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tNe£rergreen Cp���TRUCTtON � <br /> V <br />( CI?Y OF - <br />� everett PERMIT pERMIT NO. 0742� <br />� CITY HALL 259�0745 <br /> EVERETT.VvA 98201 ❑ COMBIIVATION .�h BUfLDING ❑ MECHANICAL PLUMBING <br /> OWNEA MAIIADDRE55 GITY ZiP PNONE <br /> 01e Sletten 8516 1°6th Street S.W. #311 Edmonds 96020 776-1516 <br /> AR�HREQ OR DESIGNEP MAII AUORE55 CITY ZIP PMONE <br /> GENERALGONTMGTOP MAILA�DRE55 GIiY 21P PHONE <br /> 1A[CHANICA�CONTRAGTOR MAaADOPE55 CITY ZIP f'40NE <br /> PLUM9iNGCONTW.CiOR MAILADDR[55 CIiY ZIP PHONE <br /> CLA55 OF WOflK <br /> ❑NEW ❑ADDIiION ❑A�TERATION X�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORN <br /> �, BIQ00.�� <br /> OESCHIBE WORH <br /> repair fire damage <br /> vnorosco use oF aui�oiNc <br /> Apartment I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED <br /> iEcn�oes:aiPnoNOFvaoveaTvrs�ioweeioweannncN�ouAcoviesi PLICATION AND KNOW THE SAME TO BE TRUE AND C <br /> 6-7 316 Remingtons lst ALL PROVISIONS OF LAWS AIJD ORDINANCES GOVERN <br /> ioT eiaK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SI <br /> HEREIN OR NOT. TH[ GRANTING OF A PERMIT DC <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW FEG <br /> CONSTRU,CTOIW OR THE PERFORMANCE OP CONSTRU� <br /> SiGNATURf.O�LONT l, OR FPUiHOiIZE�FGE��t �AT <br /> JOA AOUR[55 <br /> 1519�x Broadway #3 X � i � � � <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOS[T iTOIl.E1) AIR COND.UNITS—H P.EA. <br /> BATHTUB REFfiIGEPATION UNITS—H P.EA <br /> WVATORV(WASH BASIN) �OILERS—H P.EA _ <br /> SHDWER G.45 FlRLD AQ UNITS—IONIJAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AiR SVSTEtdS—8 T.LL �d EA. <br /> DISHWASHLR WAILHEnTGRS—BTL. M <br /> LAUNDFY TRAY UNIT HEAlERS—�T.U. M <br /> CLOTH-5 WASNEH EVAPORATN[COOLEFE <br /> 1 WATERcHEATER Z OO CLOTHES ORVERS <br /> V[NTILATION PAN <br /> UflINAL <br /> DRINKING FOUNTAIN RANGE HOOD _ <br /> AIli HANOLING UNII — CF.M. 1 <br /> FLOOR DPAIIJ <br /> \'ACUUM BREAKERS SiOVE <br /> ROOF ORAINS—RAINLEADERS METAL FlREPIACE 8 CHIMNEY <br /> SINK�5[R\9CE—�AR.EiC) <br /> SUB70TAL 2 00 SUBTOTAL S _ <br /> PEflM1T f 3 00 PERMIT s <br /> TOTAL FEE S TO7AL FEE S <br /> SIDE YAFD SEiDACK STREFT SET��CK REAN 1'ARD SETE3ACK PLAN CH[CK NUMOEP PLAN CHCCK PEE <br /> pEE RECEIPI <br /> USE ZCNE LOT AFEA VACANT SITE p <br /> I]YES ❑NO FEES VALUATION <br /> TVPe OP CONST. OCCUPANCY GROUP N0,OF D\Z LLING UNITS <br /> V—N R-3 BUILDING $$,000. <br /> SIZE OF BLDG. NO.OF STOflIES MAX.OCG.LOAD <br /> PLUMBING <br /> FIREZONE 2 �ASEMENT qEpUIRR[pIN�K�LERS MECHANICAL <br /> fIVES �!�IPO <br /> APPROVALS BY DATE OTHER _ <br /> 1. ENVIRONMENTALCHECKLIST � pENALTY I BC <br /> ' �.C.303�a) <br /> 2. BUILDMG PLANS TOTAL <br /> 3, FIRE HYORANT � <br /> 4. PIRC Pf707ECTION SY.rIfM PERMIT VALIDATION <br /> \NHEN PHOPERLY VAL�DATED(IN TH'! SPACF)THIS IS YOUR PFfiMll <br /> S. GRADING ~ — � 574 g044. I <br /> G. DFAINA E <br /> � 7. ENVIBONM17�NTAL IMP STATEMEN7 n <br /> e. HEAL ��DIPIAICT 0 �j;.��� Q t��G <br /> APPUCAJ�QN j'Q(:.BY LANS CHECNED BY PPPR.FOR ISSl1ANCE BY _ <br /> • � '.,I V <br /> i ,"i 1 .. . . <br /> fTl <br /> 00 "� � <br /> `7 m <br /> C � = ] I.'i 2 <br /> r , <br /> ADDRESS FIL[ <br />