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tht�Evergreen �-- Cc��y�TRl1�TION � � <br />CITY OF <br />evereit PERI�IT PERMIT NO.O�Z52 <br />CITY HALl. 259�8745 <br />EVERET;. VJA 9d201 ❑ COMBINATIOIV C BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILA�OPE55 CITY ZIP PHONE <br />Puget Sound Properties Inc. 6�16 Evergreen Way 98203 355-9100 <br />ARCNIiE�TORD[SIGNER MAILAD��.i55 CI7Y ZIP PNONE <br />GENERFLGONTRACTOfl MAILPDpRESS CITY ZIP PHONE LIGENSEI <br />Same PU GE TI D210PE <br />MECHANICAL WNTPACTCfl MAIL A�OBE55 CITY ZIP PNONE LICENSE 1 <br />PLUMBING CONTPACTOR AIL AODRE55 CITY 21P PHUNE LICENSE � <br />LLAJS OF WONK <br />C}�gEW <br />VA�UATION OF WOPK <br />f%Z���O.�� <br />❑ADDITION ❑ALTERATION ❑F7EPAIR ❑UEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br />Construct Duplex <br />PFOPOSEO USE OF BUIIDING <br />7Wo Family Residence <br />LEGAL DESCRiPTION Or PROPERiY �SMOW BELOW 0� ATTACN iJUF <br />4 Seahurst Estates <br />LOT BLOC��F _. <br />C/F 1-28-4 <br />�uer���sA & B 55th Street S.W. <br />PLUMBING <br />N0. TYPE OF FIXTi"1E OR ITEM FEE <br />¢ WATER CLOSET (TOILEi) . <br />2 BATMTUB 4 <br />_ �I � LAVATORY (WASN BASIN) 8 <br />�OWER �. <br />nwr �nnmo — - <br />SINK (SERVICE — BAR. ETC <br />SUB <br />SIDE YARD SETBACN <br />s� <br />USE �ONE <br />R-2 <br />� TYPE OF CAN57. <br />V-N <br />SIZE OF BLDG. <br />46'x56' <br />FIRE ZONE <br />3 <br />STREETSETBACK <br />zo� <br />LOT AREA <br />7500 SQ, <br />OCCUPANCY GROUP <br />R-3 <br />NO. OF STORIES <br />2 <br />BASEMENT <br />none <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS � <br />3.-FIREHYDRANT pp <br />4. FIRE PROTfAQION SYST�I.4 <br />� 5. GRADI <br />�6. ORAINqCiET � <br />B. HEFLTHDI�IC7 ' <br />�PPLICAT N m .BY <br />C -p <br />--1 <br />' A <br />REAR YARD SETE3 <br />zo� <br />VACAN7 SITE <br />�ES ❑NO <br />NO. OF DWELLINi <br />2 <br />MAX.00C.LOHO <br />FIRE SPRINKLER: <br />fiE0U1R <br />�YES YO <br />eTonre <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PI.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />0,'..L PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHFR SPECIFIED <br />HEREIN OR NOT. THE GRi,NTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISION OF ANY OTHER STATE OR LOCAL LAW rIEGULATING <br />CONST CTION OR THE PERFORMA E OF CONSTRUCTION. <br />SIGNATUR OF GONTRFCTOrI OR A RI ED AG� DATE <br />i <br />X � /1�"��' / i�lJ�i'�/3/6/80 <br />TYPE OF <br />AIR COND. UNI'f5 — H <br />— H.P. EA <br />— H P. EA. <br />�.D A.Q UNIiS — TONNAGE <br />AIR SYSTEMS — BS.U. <br />ATERS — B T.U. <br />iTEAS — B.T.U. <br />AIR HANDLING UNIT — <br />MEtAL FIREPLACE 8 <br />J CHECK NUMBER <br />eo�%isi <br />PENALTY <br />FEE <br />GF.M. <br />SUBTOTAL i L <br />PEHMIT S <br />TOTALFEE S 2 <br />PLAN CHECK FEE <br />FEF 92.�p RE�F��t�J. <br />VALUATION FEE <br />$72,000.00 <br />U.B.C. <br />SEC. 303 (a) <br />31 00 <br />40 00 <br />26 00 <br />z9� I o0 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) T�IIS IS YOUR PERMIT <br />�0�0.00— 3 9ia� S131.00—� <br />N <br />ti <br />CHECKED BY APPR. FOR ISSUANCF��' � R E 4 L I PT YO, U R � CC E I P�� <br />v.c. � -"NK.YOU Tf•iF�(�K YOU <br />-b ��� �Q . ' ..�� $O. <br />- ADDRESS LILE,- �` ___ _ . _, . <br />