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thc Evergreen CON ST R UCTI O N <br />`'T� °` � � P�RMIT � � <br />everett <br />ciTv HALL259i3]45 � � � . p�UMBING <br />EVERETT, WA �ozo� COMBINATION • BUILC.NG 6,ECHANICAL <br />Gaifney and Ga£fney Part. <br />iAl. CONTNACTOF MAIL ADDRESS <br />Same 9502 19th Ave. S.E. <br />nw[nl. CONtiil�CTOR MAII_ ADDRE55 <br />� COMdINATION <br />� BUR�ING ❑ PW'ABING ❑ MF.CHANICl1l <br />Vl�LUATION OF WORK <br />S 94,000.00 <br />oEscRieEwonK <br />Construct 4 Plex <br />aaoros�-o use <br />Four unit dwelling <br />LOT �LOCK—OF-- <br />Short Plat 1202-5-76 <br />WORK <br />337-7608 <br />E <br />� <br />everett <br />LICENSF NO. � <br />� <br />LICENSE NO. Z <br />GA FF NG 224 C <br />LICENSE NO. W <br />� m <br />LICENSE NO. CA � <br />� <br />_ � <br />❑NEW ❑AD�!TION ❑ALTERl�TION ❑R[Pl�IR <br />❑DEMOLISH ❑FLNCE ❑SIGN ❑SWIMMING POOL <br />ATTl�CH <br />C~ �J - .Z �� <br />JOB ADDRE55 <br />6419 A-B-C-D Sth Ave. West <br />PLUMBING <br />TYPE <br />�TER SERVICE SIZE �LDG. SUPPLY SIZE <br />DE YI�f�D SET�ACK STR[ET S,ETE3ACK REAR Yn20 9[TBACI <br />5' 20' <br />;E r g 3 � 7897E 5 Sq. Ft. vajjc}jnNr sire <br />�JYGS ❑NO <br />fvl OF CONST. OCCUPANCY GftOU�' VNITS DWLLLING <br />Rit% V-N R-1 4 <br />SIZE OF BLDG. NO. OF <br />la�X�%l�� <br />FIPE 20NE BASEh <br />3 <br />SPECIALGONOITIONS: � <br />w <br />1 W <br />� <br />a <br />�•� ' C e.� <br />_� 6 <br />%-i�—� <br />__�—.—�c � :� <br />w �� � <br />--� --�2—a <br />m <br />�������,,,��,�,��:�� ���v ����Hti:� <br />—� <br />= A <br />�� `�` ° �' �%�/3��`% <br />1ENT <br />none <br />� �:.� �� ��. <br />v.c. <br />MECHANICAL <br />TYPE OF ENERGV <br />❑::AS ❑ELEC. <br />NO. TVPE OF E�UIPMENT FEE <br />AIR COND. UNIT$- H.P. h/�. S _,�_. <br />REFRIGLRATION UMTS -H.P. EA. <br />601LEft5-H.P. EA. � <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />_ � <br />SPACE !L WALL HEATERS - 6.T.U. <br />UNIT FIEMERS- R.i.U. � <br />T <br />[VAPORATIVECOOLEfiS ., <br />_q c�oT�+�so�vEns 12 �_l�0 _ <br />vENri�nrioN FnN <br />_A rinNCE H000 � <br />AIR HAMOLING UNIT- C.F.M. <br />-- I <br />WATER HF.ATER _ <br />FAC.BUILT FIREPLACE & CHIMNEY I <br />GFS. SYSTEM:�NO OP OUTLETS � <br />—'"- — SU6 TOT/�L 5 2[] 1 Q� <br />— — PERh11T 5�— <br />-�— TOTAL FEE 5 I Q_ <br />THIS PLRMIT RECO�'ES NULL AND VOID IP WORK OR GONSTRUG <br />TION l�VTHORIZE� IS NOT COM��ENCED WITHIN 120 DAVS, OR IF <br />CONSTRVCiION OH WORK IS SUSPEMDED Oft l�Bf�NOON[O FOFi A <br />PEfllO� UP 120 DA'�S AT �11JY TIME APTER WORK IS COMMENCEO. <br />: HEREfIV CERTIfY TH�1T I FI�1VE H[AD /1ND EXAMWED THIS AP� <br />PLICATION AND KNOW THE SAME TO �E TRU[ AN� COFiRECT. ALL <br />PRO\ ISIONS OF LAWS 11N� OROINI�NCES GOVERNING THIS TVPE <br />OF WO�iK WI�L BE COIdPLIIiD WITFI WH[THEfi SPECIFIGD HEfi�IN <br />OR NOT, THE GRI�NTIIJG OF A PERMIT UOES NOT PFiG9UME TO <br />GIVE AUTHORITV TO VIOLl�TE OR CL�NCEL THE PftOVISIONS OF <br />ANY OTHER STATE Of1 LOCAL Ll�W RLGUL nTING CONSTFiUCTION <br />OH TLIE PEflFOfiM/�NCL OF COfJ;TRUCTION. <br />CHECK NUMREfi <br />78/772 <br />FEES <br />(.' � �^LANS'iNECKFEE <br />�EE 123.50 ��ECEiPT No. <br />35905 <br />VALUATION FEE <br />,. �ono 6UILDING 5 94,000.00 <br />PI_UAI�ING <br />NKLEFS <br />D }(y <br />'[JNO MECIiANICAL <br />OTNER <br />PENl�LT� SLC.3031a1 <br />TOTAL <br />PERMIT VALtDATION wS <br />WHENNROPLRLY VAI.IDMEOIIN�P� <br />�-3-'�3- ` �' 0 71. 0'0 — 3 <br />��,,;;t�,��,, ,� � R ��c�irr <br />' � i Ir1ntK 5'OU <br />� <br />^i1,,;�C`:� Fll_:- <br />0 <br />�PACEI_�1[i� �����Aill� ' <br />�c�,2 �EC[1F�' o <br />; 'i��,�lK YOU � <br />' . � � <br />- ? 6 IIAR �.;' <br />