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the Evergreen <br />CITY 111 <br />everett <br />CITY HAt I 15+Bus <br />FVEBIII, WABHINGTON <br />"PIT <br />DEPT OF COMMUNITYDIVIEtamIII BUILDING <br />CONSTRUCTION <br />MECHANICAL <br />eve re11 <br />PLUMBING e) <br />OWNER MAIL ADDRESS ZIP i'IIU NL <br />niuLard Custom Iiorsca 4332 Evergreen tray 9820 3 <br />7 ►-77 <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE No <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cc <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Ut <br />m <br />z <br />~ <br />_ <br />PERMIT 71y <br />:,]BUILDING PLUMBING MMFCHANICAL <br />CLASS OF WORK <br />KAll <br />NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION <br />F JJRK <br />S.00 <br />❑DEMOLISH OFFENCE ❑SIGN ❑SWIMMING POOL <br />cc <br />LEE <br />LEEs a <br />DESCRIBE WORK <br />Single Family Rasidonca <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF FUEL OIL GAS . ❑LF. PG. ❑LE C. <br />_ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES( <br />LOT BLOCK —Of - <br />taltit, Sao 0 'la1fP 21114 x5$ RP 1202-28 • <br />NO. <br />TYPE OF EQUIPMENT _ <br />FEE _ <br />AIRCON UNITS-H.P. EA. <br />S I _ <br />—�— <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />YEW <br />_ <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />) <br />�oB�a�M <br />i�YBfiAIi?3: 4&W 73rd St. S.LT. <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 <br />VENTILATION FAN <br />RANGE HOLD <br />AIR HP JDLtNG UNIT- C.F.M. <br />N <br />TYPE OF FIXTURE OR ITEM <br />F <br />(NCI NE RA IOR <br />I <br />WATER CLOSET (TOILET) <br />S <br />- <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK b DISP. <br />SUB TOTAL S <br />I <br />— <br />DISHWASHER <br />LAUNDRY TRAY _ _ <br />— <br />PERMIT S <br />TOTAL FEE S <br />I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRIC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />DIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />x 6/10/77 <br />WATER HEATER <br />_ __} - <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR -SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-R AI NLEADERS <br />SINK (SERVICE -BAR ETC.) <br />SUB TOTAL <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />SIGNATURE Of CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARDS �TBB ACK <br />STREETS F,IQ(NCK <br />Z{i ce <br />REAR YARD&SAC <br />11 <br />PLAN CHECK NUMBER <br />77/37 <br />PLAN CHECK <br />FEEnagia (RECEIPT <br />FEE <br />NO. <br />USEZONE r <br />LOT AREA <br />VqjCA NT SITE <br />LJV ES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF VN'§T. <br />I% A <br />OCCUPANCY GROUP <br />s <br />UN'OS DWELLING <br />L <br />1 <br />BUILDING <br />I <br />S <br />I <br />SIZE fB40$G. <br />.3 `s;/ <br />NO. OF STORES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE:O BASE �RrRCUIREOKYES <br />L7N0 <br />MECHANICAL <br />OTHER <br />I <br />SPECIAL CONDITIONS <br />f.R'I.I(AlIJ11 ACLI P!111 aT ItI•Ni l'.IITI�j..'�Y API'Hl1YiDro IS4IAWFGY. <br />I <br />I <br />PENELTY <br />TOTAL <br />SEC. 303 Ia1 <br />I <br />1 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT <br />O <br />