WOfiK IS SUSP[NOED Oli A811NDONED FOR � <br /> P[NIOD Of° 120 O(�VS AT ANV iIME AFTER WORK IS COMMENCEU. <br /> URINALS � <br /> WATER CLOSETS 4 � OO I HEREIlY C@fiTIFV THpT I HAVE REAU ANO [XAMW@D TNIS AP� <br /> PLICATION ANU KNOtN THG SAM[ TO OE TRUE AND CORRECT. ALL <br /> � WATEF HEATERS - ELECTRIC Z � PftOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TV�'E <br /> WASM BASINS d i Of WORK WILL �[ COMVLI[D WITH WHHTHER SPECIFIED HEREIN <br /> LAUNDRV TRAYS —Lr p�i NOT, TH@ CiR/UtlTING OF A PGIiM1T DOES NOT PHESUME `O <br /> � GIVE AUTIIOftITV TO VIOLATE OR CANC[L THE PHOVISIONS JF <br /> ANY OTHEfi SiATG Oli LOCAI LAW REGULAiING CONSTFUCTiJN <br /> � Ofi THE PLfiFOPMANCH Of CONSTftUCT10N. <br /> 1 � /� <br /> SUBTOTAL on inn_ � �� /f_ " <br /> PER�IIT S --��T�� I � � � <br /> 70TnL FEE X� � • `-' � 8 21 78 <br /> WA7ERSERVICESRE BI.DG.SUPPLVSIZE sicNnruneorcoNn¢ncronor+nun�.ncervr DATE <br /> SIDEYAFOSETOACK STREEiSET�ACK FEARYARDS[TRAC PL/�NCNECKNUMft[fi PLANCNECKFEF <br /> ]�� ZS� ZS� f-E[ f1ECEIPT NO. <br /> USEZONE L: fAFEA VACl�NTSITE 78/489 71•�� 32254 <br /> RS 15369 Sq. tQ�s ❑rvo FEES VALUATION FEE <br /> TVPE OF CONST. OCCUP4NCY GROUP NO.O�DWELLING � <br /> V-N I uNits 1 _ <br /> SIZE OF �LDG. NO.OF STpIiIES MA%.00G LOAD ❑UILDING g S3 OOO.00 193 i 00 <br /> 90'x58' 1 r�unnniNc 23 i 00 <br /> FIRE20NE BASFM[NT FIftESPHINKLERS -- , - <br /> FEdUIREU M[CHANICAL ZS OO <br /> 3 none O��s [3Yo <br /> i <br /> i <br /> SPECIAL CONDITIONS' OTM[R � <br /> � � - <br /> ' _ PENAIiY SEC. 3051a1 <br /> `� � -- --- �� TOTAL 231 l 00 , � <br /> ._;,,Z ; _ �- : �wori��iv�� 1 <br /> �Y • . '� � � WI E P '[RLY Vr[IDMEO IIN TI� 5 AC[1 i ' S :. ' PEwM1T � 1 <br /> 1�... . <br /> r. �� �• .. � . . • <br /> .-�-m-� : R RECCiP� r YC>UR R�Cf� <br /> � - NK YU l� ��� /`� THANK YQII� <br /> � n�nw:nnorvn� r rv r� nsoncnturvr. nrvi�ovin�on�s:unrvct �rv �fi1 . �� � <br /> ��. 'A � V.C. K.C.eb . •�4�', � �� _ . . . <br /> � o� �� � � l � , <br /> � ADDR[SS FI,LE _� :.._.__ `���\- - <br />