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the Evergreen <br />CONSTRUCTION <br />CITY OF <br />PERMIT <br />eve rett <br />D <br />CITY HAIL 259 B745 <br />EVERETT. WA 98201 COMBINATION • BUILDING MECHANICAL <br />• PLUMBING <br />OWNER <br />MAIL ADUIO '_ .'ll• <br />IRIUNI <br />oe,h <br />2323 73rd Street 78203 <br />353-1484 <br />TJ <br />R <br />ARCHI TECT ORr u SIGNER <br />MAIL ADDRESS PHnNI <br />1_IC[NSE NII <br />m <br />2 <br />3ENE RAL CONTRACTOR <br />_ <br />MAIL ADDRESS PHONE <br />LICENSE NO <br />7 <br />Same <br />— <br />WECHANICAL CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSE NO <br />3 <br />W <br />m <br />'LUMBINO CONTRACTOR <br />MAIL ADDRESS PHONE <br />LICENSF Nn <br />❑COMBINATION <br />❑ BUILDING ❑ PLUMBING ❑ MECHANICAL <br />❑NEW ❑AODIT ION ❑ALTE FIAT ION ❑REPAIR <br />VALUATION OF WORK <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />LOT i BLOCK 32 <br />JOB ADDRESS <br />2323 73rd Street <br />PLUMBING <br />MECHANICAL <br />ATTACH TYPE OF ENERGY <br />❑OAS EII III. <br />NO. TYPE OF EQUIPMENT _ <br />ARI COND. UNITS ILP. EA S_ <br />REFRIGEIIATIONUNIIS IIP. EA. <br />BOILERS RA. EA. --_—� -�-- <br />FORCED AIR SYSTEMS-S.T.U. MEA. <br />_SPACE d_WALI. HEATERS - R.T.U. _ <br />UNIT HEATERS H.T.U. <br />AIR HANDLING UNIT C.F.M. <br />_W_A iER NEA_TER___ _ <br />FAC III FIREPLACE 14 CHIMNEY <br />TOTAL FEE III I <br />—Ti/IS—PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTROPIZED 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 AFILR WORK ISCOMMENCED. <br />I HLRERY CERI IFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE I RUE 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 />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 01HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR T14E PERFORMANCE OF CONSTRUCTION. <br />I TOTAL FEE $I 51 U x <br />VATER SERVICE SIZE BLDG. SUPPLY SIZE _ SI <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />i OF CONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING <br />_ <br />_ <br />UNITS <br />RIn1 DINI, <br />1 <br />1 <br />— <br />S <br />1 <br />1 <br />I IIF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />I'1 uF4mr1G <br />'_ILCl/ANICAI <br />_ _- _ 5 1 00 <br />I <br />/ONE <br />HASEM .NT <br />FIRE PRINKL 1.' <br />R EOUI REU <br />OYES ❑N, <br />1 <br />:.IAL CONDITIONS: <br />ORES <br />— -- <br />'I NALTY <br />SE C. 303 to) <br />I <br />TOTAL <br />J 100 <br />PERMIT VALIDATION <br />.I I it N 1-11011 RI Y V AI IDAI <br />I O (IN THIS SPACE T III': I:; YOUR PE RNLI I <br />- I <br />0� R RECE I PT <br />THANK YOU <br />411VI Illup f: �IN4I 11. <br />-- <br />3! A11 <br />`i, <br />