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r <br />�he Everkreen <br />��i�°F ' "� ;ONSTRUCTIO�� �� <br />everett PERMIT PERMIT NO. �-38�9 <br />CITY HALL 259�8745 <br />EVERETT,WA98207 � COMBINATION ❑ BUILDING G MECHANICAL ❑ PLUMBING <br />OWNEF MAIL AD�RE55 CITV ZIP PHONE <br />JAMES CHRISTENSON 2209 FAIRFAX EVER�TLWA 355-A97R <br />ARCMITECT OH DIESIGNEF MAIL ADDRE55 CIiY ZIa PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE e <br />Sane <br />MECHANICqL CONTRACTOfl MAIL AODPESS GTY ZIP PHONE LICENSE M <br />PWMBING CONTpAGTOR MAIL AO�RESS CITY 21P PMONE IICENSE Y <br />❑ NEW CXADDI710N ❑ AL7ERATION O REPAIR ❑ DEMOLITION C] FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br />VALSATj 2 OoOQpN <br />� V <br />ining room, bath, bedroom, garage <br />y residence <br />�oT �� a�ocK �09oF Laurel Heights <br />That por of Lot 10 ly SW1 of the fol <br />n ega a p on y nofsdLot7 <br />SWIy from most Nly pt of Lot 10 SEIy <br />�0�'iP9p e s y n o a pt on n of <br />2209 Fairfax <br />PLUMBINfi <br />NO. TYPE OF FIXTURE Oh ITEM <br />� WATERCLOSET(TOILETI <br />j BATHTUB <br />SHOWER <br />KITCHEN SINK & DISP. <br />LAl IMDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />F100R DRAIN <br />VACUUM BHEAY.ERS <br />ROOF �RAINS — RAINLEADERS <br />SINK (SERVICE — aAR. ETC.) <br />V-N <br />Addn 952 sf <br />1. ENVIRONMENTAL Cr1 <br />2. BUILOING PLANS <br />3. FIRE Hl'ORANT <br />4. FIRE PROTECTION SY: <br />� 5. GRADING <br />`�O.DRAINA3E ' <br />a.>; ., <br />�. . .�. <br />FEE <br />SUB TOTAL S� <br />PEHMIT S <br />TOTALFEE S <br />STREET SETBACK REAR YARD 5 <br />LOT AREA VACANT SITE <br />_YES 'NO <br />OCCUPANCY GROUP NO.OF DWEL <br />R-3 1 <br />NO. OF STORIES MA%. OCC. LO <br />1 <br />BASEMENT FIRE SPRINKL <br />RE�UIRED <br />:'.Y[S ��NO <br />DVIILS BY i <br />K LIoT <br />FORISSUAVCE BY <br />hWfll � j C <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GnVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />�Nh�ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING COiJSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATqHE OF CONTRACTOR Oq AUTHORIZED AGENT DATE � <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI75 — TONNAGE EA. <br />FORCED AIF SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HF.ATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIFEPLACE 8 CHIMNEV <br />FIREPLACE INSEtiT <br />HEAT PUMP <br />BUILDING <br />F�UMBING <br />MECHANIGAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PEqMIT S <br />TOTAL FEE S <br />FEE <br />S <br />FEE <br />VALUATION I FEE <br />la� <br />NO. <br />[:� 1 1 <br />70TA1 I I � O� I.�+0 <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 67 <br />G;�; i2.��—� <br />� <br />M <br />. ,i . . �,.-la--i <br />. ti <br />. �i <br />: .'� , <br />ADDRESS FILE <br />z <br />0 <br />� <br />� <br />m <br />.. .. <br />-� � <br />.. -� <br />Nm <br />mo <br />c� <br />0 3 <br />m <br />_ � <br />m <br />,O Z <br />C <br />a -a <br />rx <br />n-� F+ <br />--� N <br />1 <br />� <br />O .� <br />'T1 D <br />�� <br />S <br />m �-+ <br />N <br />v <br />om <br />C N <br />!;*1 y <br />Z f7 <br />-� r <br />. m <br />A <br />--1 <br />2 <br />a <br />z <br />-� <br />x <br />.. <br />N <br />2 <br />O <br />--1 <br />n <br />m <br />� <br />