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� <br /> 1he Erergreen . �. <br /> ��T�oF C�'NS�RUCTION - -- <br /> everett PERMIT pERMIT NO. OH155 <br /> CITY HALL 2538745 <br /> eveaerr. wn eezoi ❑ COMRINATION �SUILDiNG ❑ MECHANICAL ❑ PLUMBING <br /> ov.r�ta MAR ADDPL55 cirr <br /> Pryla McCutchan 1806 Cclby Z'P P�o��E <br /> Everett 98201 252-5922 � <br /> ARCNiTECT 09 DCSIGNLR MAIL qDDRE55 ��n � <br /> ZIP PNON[ I <br /> GENERAL CANTRACiOR MAIL ADpRE55 ��rY <br /> Handy Buildere P.O. SOX 1798 Z'P %+o'+E ucer+se. <br /> Everett 98201 259-1966 <br /> 4LCHANICAL CONiMCiOR MRII ADDFE55 GTY <br /> � Z�P PHONE �I[[NSE/ <br /> HA NP YB 236PD <br /> PLUMBING CONTRACTOR MAIL ADDNES$ ��ry <br /> z�P MDNE UCENSE I <br /> GIASS OF WORK <br /> ❑NEW ❑ApD1T10N ❑ALTEBATION };�jREPAIR ❑DEMOLITION ❑FENL'E ❑SIGN ❑GARAGE <br /> YAlUAT10N OF WOFK <br /> E 1�� 162 . �0 <br /> DCSCRIpE WORK <br /> re-roof - flooc - gutters <br /> PP01'OS[D USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecn�oe5ceivnoNovraoa�Arris�ioweetowoannneHFouneoriesi PLICATION AND KNOW THE SAME TO BE TfiUE AND CORREC�. <br /> �0�9-30 eiocK 369F Everett Diviaion L ALL PROVISIONS OF LA�NS AND ORDINANCES GOVERNING 7HIS <br /> TYPE OF WORK WILL BE COMPLItD WITH WHETHER SPECIFIED <br /> HEREIIJ OR NOT. THE GRANTING ��F A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIGLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER S7Ai"E OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR T E PERFORM NCE OF CONSTRUCTION. <br /> JOdAD�1�5y Colby Avenue SIGN/TU�f.ONj�Q0i1 AUTH IZE AC_Ni UFT[ <br /> 1 tl E> � <br /> � / c 8/2$/80 <br /> PLUMBING MECYANICAL <br /> NO. TYF'E OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TORET) AIR CpryD.UNI75—H.P.Fq <br /> BATHIU� REFRIG[RATION UNITS—H.P.EA <br /> IAVATOHv�WASH 9ASIN) BOILERS—HP.EA <br /> 5�10WER GAS FIRED AC.UNITS—TONNAGE EA <br /> KITCH[N SINN 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALI HEATERS—B T U. M <br /> LAUNDPY TPAY UNIT H[AT[RS—�S.U. M <br /> C�OTHES WASHEF EVAPpRATNECOOlFRS <br /> WATER NEATER CLOTHES DRYERS <br /> UPINAL VENTI�ATION FAN <br /> �RIIJKING FOUNIAIN RANGE HO00 <br /> FLOOR DRAIN AIR HANDLING UNIT— C F M. <br /> VACUUM BREAKEfiS STOVE <br /> ROOF DFAINS —RAINLEADEFS METAL RREPLACE 8 CHIMNEV <br /> SINK�5[RVIL�--BAq,ETCJ <br /> SUB TOTAL _ <br /> PEHMIT s SUB TOiAL s <br /> PERMIT s <br /> TOTALFEE f TOTALFEE S <br /> SIDE VARD SETBACK STREET SETBPCK PEAR VqpD uETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br />� FLE RECEIPT NO. <br /> USE ZONE LOT AqEA VACANT qTE <br /> ❑YES I7N0 FEE5 VALUATION FEE <br /> TVPE OP CAN57. O(X;UPANCV GROUP NO.OF DWELLING UNITS <br /> II BUILDING <br /> SI2E OF BLDG. N0.OF STORIES MAX.OCC.LOAD 5 1 O �16 2. S 6 O 0 <br />� PLUMBING <br />� FIRE ZONE BASEMENT FIRE SPRINKIERS <br /> REOUIRED MECHANICAL <br />� � . _„ f7YE5 f1N0 <br /> _. APPHOVALS BY DATE OTHER <br /> 1. t �HONMEMAL CHECK LIST <br /> PENqLTY U.BC. � <br /> 2. BU4DINGPLANS SEC.303(a) <br /> 3, FIFEHVDRANT TOTAL 56 00 <br />� 4. FIRE PROTECTION SVSTEM PEHMIT VALI�ATION <br /> 5. GflADING H'HEN PROPERLY VA�IOATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6. DRAINAGE � E �j � � 0 5 6. J 0 '�-ir�1� <br /> 7. ENVIRONMENT:.L IMPPCT STATEMENT I.O <br /> B. HEALTH DISTRICT p�� <br /> APPLICATION ACC.BY PLANS CHECNED BY APPR.FOfl ISSUANCE BY ��'.. '� ,I t'. RLC E I f L <br /> /� h1y /� 1...) <br /> I ���t�\I�t� l�te U <br /> ADDRES� FILE 2 � t�'" 8O <br /> � <br />