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rhe Eve�green �-�NSTRUCTION - '' � <br />CIT`! OF <br />�verett PERMIT PERMiT NO.O 1 Z53 <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION � BUILDING ❑ MECFtANICAL . PLUMBING <br />0'�JNER MAIIAD�BE55 CIIY ZIP PYONE <br />Puget Sound Properties, Inc. 6916 Evergreen Way 98203 355-9100 <br />Ai1CHRECT OR 0[SIGNER MAIL ADDRE55 CITY ZIP PHONE <br />GENERALCONIRACTOR MAILADOfiE55 CiTY ZIP P��ONE LIGENSEI <br />PU GE TI D210PE <br />MECH�NICALCANTRACTOR MnILA009ES5 CIiV 21P PHONE UCENSEI <br />PLUMdING CANiPAGTOP MAII ADDRE55 CITY 21P PHONE LICENSE / <br />ClA55OF WORK <br />STNEW ❑ADDITION ❑A.TERA710N ❑NLPAIF ❑DEMOLITIOn ❑FENCE ❑SIGN GARAGE <br />VALUAiION OF W�qK <br />S %ZI���.�0 <br />DESCRIBE WORK <br />Erect Duplex <br />PPOPOS[D USE OF BUIL�ING <br />Two Family ':�:relling <br />LEGL DESCFIPTION OF PPOPERTY ISHOW <br />ioT 3 e�ocK_oF Se <br />C/F 1-28-4 <br />JOB AD�i1E55 <br />724 A& B SSth Street S.W. <br />PIUMBINO <br />TYPE <br />WATER CLOSET (T( <br />BATHTUB <br />LAVATORY(WASH <br />SHOWER <br />KITCHEN SINK 8 L <br />DISIiWASHER <br />IAUNDRYTRAY <br />CLOTHES WASHEF <br />WATEF.HEATER <br />URINAL <br />DHINKING FOUNT <br />FLOOR DRAIN <br />V.4CUUM BREAKEI <br />RQOF DRAINS — <br />cu�v �ccovirc _ <br />SIDE YARD SETBACK <br />5' <br />TYPE OF CANS <br />V-N <br />SIZE OF BLDG. <br />46'x56' <br />FIRE ZONE <br />3 <br />OR ITEM <br />STREET SETBACK <br />20' <br />1.0T AREA <br />�714 Sq. Ft. <br />OCCUPANCY GROUP <br />R- 3 <br />NO. OF S70RIES <br />2 <br />BASEMENT <br />none <br />i. ENVIRONMENTALCHECKLIST <br />• 2. BUILDING PLANS � <br />� 3. FIRE HYDRANT � � <br />�•7. FIRE PROTl�YIO—N SYS M <br />. � 5. GRAD1NG�v <br />� -;�- <br />' O'� 6. DM�NfiGE <br />�7 ENVIR NM�N7ALIMPABiSTATEMENT <br />� B. HEALTH D61flICT � <br />.ICA�7�NTC. BY LANS CHECKED BY <br />, V.C. <br />c -v <br />--i <br />i - ... . 1a <br />R <br />I HEREBY CERTIFY THAT I H4VE READ AND EXAMINED THIS AP� <br />PLICAiION AND KNOW THE SAME TO BE TRIiE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />I�RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OG ANY OTHER STATE OR LOCA� LAW REGULATING <br />CO/NS?fRUCTION OR THE PERFOR�CE OF CONSTRUCTION. <br />SICNATURE OF CONTpACTOR OR 9lITFDAIZEO i DAiE <br />FEE N0. TYr'E OF EOUIPME <br />AIR COND. UNITS — H.P. EA <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.G UNITS — TONNA( <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEPS — B T.U. <br />I INIT HFATFRS — B.T.U. <br />FEAR YARD SETBACK <br />20' <br />VACANT SITE <br />[}�S ❑NO <br />MAX. <br />UIJIT — <br />�CE & CF <br />'.HECK NUMBER <br />80/7253 <br />MECHANICAL <br />OTH[R <br />PENALTY <br />M EA. <br />M <br />M <br />QF <br />PLAN <br />r'ee 92 <br />$ 72,000 <br />U.B.C. <br />SEC. 303 (al <br />RECEIPT NO. <br />47605 <br />FEE <br />231 100 <br />26 <br />TOTAL I I �9i I00 <br />PERIAIT VALIDATION <br />WHEN PROPERLY VALIDATED (l"! THIS SPACE) THIS IS YOUR PERMIT <br />5040.00 - 3 9t93 513�.00 - � <br />N <br />�^ �� � �GCEIPT � <br />APPR.PORISSUANCE9�t;�r,��; YGU �,OUP, RECEIPT . <br />i,-!,�,1�lK YOU <br />- 6 uAR 8 O <br />ADDRE55 FILE <br />— 6. ua� R 0 <br />