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.. � <br /> -- I <br /> � <br /> fhefvergreen CONSTRUCTION I <br /> arv or L V�rLtt � <br /> everett PERMIT' <br /> , <br /> dTV HqLL 259�8]AS <br /> EVEfiETT, WA �azoi COMBINATION • EUILDING • MECHANICAL • PLUMBING <br /> OWNER M111L ApDRESS <br /> l�Y PHONE <br /> Rich Valentine 16820 lOSth N.E, Bothell 98011 988-8265 � <br /> ARCMI?ECT 09 DESIGNhR m <br /> MAIL ADORESS <br /> VHONE LICENSE NO. � <br /> GENERAL CONTRACTOR MAIL ADDNE55 -1 <br /> PHONE LICENSE NO. <br /> Riverside F,00f Co. 2916 State Street 258-9646 RI VE I2R *30210 C <br /> MECHANICALCONTRACTOR MAILADDFESS <br /> PNONE LICENSE NO. 3 <br /> W <br /> PLUMDING CONTRACTOR MAIL ADDRE55 `- � m <br /> PHONE LICENSE NO. � z <br /> PEHMIT CLASSOFWORK ` � <br /> ❑COMBINNTION - <br /> [�X7UILDING �LUMBING �MECHANICAL <br /> ❑NEW ❑ADOITION ❑ALTEAATION �RGPAIR <br /> VALUATION OF WORK <br /> S Z�OZ],.00 ❑�[MOLI>II ❑FENCE ❑SIGN ❑SWIMMIN. POOL I <br /> DESCFIOE WORK <br /> tiot vuilt-un roof <br /> PROPOSE�USE <br /> M�CHANICAL <br /> LEGAL DESCHIPTION OF PqOPERTV(SNOW BELOW Oq ATTACli � TVPI[ OK ENEqG V <br /> FOUR COPIESI ❑GAS <br /> ❑E LEC. <br /> Lo7 BLOCK_OF NO. TVVEOFEOUIPMENT fEE <br /> Alfl CON�. UMTS-N.P. EA. § � <br /> REFH�UEftATION UNITS-H,P, EA. — <br /> _' _AOILER�H.0 CA. 1 <br /> FpqCED Alq SVSTEMS-B.T.U. MEA. <br /> JOBADDR4S5 — � <br /> 2411 Broadtray _ sPnce a wn�� Henreas - e.t.u. <br /> _ uti�r��enrens--n.T.u. � - <br /> PLUMBING �vnvor+nrivE coo�eas - <br /> -"- CI.OTHESUqVEFS � -- <br /> • � VENTILATIONFAN T <br /> NO. TVPE OF FIXTURE OR ITEM — _ �nNc;[ I�ooD � -� <br /> FEE AIR HANDLING VNIT- QF.M. <br /> [3ATH TUBS S _________ <br /> fLbTHES WASHER ____ ._____ ,__ __ � <br /> � <br /> OISH WASHERS � WATER HEATER '- <br /> DHINKING PoUNTAINS � � �AC. BUILT FIREPLACE R CHIMNEY � <br /> FIOOR UHAINS � GAS. SVSTFM: NO OP OUiLETS -- <br /> KITCHEN SINKS $ DISP. � SUfI TOTAL S � - <br /> BAR SINKS — ----- <br /> PERMIT 5 — <br /> ROOF OR4iNS -- RAIN LEADEHS ------- <br /> SHOWER f3ATliS TOTnL FEE 4 �"'- <br /> SERVICE SINKS THIS PERMIT OECOMES NULI AN� VOIU IF WORN OR CONSTRUC <br /> TION AUTHpq12ED IS NOT COMMENCED WITHIN 120 DAVS, Ofi II <br /> iUMPS - SGWi�GE PUMP CONSTfiUCT10N ON WONK IS SUSPENOED Oli t10ANIJONEO FOH r� <br /> URINALS PERI00 OF 120 DAVS 4T 11NV TIME AF7ER WORK IS COMMENCCD. <br /> _ WATER CLOSET$ I H[RE(1V CEfiiIFY 7HAT I HAVE IiEAO ANO E%AMINED THIS /U• <br /> WATER HEA7EH5 - ELECTHIC — � PLICAiION ANfJ KNOW THG .^.nME ro 1aE Tr�UE nNo Coan[c�. nl.i <br /> WASH BASINS PROVISIONi Of �.l�Wg qND ORDINANC[5 fOVEfiNING THIv TY��! <br /> LAUNDRV TRAVS T OF WOIiK WILI. pE COMPIJED WITH WHETHEfi SP[CIFI@D HEHFIN <br /> OA NOT, THF pNANiING OP A PLRMIT DOLS NOT P19ESUM[ lp <br /> � GIVG AUTHORITY Tp VIOLAT[ p(i CANCbI. THL PROV1;1(iN; p�� <br /> ' ANV 01HGq STMC pR LUCAL LnW IiEtiULAi WG CONSIRUCTION <br /> I� — OIl THE PERtONMANCE OF CONSTRUC7lON. <br /> 1 <br /> SUB TOiAL <br /> PERMIT a <br /> TOTALFEE X Check 1'r1135 1�a3��� <br /> WATERSE(iVICE517E BLDG. SUPPLYSIZE SiGNn7UREOFCON7H.:CTonoqAUil�.ncErvi oni� - <br /> SIDEYAHDSETRACK STREETSETUACK REAflYAqDSETOACYP�/�NCHECKNUM[3ER <br /> PLAN CH[CK FEE <br /> FEE R[CEIPT NG. <br /> USE ZONE LOT AqEA VACANT SITF <br /> ❑vEs ❑No fEES VqLUAT10N FEE <br /> l VP[ OF CONST. OCCUPANCV GPOUP NO.OF OWE�LING <br /> UNITS <br /> I <br /> 512E OF OLDG. NO.OP STOflIES MAX.00Q LUAO OUILOING f <br /> 2r021.00 24 100 <br /> FIRE 2oNE PLUM�ING —�— <br /> OASEMENT F11iESPqINKLERS � <br /> REOUIRED I <br /> ❑VES ❑NO MECHANICAL i <br /> SPELIAL CON�ItIONS: <br /> OTHER � <br /> I <br /> PENALTY SEC. �031a) � <br /> — _ -- I <br /> __ 'fOTAL 24 �00 —� <br /> --_ PERMITVALIDATION 1��� S <br /> WHENI'qOPERLVVALIDATE�II�t I1S,Pl�C@ -� qpEqp���J � <br /> -- �4�1�i dtEC.��IP1t,; <br /> nPPlnnlinry/.Ct.IPIlU11T� PLArySINLCKlO11V � �NK YO� �• <br /> f�l'I`I'.UVI Il1Ul1 I_:.IJ/illl_1 I�V � ^ <br /> Y- ' <br /> . � . <br /> � J t ' <br /> ' . ; : ;i � 3_� .1�_ _ <br />