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die Ll'rrgre�'n C O N 5T R U C T I Q"�I <br />c�r� o< < <br />QV����1. P�R��� PERMIT N0. 157�6 <br />CITY HALL 2599745 <br />EVERETT,WA98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL NDONE55 CItY Z�P PH9NE <br />HAROLD I�TFiITON 5514 BEVERLY LANE 'r.VERETT IJA 98203 355-5955 <br />AIiCHITECi OR OESIGNEP MRIL ADDRE55 ('IiY ZIP PHONE <br />GENERAL CONiflACTOR MRIL R�URE55 LITV 21P PHONE UCEHSE � <br />Same <br />MECNRNICRL GONTR�GTOR MRIL RDORESS CIiY 21P PMOHE LICENSE � <br />PLUMBiNO CONfRAGTOR MAIL ADORE55 CITY 21P FMONE IICENSE I <br />❑ NEW L�(AC�DITION ❑ 4lTERATION ❑ FEPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFIFIFEPLACE INSERT <br />VALOATION OF WOI <br />f 2���), 0� <br />Bathroom addition <br />)SED'JSE OF BUIL�ING <br />Residi�nce <br />LOi 38 BLCCN_OF <br />5514 Pe��erlv Lane <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WAIER CLOSET(fOILEn <br />BATHTU9 <br />LAVqTORV�WASH BASIN) <br />1 SHOWER <br />KITCHEN SINK 8 OISP. <br />D'�SHWASMER <br />LAUNDRYLRAY <br />CLOT7IES WASHER <br />WATER HEATER <br />URINAL <br />LRINKING FOUiJTAIN <br />PLCOR DflAIN <br />VACU:IM BREAKERS <br />ROOI' L`RAINS — RAINLEADERS <br />SINK (SEFlVICE — 6F9, ETQ) <br />SUB70TAL <br />PERMIT <br />TOTAL FEE <br />6' I 20' <br />R-1 <br />V-N R-3 <br />SIZE OF BLOG. NO. OF Sl <br />82 sf addn 1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � <br />9. FIRE HYDRANT ��— <br /><. FIRE PROTECTION SYSIfiM <br />5. GRA�ING <br />—e. DRAINAGE <br />'"� 7. ENVIRONMEMAL IMPl�LIT STATEMENT <br />C�B.MEhLTH DISTPICT � <br />G� c. J <br />V i <br />$B; ' JEF <br />= _� <br />�a� <br />I HEREBY CERTIFY THAT I HAVE READ PND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANJ ORDI��ANCES <br />G0� =RNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TFtE GRANTING OF A <br />PERh11T DOES NOT ?RESUME TO GIVF. AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOGAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM�+NCE OF CONST.RUC710N. <br />c�r.,�er�iac r.nutnaafnwnA duNnwrFn ncEr�i DniE <br />� <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT _ <br />AIR COND. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — M.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORf.ED AIR SVSTEMS — BT.U. M EA. <br />WALL MEATERS — B.T.U. M <br />1IN17 HEATEflS — H.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DR1'EFS <br />VENTILATION FAN <br />RAI:GE HOOD <br />AIR �1ANDLING UNIT — C.F.M. <br />STOYE — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />� <br />f <br />S <br />REAR YARO S <br />20' <br />VACANT SITF <br />VES _NO <br />�L. <br />NO. OF DWEL <br />� <br />FOR ISSUANCE BY <br />85/15736 <br />FEES <br />BUIIDING <br />PLUM9ING <br />MECHANICAI <br />OTHER <br />PENALTY <br />.:UB iCTAL f <br />PENMIT S <br />10TALFEF f <br />FEE Z1.13 <br />VALUATION <br />s2000.00 <br />909 <br />FEE <br />81REGEIPT N0. <br />su� <br />FEE <br />32 50 <br />6 00 <br />TOTAL I I 38 50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATEO pN THIS SPACE� THIS IS VOUfl PERMIT ((� <br />G3G4 $032.50--� <br />� <br />' i <br />. . .'. � �. � � <br />. . � <br />i � �.'� .,) <br />ADDRESS FIL[ <br />z <br />0 <br />-i <br />� <br />m <br />., .., <br />1� <br />.-. -� <br />N m <br />C O <br />mo <br />—i c <br />om <br />2 �-=i <br />m <br />A 2 <br />C <br />fn' S <br />� �..� <br />� N <br />� <br />� <br />O A <br />�l D <br />3 <br />�m <br />m.. <br />N <br />O <br />or <br />c� m <br />C N <br />3 1n <br />m <br />Z f� <br />�m <br />a <br />A <br />1 <br />S <br />a <br />z <br />-� <br />x <br />� <br />z <br />0 <br />1 <br />n <br />m <br />� <br />0 <br />