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the Evergreen <br />CITY OF CONSTRUCTION everett <br />everett PERMIT <br />CITY HALL 751 JUS <br />EVE RE 11. WASHINMON <br />11N1 <br />OVl OFcomV[tOA <br />BUILDING MECHANICAL PLUMBING <br />mii'NI EVEI O,e <br />OWNLR MAIL ADDRESS ZIP 114ONL <br />.T:;O nrUA:Ia in3l.5 1st nr1Ve i.f:. / <br />ARCHITECT OR DESIGNER MAIL ADDRESS PmmE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Brueba Contracting 22'.-^1-3P-US-11C^33:IT <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENrE NO. <br />m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />m <br />PERMIT <br />CLASS OF WORK <br />Z <br />,] <br />(]BUILDING 6PLUMBING 15MECHANICAL <br />L:J NEW ❑AbDITION ❑ALTERATION ❑REPAIR <br />~ <br />VALUATION OF WORK <br />S 20/Qa0.QA <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />m <br />LU <br />o_ <br />DESCRIBE WORK <br />ouild new raabler-bath* i III anti attached garage <br />1 2 5 1 <br />PROPOSED USE <br />9ingla ranily ansidence <br />MECHANICAL <br />TYPE OF FUEL DOIL OAS LPG. UiAl <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW US ATTACH <br />FOUR C P ESl <br />�� Spoleat[a irSrlitfun <br />NO. <br />TYPED <br />FEE <br />LOT BLOCK_OF <br />H.P. EA. <br />AIR COND, UNITS-H.P. EA. <br />S I <br />REF RIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />_ <br />GAS FIRED P.C. UNITS -TONNAGE EA. <br />FORCED AIR SYSTEEAS-B.T.U. M EA. <br />1 <br />JOB PDOIIESS �4t�1 RTR�ail B.. . <br />ty0i <br />WALL HEATERS-B.T.U. M <br />i <br />UNIT HEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />PLUMBING <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />_ <br />AIR HANDLING UNIT- C.F.M. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />E <br />INCINERATOR <br />S' <br />WATER CLOSET (TOILET) <br />S <br />BATHTUB <br />q <br />I <br />e <br />LAVATORY WASHBASIN) <br />go <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />SUBTOTAL S <br />I <br />DISHWASHER <br />PERMIT S <br />LAUNDRY TRAY <br />2 <br />1@@ <br />TOTAL FEE S <br />13 I <br />CLOTHES WASHER <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCL <br />WATER HEATER <br />TION AU IHORIZED 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 />PLMATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />i <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR —SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS—RAINLEADERS <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />SINK (SERVICE —BAR, ETC.) <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />— <br />ANY OTHER STATE OR LOCAL LAW REGUI.ATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SUB TOTAL <br />PERMIT <br />f <br />/ 'j/ jE�/77 <br />x J G i J//,1 <br />TOTAL FEE IS <br />nR <br />BIG, ATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARDSETBACK <br />E1 <br />STREETSETBACK <br />201 <br />REARYARQSETRAC <br />20 <br />PLAN CHECK NUMBER <br />'j'��j 09 <br />PLAN CHECK FEE <br />FEE 62.00 REC IfLPTNO. <br />Rum <br />LOT AREA <br />VACANT SITE <br />13YES ONO <br />USE ZONE <br />R-1 <br />FEES <br />VALUATION <br />FEE <br />YPz OF COHST. OCCUPANCY GROUP NO.OF D 1 L ING <br />UNITS <br />SIZE OF l7 LOG. NO. OF STORIES MAX, OCC. LOAD BUILDING $ / t�� <br />24z63 1 <br />PLUMBING <br />FIRE ZONEBASE Ni FIRE SPRINKLERS <br />.3 iiV RE❑O VESEO [IND MECHANICAL <br />SPECIAL CONDITIONS! OTHER <br />.__ PENELTY SEC. 303 IRI <br />- ---- TOTAL <br />PERMIT VALIDATION <br />- WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />•PPLICATION ACUP11OBY. PLANS LIIEC6IB BY. I.PIHOVIO iO ISSOMKE BY <br />r..s;. <br />a <br />