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dic Lrrr�;recn <br />�i,Y nF <br />��eT�tt <br />CITY HALL 259�8745 <br />r fon�s��uc-reor� <br />PERMIT <br />PERMIT N0. 1G�74 <br />EVEPETT,WA9B201 ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OVlNER MAIL ADORESS CITY ZIP PMONE <br />Bruce Olson 6928 Evergreen Way Everett 98203 353-4533 <br />pRGHITECT OR OESIGNER MFIL AODRE55 GTY ZIP PHONE <br />GENERAL CONTflACTOR MAI� AD�RESS CITY ZIP PHONE LICENSE N <br />D& M Const. 402 Lamar Drive Mukilteo 98275 <br />MEGMANICAL CONTBFCTOR MAIL ADDRESS GTY ZIP PMONE LILENSE N <br />DM CO N 226 CP <br />PLUMBING GONTRACTOF MAIL AD�R�SS CITY ZIP PHONE LIGENSE M <br />❑ NEW ❑ ADOITION 7Gh ALTERATION ❑ REPAI(i ❑ DEMOLITION � FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />\' _UF' ! OF WORK <br />- 5�000.00 <br />DESCRIBE WORK <br />New Windows and trim <br />LEGAL �ESCRIPTION OF PROPERTY (SHOW BEIOW OB FiTACH FOUR C <br />17,�08,156io0 288oF Hilton & Second <br />JOB AD�RESS <br />. 7404 �vergreen SVay <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATER CLOSE7 (TOILEn <br />BATHTU� <br />LAVATORY h:ASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DI: <br />OISHWASHER <br />LAUNORYTRn1' <br />CLOTHESV/ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OFAIN <br />VACUUM BREAKERS <br />POOF DRAI�S — RAINLEADERS <br />SII�K IS"cRVICE — BAR, ETC.) <br />SUB TOTAL <br />PEPMIT <br />TO7ALFEE <br />OF <br />1. ENVIRONMENTAL CHECK LI�T <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />B. HEALTH DIS7RICT <br />APPLICATION ACC. BY <br />BY <br />.� <br />5 <br />S <br />HEAR YARD SETBACK <br />VACANT SITE <br />CYES GNO <br />NO. OF DWELLING UN <br />MAX.00G LOAD <br />FIRE SPRINKLERS <br />PEOUIRED <br />GVES �..:NO <br />BY DATE <br />FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />NPPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />OR <br />NO. I TYPE OF EOUIPMENT <br />AIH COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOI�EflS — H.P. EA. <br />GAS FIfiED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEA7 PUMP <br />SUBTOTAL <br />PEFMI7 <br />TOTALFEE <br />Nl1MBER <br />FEE <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />OATE <br />8/29/�8; <br />FEE <br />� <br />5 <br />5 <br />PLAN CHECK FEE <br />I RECEIPT N0. <br />VALUA710N FEE <br />s 5,9C0. 50 50 <br />PENALTY SEC.3031a) <br />TOTAL 5 0 S 0 <br />PEflMIT VALIDATION � ��� � � ^ ^. g� <br />WHEN PROPERLY VALIDATED (IN TH ) TMI I 1'1��� d' i{^ � <br />� <br />M <br />YOUP. RECCIPT � <br />I�IftIVI� \Il.'U <br />,�DDRLSS FILC <br />�Oauc83 <br />I <br />