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ihrEveCrTme�n r- �ONSTRUCTIO�' <br />everett PERMIT PeRn�iT No. 12395 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑x COMBINATION � BUILDING � MECHANICAL � PLUMBING <br />OWNEP M41L ADDRE55 CITY 21P PMONE <br />Tom Underhill 17034 Aurora Avenue North Seattle 364-4226 <br />AflCMII'EG: OR OESIGNER MAC 400flES5 CIiY 21P PHONE <br />GENERAL CONTRALTOR MAIL A�DFESS CITV ZIP FMONE LICENSE N <br />Rob Lund 3806 Smith Everett 96201 258-1777 <br />MECNANILAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UCENSE N <br />LUNDSE5341N2 <br />PLUMBING LONTRACTOR MAIL ADORE55 CITY ZIP PHONE LICENSE � <br />❑ NEW ❑ ADDITION X(H ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VHFIREPLACE INSERT <br />f 1,500.00 <br />OF <br />15 3 Division #4 <br />LOT_.BLOCK_OF <br />Beverly Hills <br />5609 Fleminq Street <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM <br />� �WA7ERCLOSET(TOILEn <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM EREAKERS <br />ROOF ORAINS – RAINLEADERS <br />SINK ISERVICE – kiAR, ETC.) <br />PERMIT <br />TOTAL FEE <br />R-2 <br />V-N <br />APPHOVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLAN"u q <br />3.FIREHYDRANT o� <br />4. FIRE PROTECTION SY{'iTEM <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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER 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 STAT'c CR <br />LOCAL LAW REGULATING CON UCTION OR THE <br />PERFORMAt�,CE OF CONSTRUCTIO� <br />Sic,YRIWIE dCENTiLGTOdQRY.U7HORIZE� AGE�� � DATE <br />FEE NO. / TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFFIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. �M1 <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />], VENTILATION FAN <br />RANGEHOOD <br />A�R HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />S <br />S 4 00 <br />EAR YARDSETBACK PLAN <br />ACANT SITE <br />YES X}NO <br />OCC. <br />OATE <br />6.DRAINAGE ��-� L: 69 <br />7.ENVIR— ON�MENTl�L�MhACTSTA�iE11ENT <br />B.H HDISTli� T ;1 <br />APP�C TION AGC. BRf7 PLANS CHECKEO BY APPR. FOR ISSI <br />�n � <br />w (� rn `-' DAL DAB <br />c -D <br />� <br />SUB TO7AL <br />PERMIT <br />TOTALFEE <br />83/12395 F`-�.6.25 <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />TOTAL <br />a1,500. <br />SEC.303 <br />s 3 00 <br />S <br />s 3 00 <br />CHECK FEE <br />RECEIPT N0. <br />64178 <br />FEE <br />25 00 <br />32 I 00 <br />PERMIT VALIDA710N � �b� ����. �� � � <br />WHEN PROPERLY VALIOA7ED (IN THI 1 THIS P IT— <br />� <br />OU4.00— 3 M <br />YG��R R6CEfPT� <br />3Y' R R�CEIPT i ��P,NiC YOU <br />�,�„ �•�U <br />,:. <br />3 0 s�a 8 3 <br />ADD�2�S$E(!F � � <br />