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A <br />0 <br />� <br />(he £��erRreen <br />everett r �ONSTRUCTIO� _ <br />PERMIT PERMIT N0. 1Z14O <br />CITY HALL 259�8705 <br />EVERETT,WA9B201 C COMBINATION �$ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MRILPDORESS CITY ZIP PHONE � <br />A1 Josephson 6230 Flem3ng Everett 98203 353-4419 <br />ARCHII'^TOROESIGNEq MAILRDDPESS ^.RV ZIP PMONE <br />GENERALCONTRRCTOR MAILROOHESS CIY ZIP PryONE UCENSE/ <br />Bravo Roof Restoration 6025 Rockefeller Everett 98203 347-1699 <br />MECMRNICqLCONTRACTOR MAILRODflESS CITY 21P PMONE IICENSEN <br />�R AV O RR 170B1 <br />PLUM9ING CONTFRCTOR MRIL RDDRE55 CITV ZIP PHONE LICENSE � <br />� NEW O ADDITION ❑ ALTERATION i�REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ 1N00D STOVFJFIREPLACE INSERT <br />VRLUATION OF WORK . <br />5 225�.0� <br />strip roof and reroof with comp. <br />Single £amily Residence <br />�or 48 BLOGN_OF Heverly Hills Div. 3 <br />� 6230 Fleming <br />PLUMBIN6 <br />j NO. TYPE OF I <br />I WATERCLOSET(TO <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAI�NDRVTRAY <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />SUB 70TAL <br />PENMIT <br />TOTAL FEE <br />� <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HVORANT <br />d. FIRE PPOTECTION SYSTEM <br />5. GRADING <br />8. DRAINAGE <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 HEAEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF MANCE OF CONSTRUCTION <br />SIGN9 P OF CONT��,c,ro� q/ �OR AUTMO U AGE OATE <br />X h (�.lil"'�. �Y'/ 1 A.�� 6/27/83 <br />MECMANICAL <br />ITEM FEE NO. TYPE OF EOUiPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TGNNAGE EA. <br />FOflCED AIR SVSTEMS — B.T.U. M EA. <br />WAIL HEATERS — B.T.U. M <br />UNIT HEATEflS — B.T.U. M <br />i <br />f <br />f <br />REARYARD SETBACK PLAN <br />VACANT SITE <br />GYES GNO <br />:67 <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT f <br />IFEE I RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING s 2250. 38 50 <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTV U.B.C. <br />SEC. 3W (a) <br />TOTAL j8 $� <br />PERMIT VRLIDpTION �1 �, <br />WHEN PROPERLY VALIDATED (IN THIS S18Go[ylO#IS ISa E MIT; � <br />1 . �' . <br />YOUR RECEI� � <br />�t-iANK Y01d-+ <br />� �8a�t83 <br />ADDRE55 FILE � � .• � ' � <br />1 <br />� <br />� <br />J <br />.l <br />