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thc Evergreen � � ���� ���I� � <br />CITY OF <br />eVe�` ��t PERlVIIT PERMIT NO. � I c: � b <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER �fNtA0DRE55 QTY Z�V PHOY: <br />Jim Baxter 2701 17th Everett, WA 252—G558 <br />n��crurecronoesicNen r.�n��nooaess arr ziv PMONE <br />GENEfi�LCONiR4CTOR 6�nILq�DRE55 CITY �,� PHONE L�CENSE• <br />D& K Steel Bldg Const. 9425 8fr 249th St NE Arlinqton 98223 252-2173 BKSTEBC151KS <br />AtEC11ANICALCONTpACTOR M1�LADORE55 QiY ZIP VHON[ LICENSE+ <br />VLUMpING <br />c�nss o� wonn <br />�] NEW ❑ ADDITION <br />5 3,500. <br />ldAIL ADOflESS <br />❑ ALTE9ATION ❑ REPAIR <br />CITY <br />❑ OEMOLITION <br />Garage/shop <br />��E�i SOUPCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />vr�,ovosen use oF euaowc <br />.OT _ 6LOCK _ OF. <br />4389-33 <br />�oo nroaess <br />2701 — 17th St. <br />PLL'MBING <br />21P pHONE IICENSE. <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />�sHon�oe��wonnrrr,c�iFouncoriesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />— VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCP,L LAW REGULATING CONSTFUCTION OR <br />THE PE�p"�p'O'RMANOF,QF CIdNSTRUCTION. <br />SIGN�T �ONTRACT �7•TurpJxSizEonGENr.,c.�+n�vr�Ei� onrE <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORV(WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHEF <br />LFUNDPVTR�V <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNT/11N <br />FLOORDRAW � <br />�ACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADEflS <br />SINK �SERVICE — BAR, ETC.� <br />��F 2�� <br />USEZONE <br />R-2 <br />TVF'c OF GONST <br />V—N <br />432 sf <br />ARPLiCPiIGtlACC �Y <br />h1. t�i. <br />SUBTOTAL <br />PEFMIT <br />TOTALFEE <br />2�� <br />LOT �liEA <br />OCCUPANCYGFOUP <br />PS-1 <br />No. cr sroaies <br />1 <br />PLANS CHECNEO OY <br />JEF <br />FEE <br />SIpE 5[TOFCK <br />5� <br />VACANT iTE <br />❑ YES NU <br />NO OPUWELIWGUNITS <br />Mnx occ �ono <br />1R ISSU4NCE DY <br />4[ <br />L.C. <br />NO. TYPEOFE�UIPMENT <br />NC — A-HNDLG UNITS — HP. <br />REFRIGERATION UNITS — HP EA. <br />�OILERS — B.T U./N.P. <br />GAS FIRED A C UNITS — B.TL. <br />FORCED AIR SVSTEMS — BS.U. M EA. <br />WALL HEATERS — B T.U. M <br />UNIT HEA7ER� — BS.I'. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATIONFAN ,s - <br />RANGEHOOD <br />WATERHEATER 1„�� <br />WOOD STOVE <br />METAL FIPEPLACE 8 CHIMNE� <br />FIREPLACEINSERT - <br />HPAT PUMP •.•� �i. <br />GASPIPING ��� �� <br />E%HAUS7FAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECH NU�.1�ER FEE <br />86/17226 40.95 <br />FEES VALUATION <br />FEE <br />81946 <br />BUILDING $ 350�. <br />PLUM�ING <br />MECHANICAL <br />INVESTIGATION FEE Sec.304�e) <br />STATE BUILDING SUfiCHARGE <br />S7ATEENERGYSURCHARGE <br />DfiIVEWAV PERMI7 <br />TOTAL 84.50 <br />f'EFIAIT VALIOATION <br />\:'H[N PROPERI Y Vi:l 1=,)Al [f1 i IfJ I Hlti SP,ACf I i I IIS IS VOUR PcRt.11T <br />G3 I 00 <br />1 � 50 <br />