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� <br /> �he£rergreen (�7 NSTR U CT I O N � <br /> GTY OF <br /> everett PERMIT pERMIT NO. O915Z <br /> CITY HALL 259�8745 <br /> EVERETT,W!. 98201 ❑ COMBINATION L�BUILDING ❑ MECHANICAL ❑ PLUMBINCi <br /> OWNER MAILADDPLS.' CIiY 21P PHONE <br /> Georgia Heathershaw 6908 Columbia Court Everett 98203 353-4513 <br /> ARCNRECTOPDESIGNEfl MAILN�DflE55 CITY ZIP PMON6 <br /> GENEiil.LCANiRAGTOB MAILADDRESS QTY ZIP PNONE LIGENSEI <br /> Same <br /> MECHANILAI('qNTRACTOR MAILADDRESS CITY 21P PNONE UCENSEI <br /> VLUMBINGCANTpACiOR MAILADDRESS CITY 21P PNONE L�'ENSEI <br /> CLASSOf WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION j�flEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> 4500. 00 <br /> DESCRIDE\YORK <br /> roof and eaves repair <br /> PROPOSEO USE OF BUILOING <br /> single family residence 1 HEREBY CEF,IFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESCR�PTIONOFPROPERTV�SMOWBELOWORARACHFOURCOPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 2 Snoview Ridge ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�oc�oF TYPE OF WORK WILL BE COMPLIED WITH WNETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONST7UCTi0N. <br /> JOBApDFE55 SIGNATUqEOFCONiRACTOROFAUiHORIZE�AGENT DATE <br /> 6908 Columbia Court � ' � � � 4/20/81 <br /> PLUMBING ANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(\VASH BASIN� BOILERS—H.B EH. <br /> SNOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISR FORCED AIF SYSTEMS—B.T.U. M EA. <br /> OISHWASHER WALL HEATERS—O.T.U. M <br /> I AUNURV TRAY UtJIT HEATEr75—�.T.U. M <br /> CLGTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL �ENTILATION FAN <br /> DRINKING FOUN7AIN RANGE HO00 <br /> FLOOR ORAIN AIR HANOLING UNIT— C.F.N.. <br /> VACUUM OR[AKERS STOVE <br /> ROOF DRAINS—RAINLEl.DERS METAL FIREPIACE 8 CHIMNEY <br /> SINK(SEFVICE—BAR.ETC.) <br /> SUB TOTAL SUB TOTA� S <br /> PERMIT S PEHMIT S <br /> TOTALFEE S TOTALFEE f <br /> SIGE VARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEe <br /> TYPE OF WNST. OCCUPANCY GROUP NO.OF DWELLING UNIiS <br /> SIZE OF BIDG. NO.OF STORIES MA%.OCC.LOAD BUILDING $S 00. 00 ZO 00 <br /> PLUMBING <br /> FIRE 20NE B/+SEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> I]YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> t. ENVIRONMENTAL CHECK LIST pENALTY U B C. <br /> 2. BUILDIN�PLANS SEC.303�a) <br /> 3. FIRE HYDRANT T�T�'� S.O OO <br /> 4. FIRE PROT[CTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> 5. GRADING �' � � G � '� I O. O O -- � <br /> G. DI7AINAGE � <br /> 7. ENVIRONMENTALIMPAGTSTATEMENT � <br /> 8. HEALTN DISTRICT ' - � � <br /> , I,''j p <br /> APPUCATION ACC.BY PU1N5 CHECKED�1' APPR.FOR ISSUANCE BY . . , , . <br /> . � . U <br />