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; rhe E��ergreen <br /> ever�tt � �ONSi'RUGTIO �� <br /> PERMIT PERMlT NO. 15059 <br /> CITY MALL t59-BAS <br /> `,• FYFAETT, WA�8201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(3 <br /> OWNEN MAIL ADDRE55 Cliv JP PHONE <br /> Ada Vr.idal 6303 Cady Aoad Everatt 98203 353-0477 I <br /> �AGMITEGI ON DESi6NER MAIL�DORE55 LiTV 1iP i�HONE <br /> JencP.ne Kwas 5731 153rd Y1. SW Edmonda, WA 98020 743-5891 <br /> OENER�LCONTR�CTOR M�I�.AOORE55 pTY 21V pHONE LICENSE� <br /> Gerald Construction 5731 153rd P1. SW Edmonda, WA 98020 743-5891GEAALC"320Jx <br /> MECN�NICAI CONTR�CTOP MAIL�D�RE55 CiTY 21P FnONE IiCENSE 1 <br /> PWMBINO CONTR�CiOR M.11L�DPRESS GITY Z�P PrIpNE UCENSE� <br /> CU59 Of WORR <br /> �NEW O ADGITION ❑ AL7ENATION ❑REPAIR ❑ DEMO�etION O FENCE ❑ SION O WOOD STOVFJFIREPUCE INSERI <br /> V1LU�TION OF WORN <br /> 14��0��.�0 <br /> OESCRIBE YIORN <br /> Construct single family Wood frame <br /> PROPOSE�USE OF BULOING <br /> Sinqle family reeidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS = <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO o <br /> LLd�LDESCRIPTIONOFPpOPERTY�SMOWBEIOWORITTACNFOUPC nie's� CORRECT. AlL PROVISIONS UF LAWS AND 07DINANCES � <br /> �oT 78 eiocK_oc Beverly Hille Div. i, GOVERNING THIS TYPE OF WOHK WILL BE COMPLIED WITH m <br /> — WHETHER SPECIFIED HEREIN OR NOT.THE GFANTING OF A .. <br /> Portion 3 PERMIT DOES NOT PRESUME TO CIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR �� <br /> LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMA OF CONSTRUCTI N. N= <br /> JOB�ODRES6 SIGN�TOPE ONTR�CTOR OP�U MORI2ED 1!NL D�iE I�1 <br /> 6314 Cady Rvad, Everett X � �' m o <br /> PLUMSINO MECMANICAL � �c <br /> N0. TYPE OF FI7tTURE OR ITEM fEE N0. TYPE OF EOUIPMENT FEE �� <br /> WATEFCLOSET�TOILET) _ 4 OO A�R CONO.UNITS- H.P.EA. �'-� <br /> BATMTUB _ Z OO REFRIIiERATION UNITS- M_P. EA. Q= <br /> 2 LAVATORY�WASH BASIN) 4 OO BOILERS - H.P. EA. C� <br /> 1 SMOWER _ 2 �� GAS FIRED A.C.UNITS -TONNAGE EA. �� <br /> 1 NITCMEN EINK 8 DISP _ FORCED AIR SYSTEMS - B.TL. M EA. �N <br /> 1 OISHWASNER Z 0 WALL HE�TERS- B.T.U. M �p <br /> LAUNDRYTRAY UNIT MEATERS - B.T.U. M _ � <br /> 1 CLOTMESVmSH6R _ Q �� EVAPORATNE COOLERS _ � <br /> 1 WATER��EATER _ Z OO 1 CLOTMES�RVERS m N <br /> URINAL 1 VENTILATION FAN G OO g r <br /> DRINKIN6 FOUNTAIN 1 RANGE HOOD 4 SO C N <br /> FLOOR DRAIN AIR NANDLING UNIT - C.F.M. �H <br /> VACUUM BREANERS ], STOVE - WOO� � SO �r <br /> ROOF DRAINS- RRINLEADERS METAL FINEPLACE 8 CHIMNE`.' • m <br /> SINr(�SERVICE - BAR,E7C.) qREPUCE INSERT P <br /> _ MEAiPUMP = <br /> s <br /> z <br /> — — � <br /> x <br /> .. <br /> SUB TOTAL i :�O 00 sUB TOTAI f 22 50 '^ <br /> PERMIT { PERMIT f = <br /> O <br /> TOTAL FEE t ;O 00 70iA1 FEE t 22 SO � <br /> SIUE VARD SETBRCK STREET SETBAGN REAR VAPD SE"BACK PLAN CHECK NUMBER PLAN CMECK FEE m <br /> 5 ft 20 £t 20 ft 85/15059 FEE RECEIP7 NO. <br /> USE20NE LOTAPEA VACaNiSITE 140.08 77047 <br /> j�-Z XYES NO _ FEE6 _ VALUATION FEE <br /> TVPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> V'N R� 1 BUILDING �I7�OOO.00 Zfi�! S� <br /> SIZE OF 9lDG. NO. OF SiORIES MA%. OCC.IOAD — <br /> 1358 BQ. ft. 1 Z PLUMBING 20 �� <br /> FIf1E ZONE BASEMENT FIRc SPRINNLERS MECMANICAL <br /> PEOUIRED Zz $Q <br /> VES %NO — <br /> APPROVALB BY D�TE OTNEf' <br /> 1.ENVIRONMENTRL CMECI(LIST � U 8 C <br /> __ _ __ PENALTV SEC. 307�al <br /> 2.BIIILDINO PLANS <br /> J.fIREHVDRANT T�T�� J1;�. QQ <br /> 1.FIRE PROTECTION SYSTEM PERMI7 V�LIDIITION <br /> 5.ORADINO WMEN PROPERLY VALIDATED�IN TMIS SPACE�THIS IS VOUR PERMIT � <br /> B.DN�INAOE �n -rdditional plan check fee of 535.10 � <br />. 7.ENVIRONMENTALIMPACTSTATEMENT �8 dUO. � <br />� 8.ME�LTH DISTRICT � <br />, APPUCATION ACC BY PLANS CHECKED BY �PPR. FORISSUANCE PV � <br /> S1G HWM L.C. <br />► <br /> nDURE55 FlL[ <br />