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theErergreen r7NSTRUCiION � <br />CITY OF <br />everett PERMIT pERMIT N0. O9H5O <br />CITY HALL 259�87a5 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C�pLUMBING <br />X <br />OWNCR MAILAC7fiE55 CITY ZIP 'MONE <br />ELSIEMAE HAYNES 3905 FEDERAL 252-1607 <br />ARpIrtECt OR �ESIGNGR MAIL ADOPESS CITY ZIP PIIONE <br />GLNEP4LCONiRAC1� MAILADOIlE55 GiY LP I'110N[ LICENSEI <br />ALPHA CONTRACTZNG 5325 SR 92 LK. STEVENS 98358 691-6071 <br />h1LCHANICFL CONiRPCiOP MAIL ADDHE55 CIiY ZIP PHONE IICENSE 1 <br />PlUlAUING CONiRFCiOP MAIL AD�fi[SS CIiY ZIP PIIONE UCEtlSE � <br />CLA55 <br />❑NEW ❑ADDI710N ❑ALTERATION QREPAIR ❑DEMOLITION ❑FENCL ❑SIGN ❑GARAGE <br />5 4���.�0 <br />SCRI�E Y'IORK <br />CHIP REHABILITATION <br />oroseo use oF suaoiNc <br />SINGLE FAMILY RESIDENCE <br />3AL OESGRIP110N OF PPOPERtt �SHOW BELOW OR ATTACH FOUR COPIES <br />, 5-8 o„Y„ „� �HE�IT'P HEIGHTS <br />3805 FEDERAL <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY �YJASH �ASIN) <br />SHOVlER <br />KITCHEN SINK & DISP. <br />�ISHNJASl1ER <br />� L..UNDRY TRAY <br />CLOTHcS VJASH[P. <br />WA1ER HEATER <br />URMAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUIl��REAKERS <br />ROOF DRAINS — RAIIJLEADERS <br />SINK ISERVIC[ — �AR, ETCJ <br />SIDE YAqD SETBAGK <br />USE ZONE <br />SIZE OF BL <br />RRE ZONE <br />SiREET SEiBFCn <br />O"„CUPANCY GR <br />N0. OF STORIES <br />1 E�JVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRAN7 ' � <br />4. FIRE PflOTECTION SYSTE�d <br />5. GRADING � <br />� 6. DRAi1JAGE <br />� 7. ENVIRONMENTA�IMPACTSTATEMENT <br />� ' 8. HEALTH DISTRICT - �� <br />�.,. APPLICATION ACC. BY ~ PLANS CHECKED 8Y <br />� <br />lr_ <br />_. I <br />FEE <br />REAR YAFD SETBFCK <br />'_iYES '�. �NO <br />NO. OF DWELLWC <br />MAX.00C.LOAD <br />FIRE SPNNKLERS <br />BY <br />APPR. FOR ISSUANCE BY <br />�. C <br />I HEREbY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PIICATiON AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BF COMPLI[D WITH WHETHER SPECIFIED <br />HEREIN OR NGi. THF GRANTING OF A PERMIT DOES NOT <br />PR[SUME TO GIVE AUTHOPITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTFiER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIOM OR THE PERFORMANCE OF CONSTRUCTIUN. <br />SIGNAi E OF CONIRAGiOR 0 MORI"_J A CNi UAiE <br />X py,,2r� t-��"1� _ 9/ 3 0/ 81 <br />MECHANICAL � <br />TYPE OF EOUIPMENT FEE <br />JNITS — HP. [A. <br />'ION 11NITS — H.P. EA <br />GAS FIRED A1C UNIiS — TOfINAGE EA. <br />FCFC`eD AIq SY"-TEMS — B.T.�L _ M <br />\7ALL HEATER: �- BT.U. M <br />UNIT HEATEFS — � T.U. !A <br />EVAPOPATII�E COOLERS <br />CLOTHES DRiERS <br />VENTIL4TION PAN <br />RANGE HOOD <br />AIR NANDLING UNIT — C. <br />SiOVE <br />IdET�L FlREPLACE G CHI�dNEY <br />SUB TOTAL S <br />PEFMIT S <br />�18ER P�AN CHECK Ftt <br />FLE RECEIPT N0. <br />FEES VALUATION FEE <br />BUILOING i <br />PLUMBING <br />�0 <br />NECHANICAL <br />OTHER <br />PEIJAL7V U.6.C. <br />5[C. 303 (a) <br />io7n� 51 I S 0 <br />WHrN PROPENLY VALIDATED (IN liilS SPACE) THIS IS YOUR FERMIT <br />_ r 4 I� c n _p 1 <br />, , � <br />� <br />� <br />�' <br />i .� <br />� ADDRESS FILE <br />