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rhe Lrrrcri�rr <br />,<, <br />�verett <br />GTY HALL P59�B745 <br />EVERET7, WA nB207 <br />COIVSTRUCTIQ" � <br />PERMIT <br />❑ COMBINATIOM C� BUILDING ❑ MECHANICAL <br />PERMIT N0. 1523� <br />❑ PLUMBING <br />OWNER MAIL AUORE55 CIiY ZIP PMONE <br />Michael R. Neff 6323 Reverly Lane Everett 98203 355-3910 <br />ARCHIiF.Ci Ofl OESIGNEH MRIL AODiiE55 GrtY ZIP FHONE <br />GENERPLGONTRACTUR MAILADDRE55 LITY ZiP PHONE UCENSL• <br />Same <br />MECNRNICRL CONL!I�CTOd MAIL AODRE55 CITY ,P PHONE UCENSE I <br />PW4BING CONTR�:TON MAIL ADpNESS 'Y 21P PMONE UCENSE • <br />❑ NEW ❑ ADDIiION ❑ ALTERATION �X7EPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WpOD STOVE/FIREPLACE INSER7 <br />° 2,000.00 <br />DESCRIBE WORR <br />Re-roof Composition <br />PROPOSED USE OF 6UILOING <br />Single Family Residence <br />LOT_BLocrt_oF <br />5419-000-018- <br />JOB ADDRE55 <br />6323 Beverlv Lane <br />PLUMBING <br />�� <br />BATHTUB <br />LAVATOPY�WASHBASIN� <br />SMOWER <br />NITCHEN SINH d DISP. <br />OISHWASMER <br />LAUNDRYTRAY <br />CLOTMES WA511ER <br />WATER NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETQ� <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />NO. OF STONIES <br />APPflOVALS <br />i. ENVIRONMENTAL CHECN LIST <br />2. BUILDING PLANS <br />3. FIRE MYORANT <br />d. FIRE PROTECTION SYSTEM <br />S. GRADING <br />6. �RAINAGE <br />). eNVIRONMENTAL IMPACT STATEM ENT <br />8. MEALTM DISTRICT <br />FEE <br />i <br />f <br />i <br />VACANT SITE <br />YES NO <br />FIfiE SPRINKLEHS <br />REOUIREO <br />YES NO <br />I HEREBY CERTIFY THAT I HAVE READ AND E:(AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BF TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEfiNING 1'HIS TYPE OF WORK WIIL BE COMPLIED WITH <br />V�'r•IE�fHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITI 70 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PcRFORMANCE OF CONSTRUCTION. <br />nIGNAIURE OF CONTRRC70R OF RUTNOriIZED ACENT ORiE <br />MF.CHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGFRATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS �- B.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTMf.SDHYERS <br />VENTILATION FAN <br />RANGEH000 <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METPL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PEHMIT f <br />TOTAL FEE f <br />CK PLAN CHECK NUMBER PLAN CI <br />FEE <br />FEES VALUATIO� <br />UNITS � <br />CMECKED BV IAPFR.fORI55UANCE BY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENALTY <br />TOTAL <br />f2���0.�� <br />U.B C. <br />SEC. J03 <br />FEE <br />RECEIPT N0. <br />FEE <br />32 <br />PF.NMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Q <br />- M <br />N <br />� <br />'r'i <br />ADDRESS FIL[ <br />z <br />0 <br />� <br />f') <br />m <br />-� �t <br />N 2 <br />0 <br />m <br />cv <br />m� <br />--1 c <br />O 3 <br />m <br />-y z <br />x� <br />m <br />o z <br />C <br />a -i <br />rx <br />�� <br />—1 N <br />-t <br />� <br />O A <br />�7 Y <br />3 <br />-i m <br />S <br />m.. <br />N <br />or <br />c� m <br />C N <br />3 fn <br />m <br />z t-i <br />-r r <br />• m <br />D <br />A <br />1 <br />S <br />a <br />z <br />� <br />x <br />� <br />z <br />O <br />1 <br />f'� <br />RI <br />