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� <br /> �he£eergreen ._ C O���M ■ . w�I O � � <br /> CITYOP � � i lu� <br /> everett PERMIT PERMIT NO. 15 �4� <br /> r G7VHALL?59�8745 <br /> � EVERETT,WA98201 � COMBINATION ❑ BUILDING L� MECHANICAL ❑ PLUMBING <br /> OWNEF MAILADDRE55 CITV :IP PMONE <br /> Robert E. Perin 4512 Forest Dr. Everett 98203 252-0465 <br /> ARGHITECT OF DESIGNER MAIL AD7RES5 CITY ZIP PHONE <br /> GENERAL WNTFACTOR MAIL AOORE55 CITY ZIP PHONE LICcNSE M <br /> MECHANICAL CONTfiACTOR MAIL AOOFESS CITY 21P GMONE LICENSE M <br /> PLIIMBING CONTRACTOR MAIL AODflESS CITV 21P PHONE LICENSE N <br /> CLA55 OF WORK <br /> ❑ NEW O ADOI710N ❑ ALTERA710N ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN �J WOOD STOVFJFIREPLACE INSER7 <br /> VALUATION OF WORN <br /> f <br /> DESCRIBE WORN <br /> Change from o en t e to air ti ht wood stove — <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS o <br /> APPLICATIQN AND KNOW THE SAME TO BE TRUE AND � <br /> LEGA DESCRIPTION PROPEFiY�SXOW BELOW OR ATfACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT_BLOCK__OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A " <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE �� <br /> OF CANCEL THE PROVISIONS OF ANY OTHER STPTE OR � � <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE ,,,, � <br /> PERFORMANCE STRUCTION. �'m <br /> JOB A�DRE55 SIGNA OF N TO OR A THORIZED AGENT �ATE <br /> 4512 Forest Dr. X � m� <br /> PLUMBIN6 MECHANICAL p m <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE _� <br /> WATERCLOSET(TOILET) AIR COND.UIJITS - H.P. EA. R1 N <br /> BATHTUB REFRIGERATION UNI7S- H.P.EA. C = <br /> LAVATOr1V(WASH BASIN) BOILERS-H.P. EA. � _ � <br /> SHOWER GAS FIRED A.C.UNI7S-70NNAGE EA. �� <br /> FORCED AIR SYSTEMS- B.T.U. M EA. < � <br /> KITCHEN SINK S C!SP. - <br /> OISHWASHER 'NALL HEATERS- B.T.U. b1 ,O�D <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M �m <br /> CLOTHES WASHER EVAPORATIVE COOLERS = <br /> m.. <br /> WATER HEATER CLOTHES DRYERS � <br /> — v <br /> URINAI VENTILATION FAN _ <br /> � m <br /> DRINKING FOUNTAI6� RANGE HOOD _ <br /> 3 tNn <br /> FLQOR DRAIN AIR HANDLING UNIT- C.F.M. =n <br /> VACUUM BPEAKERS STOVE-WOOD �r <br /> ROOF DRAINS- RAINLEADERS <br /> METAL FIREPLACE&CHIMNEY � A <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> � <br /> HEAT PUMP = <br /> a <br /> z <br /> � <br /> x <br /> .. <br /> N <br /> SUB TOTAL 3 SUB TOTAL S <br /> — Z <br /> PERMIT S PERMIT S � <br /> -�1 <br /> TOTAL FEE f TOTAL FEE 5 ],7 5 n <br /> SIDE YARD SETBACK S7REETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN GHECK FEE fn <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES GNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC. I.OAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIRE SPRINKLERS MECHANICAL 1� SO <br /> REQUIRED <br /> �YES CNO <br /> APPROVALS BY DATE OTHER <br /> 1.ENVIRONMENTAL GHECK LIST PENAL7Y y��' <br /> SeC.303(a) <br /> 2.BUILDING PLANS TOTAL 17 50 <br /> 3.FIRE HVDRANT <br /> 4.FIRE PROTECTION SYSTEht PERMIT VALIDATION `� <br /> 5.GRADING WHEN PROPERLY VALIDA7ED pN THtS.^^"'=1 THI96'8(T'�fl�61A17_ <br /> a.0'7�/0 ,j;�iN 7'li' <br /> 6.DRAINACE ���� <br /> 7.ENVIRONMEIJTAL IMPACT STATEMENT ���u"1 <br /> ...1 � ? ��i.C�- �.. � <br /> B.HEALTHDISTfiICT . , _ �-h•�• r�_+;� ..�wT `'�� <br /> APPLICA710N ACC.UY PLANS CHECKED BY APPR. FOR ISSUANCE BV , <br /> i ' t,i\f�b;:�;l'C��U <br /> — � �,���iC�y`•i <br /> ADDRESS FILE <br />