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V <br /> � <br /> thr Ebergreen �'O NST RU CTIO N <br /> C�rr OF <br /> everett PERMIT pERM,T �o. o87z6 <br /> CITV HALL 25g�8745 <br /> eveaerr.wn sazo� ❑ COMBINATION C2�BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOORF55 GITY ZIP PHONE <br /> Alf M. Berentsen 6311 Firwood Place 98203 353-8625 <br /> APCHiTECTORpE51GNER MAILADDRESS CIiY ZIP PHONE <br /> GENCPAL GGrviRACTOR MAIL ADDRESS CITY lIP PHONE LICENSE Y <br /> Same <br /> MECHANICPL CON�RAGTOR MAIL AODRESS CITY ZIO PHONE LICENSE♦ <br /> PLUMBINGCONTRFCTOR MAILADDFE55 CITV ZIP PHONE LICENSEY <br /> CWSSOF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAPAGE <br /> VAWATION OF WORK <br /> E SSO.00 <br /> DESCRIBE WORK � <br /> erect chain link fence (42') <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�oescaianoe�oFPaovea*rtsHowee�owoanrrncr+FouacoPiesi . PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or 47 a�ocK_oF Highland Estates TYPE OP WORK WILL BE COMPUED WITH WHETHER SPECIFlED <br /> HEREIN OR NOl. THE GRANTING OF A PFRMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTiON OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRPCiOR OA NUTHO�RIZED GENT DAiE <br /> �oe aooaess 1,2/2 9/8 0 <br /> 6311 Firwood Place X c <br /> PLUMBING MECHA CAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—HP.FA. <br /> BATHTUB REFRIGEFATION UNITS—H.P.EA <br /> L4VATORY(WASH BASIN) BOILERS—HP.EA. <br /> SHOWER GAS FlRED AA.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISF. FORCE�AIR SVSTEMS—B T.U. M EA. <br /> � DISHV�ASHER WALL HEATERS—B T.U. M <br /> UUNDRVTRAV UNITHEATERS—BT.0 M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � WATER HEATER CLOTHES DRYERS <br /> VENTILATION FqN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN <br /> AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADE�S � METAL FIREPLACE&CHIMNEV <br /> SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL SUB TOTAL f <br /> PERMIT S PERMIT s <br /> TOTAL FEE f TOTAL FEE _ <br /> SIDE YAFD SETBACK S�FEET SETBACK REAii YARD SETBACK � PLFN CHECK NUMPER PLAN CHECH PEE <br /> FEF. RECEIP7 NO <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> 1VE$ IINO <br /> TVPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING $ BSO. 00 16 O� <br /> SIZE OF BLDG NO OF STORIES MAX OCC 'OAD -- <br /> FWMBINl3 <br /> FlRE ZONE BASFMENi REOUIRED KLERS MECHANICAL _ <br /> .'�.VES � 'NO <br /> APPPOYALS BY DATE (>THER <br /> ENVIRONMENTALf.HECK115T PENAUV UBG <br /> SEC.303 In� <br /> 2 BUILDINGPL4NS TOTAL 16 00 <br /> 3 FlRE HYDRANT <br /> a FIRE FROTECtION SYSTEM PERMIT VALIDATION <br /> WHE^1 PAOPERLv VALIDATED�IN THIS SPACE�1 HIS IS YOUR GERMIi <br /> � <br /> s �RAo�N� E ,� � 6. c � —N <br /> � r, DFAINAGE ' - � <br /> : t NViRpNMENTn� IMPnCT 5TATfMENT � <br /> ,� nFai ri�nistrurt _ _ . O <br /> �Fr�u Ain�N 4Cr. �I` I nniS"HFi K��Hv APPP FOF ISSUANCE Hv .I. I PT <br /> 1 <br />