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the Evergreen CONSTRUCTION <br />everr'l <br />fIFY1,I PERMIT <br />everett <br />CITY HALL 2598745 PLUMBING <br />EVERETT, WA 9R20I COMBINATION BUILDING MECHANICAL <br />411 67th Place West Mt. Lk. Terrace 98043 774- <br />MAIL ADDRLSS PHONE <br />Same <br />4� <br />I' <br />00 <br />❑COMBINATION <br />91BUILDING KXPLUMBING UMECHANICAL n_1EW []ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK RII• <br />S 32,700.00 ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct single family residence <br />PROPOSED USE MECHANICAL <br />single family residence _ _ - <br />LOT __ BLOCK —OF <br />Ptn SEk of the SA of Sec 7 Twn 28 N <br />Rge 5 E.W.M. <br />JOB ADDRESS <br />711 04th St. S.E. <br />PLUMBING <br />FEE <br />NATER SERVICE SIZE BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK <br />STRC EI SETBACK <br />REAR YAROSETB <br />6' <br />20' <br />20' <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-1 <br />JaYES []NO <br />TYPE OF CONST. <br />OCCUPANCY GNOUP <br />NO. OF DWELLING <br />UNITS <br />V-N <br />I <br />1 <br />SIZE OF BLDG. <br />_ _ _ <br />NO. OF S7OnIES <br />MAX. OCC. LOAD <br />34'x66' <br />1 <br />RAS ENI- <br />F IR�NO V- <br />-SPRINK R <br />REOL LED <br />3 <br />none <br />DYES JMNO <br />SPECIAL CONDITIONS' <br />YC <br />11,911) NV M•HWI 1) `0" 1' <br />11*1 K. C. eb <br />- V ❑OAS ❑ELEC. <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS-H.P. EA. f <br />SPACE A WALL HEATERS - B.T.U. ' <br />UNIT HEATERS-. B.T.U. <br />IVAPORATIVE COOLERS <br />1 CLOTHES DRYERS i Inn <br />VENTILATION FAN___ _ —T-`- <br />1 MANGE HOOD inn <br />AIR HANDLING UNIT- C.F.M. <br />WATER HEATER __ <br />FAC BUILT TIREPA LCE A CHIMNEY I <br />6AS. SYSTEM NO OP OUTLETS —�— <br />SUITTOTAL f I <br />PERMIT f <br />-- ------ TOTALFEe S 1.4I <br />on <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <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 />PLICA TION 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 />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRI�C TION. <br />K 6/12/78 <br />SIGN I+F UREOFCONTRACTORO UTH.AGENT OATS <br />'LAN CHECK NUMAER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />78/339 68.00 30777 <br />FEES VALUATION FEE <br />BUILDING f 32,700.00 136 1 00 <br />PLUMBING 23 100 <br />MECHANICAL 13 100 <br />nluF li <br />PI NAI I SEC. 3031e1 I <br />TOTAL 172 j00 <br />V TI N i <br />WIZEN I'RUPE RLY YAI.IUA�fll 11 1117131 Pnll4lii5V ��I�1 MMRAI1 i <br />J R RECEIPT 1� <br />LANK YOU YOUR REC:E "', <br />I THANK YOU .> <br />]1im78 12Ji1171 <br />I <br />