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the Evergreen <br />CITY OF <br />everett <br />(IIY NAII Jf!1 l RI'I. <br />f VE RE TI NASXIN6I aN <br />SEMI <br />f1E.T OFCawaxar BUILDING <br />a/vnaral %I <br />CONSTRUCTION <br />PERMIT <br />MECHANICAL <br />evere" <br />PLUMBING <br />OWNER MAIL ADE)ILSS 111, PHONE <br />Cronin nootwe Inc. P.O. Dos 2757 98203 353-6500 <br />11�i-77 <br />W <br />ARCHIE ECT OR DESIGNER MAIL ADDRESS _ PHONF LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICLNSE NO. <br />Same Cif-c�tt- Iti-256-A1t <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />Puget Boating <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Rubinson Plumbing <br />PERMIT <br />�y <br />"BUILDING 6PLUMBING CNAECHANICA. <br />CLASS OF WORK. <br />6NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />7 <br />Z <br />~ <br />VALUATION OF WORK <br />S 36.400.00 <br />❑DEMOLISH []FENCE ❑SIGN ❑SWII+IVING POOL <br />LU <br />DESCRIBE WORK <br />Construct single family r+ssidence <br />�� f/r <br />PROPOSE US <br />single family residence <br />MECHANICAL <br />I�PF OF FUEL OIL ❑GAAS. ❑LPG. ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH— <br />rOUR Co IESI <br />1SDnntain View 11 <br />LOT __ BLOCk_OF <br />- -- -- - — -- <br />_ <br />NO. <br />TYPE OF EQUIPMENT <br />_ <br />FEE__ <br />AIR COND, UNITS-M.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS H.P. E.A. <br />I <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />L <br />FORCED AIR SYSTEMS-B.T.U. MEAA472 <br />JOB AD➢�' SS <br />13r! street H.L. <br />WALL HEATERS-A.T.U. M <br />�— <br />UNIT HEATERS-B.T.U. M <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />1 <br />I,`ENTILATIDN FAN <br />i Iww <br />:TANGE HOOD <br />♦—; I OR <br />AIR HANDLING UNIT- C.F.M. <br />E___ <br />OF FIXTURE OR ITEM <br />p�E <br />WATER CLOSET ITOILETI <br />$ —O <br />INCINERATOR <br />I <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />— <br />I <br />04 <br />SHOWER --_- <br />----- <br />- <br />KITCHEN SINK & DEEP. <br />SUB TOTAL S <br />I <br />DISHWASHER _ _ <br />PERMIT S <br />LAUNDRY TRAY <br />TOTALFEE S <br />I <br />_ <br />CLOTHES WASHER_ <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 AFT IR WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICAT ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />'IC WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />•" NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />! AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br />OTHER STATE OR LOCAL I.AW REGULATING CONSTRUCTION <br />I FIE PERFORMANCE OF CONSTBUC'r1ON. <br />'/2S�77 <br />x _ <br />WATER HeATER <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR SINK OR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS-RAINLEADERS <br />- <br />SINK (SERVICE -BAR. ETC.) <br />�— _ <br />— <br />- <br />- <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />S <br />SI(KKTURE OF CONI RACTOR OR AUTH. AGENT DATE <br />SIDEJJIRDSETBACK <br />STREETYJVACK <br />VV <br />REARYZGDSETBAC <br />ff1l <br />PLAN CHECK NUMBER <br />77/457 <br />— <br />FEES <br />PLAN CHECK <br />FEE ;,&a a a <br />FEE <br />RECEIPT NO. <br />USE ZO�f <br />R L <br />LOT AREA <br />VA NT SITE <br />YES ❑Nn <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />SIZE 32, Z0.1 <br />]]iCj, <br />OCCUPANCY GROUP <br />O.OF —DWELLING <br />UNITS • <br />I <br />BUILDING <br />S <br />NO, OF SJORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />SEC. 3031.) <br />--- I <br />I <br />TIRE E <br />J <br />A <br />$aYtlal <br />1 RI K x <br />REGUI RED <br />❑YES NO <br />MECHANICAL <br />SPECIAL CONDITIONS. <br />OTHER <br />1 <br />PENELTY <br />_ _ _ <br />ROTAL <br />Duilf over Ilia d Wnage casmn zt <br />------ <br />— <br />I <br />nualtX&T NVIBIX <br />PERMIT VALIDATION <br />WHEN PROPF RLY VALIDATED (IN SHIS SPACEI I HIS IS YOUR PERMIT <br />• <br />AMIIf AIIP'MI 07 <br />ANS IIFI[Mfa RY <br />V <br />11}NL RYFP4L <br />