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j rhe Ecrr,�rren <br />� ����°� fr' -�ONSTRUCTIOM- " <br /> everett PERMIT PERMIT NO. �6636 <br />� q7Y MALL 25997d5 <br /> EVERETT.WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF �dAIL ADDRESS UTV ZiP PMON� <br /> MR. HOWIE J. EARGREEN 3532 SMZTH AI�ENUE EVERETT WA 98201 259-6056 <br /> ARCNITEGT OF OESIGNER MAIL ADORE55 GITY IIP PMONE <br /> GENERALCONifl�LTOR MAILADDRESS CITY 21P PNONE LICENSE/ <br /> LEHSAR RAOFING 1119 - 79th Ave SE Everett WA 96205 334-6103 LEHSARC245LQ <br /> MEGH�HILRL LONTRRLtOR MAIL ADORESS GTY ZIP PMONE I�LENSE� <br /> PWNBINGCONTRAGiOR MAILADORE55 pTY 21P PMONE 4GENSEI <br /> CLA55 OF WORR <br /> ❑NEW O ADDIiION ❑ AL7EFAilON 7O REPAIR � DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVfJFIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 2922.94 <br /> �ESCRIBE WORI( <br /> Reroof <br /> PROPOSE�USE OF BUILDING <br /> Commercial I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> IEWl�ESCNIPiIOND�PROPERTYISHOWBELOWORATTAGNFOUPCOPiES� APPLICATION AND KNOW THE SAME TO BE TRUE AND �� <br /> CORRECT. ALL PROVISIONS OF LAWS AND OFDINANCES <br /> LOT�_BLOCN.��OF GOVERNING THIS TYPE OF WOiiK WILL BE COMPLIED WITH I <br /> WHETHER SPECIFIED HEREIN OR NOT.TNE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAVY RFGULATING CONSTRUCTION OR THE i <br /> PERF R�dANCE O CONSTRUCT '+ <br /> J09 ROORESS SIGNAI R OF CONT A P 6 T OPI2 � DaTE I <br /> x , � � 64se ' <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER C405E?1iOIL£71 - AIR COND.UNITS— H.F.EA. <br /> ""� BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> ' LAVATORV�WASHBASIN� BOILEHS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS— TONNAGE EA. <br /> NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNOHYTRAV UNIT HEATERS— B.T.U. M <br /> CLOTNES WASHER EVAPORATIVE COOLFRS <br /> WATER MEATER CLO7HES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FLOOR ORAIN AIR MANDLING UNIi— C.F.M. <br /> VACUUM BREAKEfiS STOVE—WOOD <br /> FOOF�RAINS— RA7NLEADERS METAL FIREPLAC[8 CHIMNEY <br /> SINN(SEHVICE — BAR,ETC.� FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB 70TAL i SUB TOTAL f <br /> PERMI7 S PERMIT f <br /> TOTAL FEE S TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK pEAR YAqD SETBACK PLAN CMECK NUMOER PLAN CHECK PEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ,-:YES _�.NO FEES NZ{ �$Q <br /> iYPE JF CONST. OCCUPANCY GHOUP NO.OF OWELLING UNITS � <br /> BUILDING s��2.94 = �� S4 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING B SRCFI I.SO <br /> FIRE ZONE BASEMENT FIfiE SPRINKLEFS MECHANICAL �� � <br /> REOUIRED <br /> I .YES NO <br /> APPROVALS BY DATE OTHE ��c-haYag <br /> t. ENVIRONMFNTAL CHECK LISI PENALTY U.B.C. <br /> 2.BUILDING PLANS SEC.J03(a) <br /> 3.FIRE MYDRANT TOTAL <br /> 4.FI7E PROTECTION SYS7EM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALIDATED(M THIS SPACE)THIS IS VOUR PERMIT f f,� <br /> 6.ORAINAGE �' <br /> 7.EN VIRONMEIITAL IMPACT STATEMENT � <br /> B.HEALTH DISTRICT �r` <br /> APPLICATION ACQ BY PLANS CHECKEO BY APPR.FOR ISSUANCE BY � � <br /> ADDRESS FILE <br />