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1 <br /> e <br /> the Evergreen -� - T�O N � � I� <br /> CITY OF C��NSTRU C _ <br /> everett PERMIT �I <br /> PERMIT NO. O7OE5 <br /> GTV HALL 259�B745 <br /> EVERE7T.V!A 9820t yC� COMBINATION Q BUILDING L�j MECHANICAL PLUMBING <br /> rnnanooatss cirv z�r aMor�E I <br /> ow�ea Edmonds 98020 745-1917 <br /> Richazd W. Harris/James Nelson 5222 156th S.W. <br /> ��Ty Zip vrorvE <br /> qq�NILECT OF�ESIGNE� AIAIL AO�P[55 <br /> MAIL AOORE55 CITY ZIP FHONE L�CENSL I <br /> GENERnLCUqiRAGW(1 � <br /> Same � <br /> MELNANICALCONipACiOP <br /> MOIL ApDRE55 Cltv ZiP VH01�E UCENSE� <br /> PWMBMG CONLRACTOP <br /> MPIIADDPE55 CIiY ZIP PIIONE LICENSE� <br /> LLA55 OF WOPe � <br /> ❑NEW ❑ADDITION ❑ALTERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VALUA110N OF WOFK <br /> s 43,000.00 <br /> oEscaiee wonrc <br /> Duplex - <br /> aaoaoseo use er am�owc ' <br />� Two Family Unit -- Moved from outside Everett I HERE61'CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />' ieenioescaianor+ovanoreamrs�owoe�owoant*nc��wuacoPies PLICATiON AND KNOW TNE SAME TO BE TRUE AND CORRECT. <br />� TYPE OFVWORK WILL BE COMPLIOED WITH WHET�`ER S ECIF EID <br /> LO� piOCN—�f HEFEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> 12-28-4 PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCELTHE PRO� <br /> i VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONS RUCTION OR THE PtRFqRMANCE OF CONSTRUCTION. <br /> SIG�� IEO��Af p 0 UtH RIZy{Jacer+r � 1�ZZ�80 � <br /> i <br /> ioenooness C AND D �l <br /> 8219 Hardeson Road � <br /> MECHANICAL � <br /> PLUMBING PEE � <br /> NO. TYPE OF FI%TUFE Ofl ITEM FEE � NO. TYPE OF EOUIPMENT ._ <br />' AIR COND.UNITS—M P.EA. — <br /> YlATER CLOSET(TOILET) REFRIGERATION UNITS—HP.EA — <br /> onr�{tue _ ' <br /> 00REHS—HP.EA. <br /> LAVATORY(WASH BASIN) <br /> SHOWER GAS Fl9E0 AA.UNIT_ S—��NNp�E EA <br />� ¢ OO FORCEC i�IR SYST[615—B TL M EA. <br /> z KITCHEN SINK 8 DISP. �yq�L�'cATERS—B T.U. �'� — <br /> DISIIWASNER �NITR[ATERS—BTU. �A <br />� IAUNDRY TRAY 4 e0 E��qppRATIVE COOlERS <br /> 2 CLOTMES WASMEA 9 QD Z CIOTHES ORYEPS 6 �� <br /> 2 YlATER HEATER <br /> _ VENTILATION FAN <br /> URINA� . qANGE HOOD <br /> DRINKING FOUNTAIN q�p F�qNOLING UYIT— C.F.M. <br /> FLOOR DRAIN STOVE <br /> VACUUM BR[AKEPS N,Etq�FlRLPLACE R CHIMNEY <br /> ROOF DRAINS—RAINLEP�ERS . <br /> SINK I�EPVICF.—�AR.ET�'1 ' <br /> SUB TOTPL S ZZ OO <br /> � biIBTOTAL 2�I 00 S <br /> s pERMIT <br /> PERMIT TOTAL FEE S 12 OO <br /> TOTAL FEE s PLAN CHECK FEE <br /> SIDE YARD SETBACK STREET SETBZAOCR R[AR YAPD SETBACK PLPN CMECK NUM�ER FEE <br /> RECEIPT NO <br /> 5, 20' 7065 108.50 95689 � <br /> USE ZONE LOT APEA VACANT SITE FEES VALUATION FEE <br /> R-3 11,038 Sq. Ft. 2UFes uNo <br /> TVPE OF UJN�L OCCUPANCY GROUP NO.OF DWELLING UNITS $43�OOO,.00 LEb OO <br /> V—N R � Z BUILDING <br /> SIZE OF BLDG. � NO.OF STORIES MAI(.OCC LaAD zQ 00 <br /> 50.7'x29'4" 1 PLUMBING <br /> FIRE.^NE B�SEMENT FIRESPR�pINyKLERS MECHANICAL �.Y OO <br /> 3 none R Y�ESIR C'NO <br /> APPflOVALS <br /> BY DATE OTHER <br /> 1. ENVIRONMENTALCHECKL15T PENALTY U.00 <br /> SEC.30J(a) <br /> 2. BUIL�INGPLANS r ZOZ OO <br /> TCTAL <br /> 3. FIRE HYDRANT � <br /> PENMIT VA��DATION / q� <br /> 4. FIRE PROF_EC1�ON SYSTEM WHEN PflOPERIY VALIDATED(IN THIS;P?cO1�N15 IS Y�I O b MO Q '�� IIC) <br /> ! [ 9 r <br /> ��GRADy�_ 0 Z 4. 0 0 - 3 . ' � <br /> M. �RAINAGE p (� <br /> �. ENVIRONMEN �IMPACT�iATE�IENi Y�� 4 REC E I PT O <br /> ' P. HEALTH DISPFC� R R E C E I Pi' � <br /> CVPPLICATI�P .'BY � NSCMECKEPBY APPP.FORISSUAN P 14-IANK YOU <br /> � I v.c. -� , ;, ni': 1'CU <br /> C � � <br /> A 22Jr� 8Q <br /> AD�R�S'�'PIL� _. • <br />� <br />