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the Evergreen �ONSTlRUCTION <br /> everett <br /> "T� °F • pERMIT � <br /> everett <br /> CITY HALL 269-8745 <br /> EVERETT, Wq �aao, COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MAI� I�DDNESS ZIP PHON@ � <br /> ArY. Fleenor 5022 West View Drive 98203 252-6235 m <br /> ARCHITECT Oft DE51(1NER M�lll ADD(iE55 PHONE LICENSE NO. � <br /> 3 <br /> � <br /> GENERAL CONTR�ICTOF MAIL ADORE55 PHONE LICENSE NO. Z <br /> Same C <br /> MECHl1NICAL GONTRl�CTOR MAIL ADDRESS PHONE LICENSE NO. 3 <br /> � <br /> ,p m <br /> VWMBINGCO:JTFACTOF MAILADDRESS PHONE LICENSENO. f� � <br /> N <br /> PERMIT CLASS Of WORK OO <br /> ,'{gCOMBW ATION <br /> jF,�[iUILDING [�XWM6ING �[CHANICAL <br /> [}t}aEW ❑l1DOITION ❑ALTLRI�TION ❑REPAIH <br /> VALUATION OF WORIC <br /> 5 �IS�OOO.00 ❑DLMOLISH ❑FENCE ❑SIGN ❑SWIMM1IWG POCL <br /> DESG:iI�E WOPK <br /> construct �ingle family residence <br /> PROPOSED USE MECHANICAL <br /> sinqle family rnsidence <br /> LEGAL OESCRIPTION OF PROPERTY (SHOW 13ELOW OR ATT�1C11 TV PE OF ENEflG V <br /> FOURCOPIBSI ❑GAS ❑ELEC. <br /> NO. TVPE OF EaUIPMENT FEE <br /> �or�Z u�ocK_or__Granad�SeaView_�states_—_— ---- <br /> AIR CONO. UNITS-H.P. EA. 5 I <br /> REFflIGERATION UNITS�-H.P. EA. <br /> _ BOILERS H.P. EA. I <br /> FOflC[D AIR SYSTEMS-�.T.V. MEA. <br /> -1__�I _-... — __ <br /> f <br /> JOB AODRESS � 1 SPACG Y� WALL HEATEFS - B.T.U. <br /> 4907 23rd A�/ENUE WEST _Lrvii i�enreas-F;.r.�. ____ i <br /> I F.VAPOfi�1TIVE COOLERS <br /> PLUMBING---- ----- -- - -- ..1 _ic�o,�..�tsonver�s --�_i_0 <br /> 3_ V[Nl � 1TIUNFAN .(� � (�� <br /> RANGEHOOO I <br /> NO. TVPE OF FIXTURE OR ITEM � FEE - 1 nin rinrvni_irvc uNir _ c.F.nn. � <br /> BATH TUBS 5 2 OO --���' -- .. . .. - � � <br /> CLOTHES WASHEft 2 ' 00 i � � � T <br /> y_0� � WATEfl IIEAT[R <br /> DISH WASHERS Z � fAC. HUILi FIREPLACE 2G CHIMNEV <br /> URINKWG FOUNTAINS i -- - � <br /> FLOOR DflAINS � _ ��y� SYST[M�._ NO OP OUTleTS_ . <br /> KITCHEN SINKS & DISP. � �� ____ _� ,_ _ __ ___ SUi� TOTni_ 5 � <br /> _t-��., <br /> FlAR SINKS � refiM�T 5 ��_ <br /> _-._--_-____ ____-_ <br /> ROOF ORAINS - ftAIN LEADERS i TUT��- �'EE � �9 I <br /> SHOWER BATHS —� THI; PERMIT f1ECOA9C; NUI.L AND VOIO IP WOfiK OR CONSTRUC <br /> SERVICE SINKS TION AUIIIOqIZ[D I; NO1 COMMENCED WI�FIIN 120 DAYS, Oft IF <br /> SUMPS - SEWl1GE PUM17P � CONSTRUCi-ION Oft WORK IS SUSPEN�ED OR AN�INDONED FOF A <br /> UFIN/iLS � PERIOD OF 120 fJAVS /�T ANY iIME AFTER WOfiK 19 COMMENCE�. <br /> ----�- I IIEHEf1V CERTIFV THqT I H/�VE fiEAD ANf) EXAMINEU TH�S AP <br /> WATER CLIi��FTS p.j�O PLICl�TION ANfJ KNOW THL SAM[ TO 6E TfiUE ANU COfiRECT. /�LL <br /> WATER HEATEN� � [LECTRIC _�� Dp rnovisioNs or �nws l�ND OHDINnNC[S GOVEHNING Th!IS TYPE <br /> INf1SH OASIN$ i OF WORK WILL BE COMPULD WIl'H WHETHEfi SPECIFILfi HEREIN <br /> LAUNDRY TRI�YS --�--6TOO- OR Np'!, TI1G Gql�NTWG OF A P[RMIT DOES NOT PfiFSVME TO <br /> � GNG nUT1iORITV TO VIOLl�TL OR Cl�NC6L THE PfiOVIS10NS OF <br /> __ ANV Ol1iEF STME OR LOCAL LMN RF:GULATING CONSTRUCTION <br /> I UR iHH PERFOHMANCE OF CONSTRUCTION. <br /> -_-___ _ti_ <br /> _ 1 <br /> SUB TOTAL _ZEjT.00- <br /> PERMIT S 3-�00 � ' � / <br /> TOTAL FEE � �: " � . .� � <br /> WATER SERVICE SIZE B�OG. SUPPLY SIZE�910 Xi���nluai oF�Nrrtncro�oa urn.nc���`"onTe � <br /> SIDEVARDSETE3ACK STREETSETftl�CY. Rf:ARYAFDS[T6l1CKPLl�NCHf.CKNUM(3[R , PLANCHECKI°E[ <br /> 7§' 15' (Variance) 25' ree a�ceirTrvo. <br /> usezoNe - Corn�ea q�g�78 oncnNrsire �8/2�8 86.00 29635 <br /> R-S QLES ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPl1NCY GHOUP NO.OF DWELLING <br /> UNITS � <br /> V-N S 1 — I <br /> sizE oF�si.nc: No. oF sror+ies mnx. occ. i.ono i;ui�oirvc s q5,000.00 172 i 00 <br /> � � I �— <br /> S5 x�0 1 ri_unnnirvc I 79 i 00 <br /> PIREZONE UASEMEN� FIRLSPliINKLERS _ { <br /> RE(]U�'�GD � <br /> 3 yes ❑n�s M�ci+nNicn� 19 � 00 <br /> SPEqAL CONDITIONS: OTH@R � <br /> - -_ I <br /> -__ ---1-- <br /> ---- PENALTY SLG 3031a1 � <br /> '_- _ .-__._ I <br /> --�� - TOTAL 220 I 00 <br /> PERMIT VAI.IDATION <br /> - - WHEN PHOPLRLv VALIOALbU IIN TI115SPAC[) T111S IS VOUH PER4�IT <br /> _ -- .�f <br /> — �.M1� <br /> N <br /> nrrt¢nnnr,n��.�riturvr rv,:isancKtu�n nrr�mwnroiuc.unrun nv � <br /> HWM K.C.eb <br /> 3 <br /> AUDRESS FILE <br />