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�heEvergreen ' • �NSTRUCTION. � • ` <br />CITY OF <br />everett PERMIT pERMIT N0. Q6886 <br />GITY HALL 259�8)45 ' <br />- EVERETT, WA 98201 ❑ COMSINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEH M�ILAODRE55 CITY -�P FHONE <br />Nell Hosch 2025 Fairfax Everett <br />ARCMIiLCT OP pE51GNER MAiL ApDfiE55 CITY ZIP PHONE <br />GENERAL CONT:IPCTOR h1AR AOORESS CITY ZIP PNONE UCENSE I <br />Frank Westhaver 28700 S.R.S. Stanwood 98292 629-4443 <br />MEChANICALCONTRAGTOR MnILA�DRE55 CITY IiP PHONE UCENSEI <br />FR AN KW C227QR <br />PLUM�ING CONiRACTOR MAIL ADDRE55 GiV ZIP PMOYE UCENSE I <br />CLASS OF WOPK <br />❑NEW ❑ADDITION ❑ALTERATION '�REPAIR ❑�EMOLITION OFENCE ❑SIGN L�3ARAGE <br />g 8,000.00 <br />scaie� woaK <br />re-irame and re-roof single family residence <br />OF AUIIDING <br />: fanily residence <br />2SCRIPLION OF PROPLRTY �SMOW DEIOW OR ATiACN iOUR COPIE51 <br />8 ,,__„ 10 _ Laurel Heights <br />J00 ADDRE55 <br />2025 Fairfax <br />PLUMBING <br />TYPE OF FIXTURE OR ITEtn <br />WA1EH CLOSET ROILET� <br />LAVAIORY IVJASH BAI <br />SHOwER <br />KITCHEN SINK & DISF <br />DISHbYASHER <br />LAUNDRVTRAY <br />QOTHES YJASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />SINK <br />SIDE YAflD SEl <br />USE ZONE <br />TYPE OF CONS <br />V- <br />SIZE OF �LDG. <br />FIPE ZONE <br />— RAINLEAOERS <br />— BAR,ETCJ <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />5TI9EET SETBACK <br />LOT AREA <br />OCCUPANCY GR( <br />R-3 <br />N0. OF STORIES <br />1 <br />BASEMENT <br />none <br />1. ENVIRONAIENTAL CHECK LIST <br />2. �UILDING PLANS <br />3 FIRE HYDflANT <br />4. FIRE PROTECTIOH SYSTE�d <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATElAENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />V.C. <br />FEE <br />REAR YAFlD SET�ACK <br />i_'YES GNO <br />NO.OF DWELLING <br />1 <br />MAX.00C.LOAD <br />APPR. FOR ISSUNNCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. <br />ALL PROV!SIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIF.D <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LNW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF COt:STRUCTION. <br />SIGNAiURE O/F CONTRACTOR OR FUTH�RiZED FGEN- DATE <br />x`frti+�iZ^ri� /J`�J. . . LVJ�� �C� d L -� <br />MECHANICAL <br />TYPE OF EOUIPMENT_ <br />AIR COtJD. UNITS — HP. EA. <br />REFRIGERATION UNITS— F!.P. 8A <br />�OILERS — HP. FA. <br />GAS PIRED A.G UNITS -- TONNAGE EA. <br />FORCED AIR SYSTPnS — B.i.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATE��S — B i.U. �A <br />EVAPORP. i IVE COOLERS <br />CLOT4ES DFYERS <br />\'ENi1LATI0N FAN <br />RnNGEH00D <br />AIR hIANDLItv� UNiT. — C <br />STOVE <br />METAL FIREPLACE & ChIMNEY <br />SUBTOTAL <br />PERMI7 <br />TOTALFEE <br />CH�CK NUMBER PIJ+ <br />� <br />BUILDING <br />FFE zZ.00 <br />VALUATION <br />s8,000.00 <br />U.B C <br />SEC. 303 (a) <br />FEE <br />RECEIPT N0. <br />44433 <br />�.'�'� � � <br />. � � � <br />T VALIOATION <br />PROPERLV VALIDAiED (IN THIS SFACE) THIS IS YOUF PERMIT <br />4101 i 0 b�. � 4+�f.o� ' <br />� <br />� <br />YOUR RECiE1R� <br />THANK YlOU <br />' �16 oct .79. <br />ADDRESS FILE <br />