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the Evergreen C ON S T R U C TI O N , <br /> CITY OI PERMIT <br /> eve rett <br /> CITY HALL 2508745 <br /> EVERETT. WA 88201 COMBINATION • BUILDING • MECHANICAL PLUMBING <br /> OWNER MAIL ADDRESS 20, PIIUNI. <br /> David Hammand 309 60th S.E. 98203 355-8056 m <br /> - p <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE I (CENSE NU <br /> GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO Z <br /> Same C <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PRONE LICENSE NO. a) <br /> m <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br /> I PERMIT CLASS OF WORK <br /> ❑COMBINATION <br /> ( (BUILDING ❑PLUMBING ❑MECHANICAL <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br /> VALUATION OF WORK <br /> S 21352.00 ❑DEMOLISH ❑FENCE -❑SIGN ❑SWIMMING POOL <br /> I DESCRIBE WORK <br /> 281x241 carport <br /> PROPOSED USE MECHANICAL <br /> single family <br /> i - IYPE OF ENERGY <br /> LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW Gn nt Inch ❑GAS ❑ELEC. <br /> FOUR COPIES) — <br /> LOT —BLOCK_OF NO.� TYPEEQUIPMENT FEE <br /> AIR COHb.UNITS-H.P.EA. 5 I <br /> SEC 06 '^Y 28 Rge 05 UFRIGERATION UNITS-HP.EA. <br /> _ IIOILERS H.P. EA. I <br /> FORCED AIR SYSTEMS-B.T.U. MEA. <br /> _ I <br /> JOB ADDRESS SPACE b WALL HEATERS - B.T.U. <br /> 309 60th Street UNIT HEATERS-R.T.U. I <br /> _ EVAPORATIVE COOLERS <br /> PLUMBING CLOTHES DRYERS 'T <br /> VENTILATION FAN 4- <br /> RANGE HOOD __ I _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT C.F.M. T' <br /> BATH TUBS <br /> CLOTHES WASHER WA T F IT HEATER - <br /> DISH WASHERS 1 1 AC HUH T FIREPLACE & CHIMNEY _ I <br /> DRINKING FOUNTAINS GAS SYSILM ND OP OUTLETS <br /> FLOOR DRAINS - - SUB TOTAL I I <br /> KITCHEN SINKS & DISP. <br /> BAR SINKS _ ___ _ PERMIT Sr <br /> ROOF DRAINS - RAIN LEADERS TOTAL FEE S I <br /> SHOWER BATHS THIS PERMIT RLCOMkS NULL AND VOIDIF WORK OR CONSTRUC I' <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED 'WITHIN 120 DAYS. OR IF <br /> SUMPS - SEWAGE PUMP CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED %OR A <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WORK ISCOMMENCEO. <br /> URINALS I HEREBY CERTIFY THAT I 1/AVE READ AND EXAMINED THIS AP <br /> 1" <br /> WATER CLOSETS PLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT. ALL <br /> WATER HEATERS - ELECTRIC 1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> WASH BASINS I OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> 1 OR THE PERFORMANCE OF CONSTRUCTION. <br /> SUB TOTAL <br /> PERMIT S Q//'/j jJ��I�J <br /> TOTAL FEE S <br /> :1GNA)76WROf <br /> CO &WATER SERVICE SIZE BLDG. SUPPLY SIZE CONTRA[ O OR AUTH.AGENT DATE <br /> SIDE YARD SETBACK STREET SETHACK REAR YARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 78/181 12.00 28485 <br /> R-1 DYES ❑ND FEES VALUATION FCC <br /> TYPE OF CONST. OCCUPANCY GROUP UNITOS DWELLING 1 <br /> .'I OF BLUO. NO.OF STORI 5 MA%.00C.LOAD HUILDING 0_21352.00 24 100 <br /> 1 PLUMBING 1 <br /> iU ZONE BA EM 1 -TIRESPRINKLERS <br /> REQUIRED DYES ONO MECHANICAL. 1 <br /> - I <br /> 1 IAL CONDITIONS' OTHER I <br /> _ PENALTY SEC.3031.1 <br /> -- - — TOTAL 24 100 <br /> PERMIT VALIDATION t 1 <br /> WHEN PROPF.RL Y VAL IDAIFD LIN 11'f110AACE1 1 5 PERMIT <br /> ---- ---- --- YU'.U'R AECEf�Pt� <br /> -- -- THANK Y,OU `3 <br /> 1111.11,1111`71 IT N♦ 1.1 NII'�1:11111.I II N\ /•IH'11111 It,I'!IINlN111\ O <br /> __. K....eb p [ t U! 19 <br />