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the Evergre0" CONSTRUCTION <br />CITY (`I <br />everett PERMIT <br />CITY HALL 250 9745 <br />EVERETT. WA Henn COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />IWIUFP <br />nR n�unua <br />7n1'.❑s O1 ;o • J z°' rl(onL <br />_ __ 35-3034 <br />n RCHI7ECT OR DESIGNER ----- MAIL ADDn Cr,4 --"— <br />PHONE LICENSE NO <br />ENE RAL CONt RACTC•H <br />,e <br />IA(:ENSENO <br />'JANICALCONEpACTOR <br />"a1iL>• ttCOlal,f, <br />MAIL nDURESS <br />PI/ONE <br />LICENCE NO. <br />PLUMBING CONTRACTOR <br />Art'D PlD'nhing <br />MAIL ADDRESS <br />-- PUONL <br />LreENse No <br />PI RMIT <br />—WO <br />— <br />COMBINATION <br />CLASSOf IT <br />[BUILDING .'0 PLUMP, No 'M MFCHANICAL <br />INEW <br />❑ADDITION ❑ALTERATION <br />❑REPAIR <br />VALUATION OF WORK <br />s 30,000.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN <br />❑SWIMMING" POOL <br />DESCRIBE WORK <br />Construct S11,00 ,41:111Y <br />TCS1d0VLC <br />single fnmily residence <br />LOT <br />PLUMBING <br />COITi M' <br />BLOCK — <br />OF - <br />9119L !'lace S.E. <br />MECHANICAL <br />TYPE OF ENEROY <br />❑GAS <br />NO. _ TYPE OF EOUIPMENT <br />AIR CONU_VNI TS II.I' tA. <br />-_ _R Ef IF IGf RAT ION UNITS H.P. EA- <br />F <br />everett <br />I <br />m <br />❑ELEC. <br />I SPACE & WALL HEATERS - B.T.U, - <br />--If UNIT IIEATERS R.T.0 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS _ <br />VENTII ATION FAN <br />RANGE HOOD _ <br />AIR HANDLING UNIT C.F.M. <br />WATER 14FATER <br />FAC. HUH 11111IPIACI A CHIMNEY <br />GA' SVSIFM NO OPOUTLETS_ <br />SUS TOTAL <br />T — <br />I <br />---------- TOTAL FEE S Ii 1 OO <br />THIS PERMIT BECOMES <br />ECOES 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 AFTEn WORK IS COMMENCED. <br />THIAP <br />FY <br />PLICAT ON ANDIKNOW THE SAME OE BE)TRUE AND AND E10Rn CTSALL <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 OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />TOTAL F <br />WATER SERVICE SIZE .BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK STREETSETOACK HEAR YARDSETnACP <br />O 27 <br />X 7 ��?�-+-� 2/14, 7J <br />SIGNATUR E OF CONTRAGTOROR AUTH.AGENT DATE <br />PLAN CHECK NUMB PLAN CHECK FEE 1,1 <br />77, 2R:7 FF5 Ranic RECTi''g)T1�0' <br />USE20NE <br />R_1 <br />TYPE OF CONST. <br />p-tt <br />LOT AREA VACANT SITE <br />'1_JY ES ❑NO----- <br />OCCUPANCY GROUP O.OF DWELLING <br />UNITS <br />__ FEES <br />VALUATION <br />- <br />FEE <br />--- <br />SIZE IIILOG' <br />NO. OF S 071ES MAX. OCC. LOAD <br />1 <br />BUILOINO <br />S 321�Oj ,'IO <br />13L I OO <br />I <br />PLUMBING <br />-- <br />_ <br />?� I OO <br />FIR ZO—Nr <br />3 <br />BASE fl 'S INKL S <br />O REOUIRED �,'�( <br />❑YES LJNO <br />MECHANICAL <br />OTHER <br />15 I OO <br />SPECIAL CDNDI TION <br />-- -- <br />M <br />I <br />PENALTY <br />-_.—_-- <br />SEC. 3001e1 <br />—_—.— <br />I <br />I <br />40 <br />5JttV�L�pyT���I� <br />----.��2- <br />� � ,.� <br />TOTAL <br />176 1 IO <br />Kwl+All�l(WI"CVS,I L®',IrH I�Q�l�srnc�I 1�s/s xy�n PEnMI] f <br />j J • � .16. U U �` 1 <br />APPI <br />" — <br />-- e, <br />p�- 1 -- _------- <br />Ifs �. •ilb� spry, 1111111 P11Y pPPPOV111 0011 l•: nn1Yl P. <br />c <br />U R RECEIPT <br />ANK Ybb-YOUR RECEIPT <br />THANK You <br />A' <br />a <br />s 78 <br />16 rra 72 <br />co <br />m <br />(.1 <br />