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� <br /> I <br /> rhe F�•crgreen ^p�STR U CTI O N � <br /> CITY OF <br /> everett PERMIT <br /> CITY HALL 259�87a5 PERMIT NO. 11.1.2 3 <br /> EVERETT,LVA 9eza� ❑ COMBINATION .�,�I BUILDING C� MECHANICAL ❑ PLUMBING <br /> OWNGF MAtL ADDRESS CIiV <br /> Daryl B. Johnson 4704 Z1� PHONE <br /> Darlington Lane Everett 98203 353-2624 <br /> ARCHITECT 06:ESiGNf.q MFII AOpRE55 ��Ty <br /> Z�P PNONE <br /> GENERNL CONiRACiJR h1AIL AODRE55 <br /> Same qiY ZIP PNONE LICENSE� <br /> M[CMANiCAL CCNiPnCiOR MAII ADORESS ��TY <br /> Z�P PHONF LICENSE 1 � <br /> P W MBING CONTRACiOR MAIL AO�RESS CIiY <br /> Z�P FHONE LICENSE 1 <br /> ClA55Of WOq( <br /> ❑NEW ❑ADDITION ❑q�TERATION }�REPAIF ❑DEMOLITION GFENCE ❑SIGN ❑GARAG[ <br /> VALUATION OF WOPN <br /> $ 1� ��0. 0� <br /> OESCRIDE\YORH <br /> Rebuild Chimney and install wood stove <br /> PaorosEo usE or euaouuc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGALDESCRIPTIONOFPqOPER�Y�SN0IYBEL0IVORARACMFOURCOPlES) PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eioc�oF TYPE OF WORK WIL� BE COMPLIED WITH WHETHEA 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 CONSTRUCTION. <br /> [�1 SiG UR[OF�ONiRA��ORO{IAUiHpRIZEDnGENT DAiE <br /> J 4 /OE�S Darlington Lane / <br /> IL�u. J ��� 1��12 8Z <br /> PLUMBING M[CN CA r <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NP COND.U�ITS—HP.[A <br /> BATHTUB REFRIGLRATION UNITS—HP. EA <br /> LAVATORY�WASH BASIN) BOILERS—H R EA. <br /> SHOWER GAS FIRED AC. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR£YSTEMS—BS.U. M EA. <br /> DISHWASHEfi IYALL HEATERS—D.T.U. M <br /> L4UNDflYTRAV UNITHEATERS—�T.U. M <br /> CLOTHES WASH[R EVAPORATIV[COOIEPS <br /> WATER HEATER CLOTfi[5 DRV=RS <br /> URINAL VENTILATION FqN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> F�OOR DRAIN AIR HANDLING UNIT— �,p,�,�, <br /> VACUUM BREAKERS 1 STOVE WOO(I <br /> ROOF ORAINS—RAINLEADE(iS METAL RqEPLACE d CHIMNEV <br /> SINK�SERVICE—BAR.�TCJ <br /> SUBTOTAL SUB70TAL S <br /> 7 50 <br /> PERMIT f FEHMIT s <br /> TOTAL FEE S TOTAL FEE S 7 5 0 <br /> SIDE YARD SETBAGK STFEET SETBACK REAR YARD SETBACK PLAN CHECK NU618ER PLAN ChIECK FEE <br /> FEE RECEIP7 N0. <br /> USE 20NE LOT AREA VACANT SITE <br /> IIYES []NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP N0.OF DWELLING UNITS <br /> SIZE OF BLDG. N0.OF STORIES ��qx �� �QAp BUILDING 5 1� 000. <br /> 17 $0 <br /> PLUMBING <br /> FIRE ZONE BASENENT FIRE SPRINKLERS � <br /> REOUIRED AIECHANICAL <br /> I-IYES 11N0 7 S O �' <br /> APPp0VAL5 BY DATE OTHER <br /> 7. ENVIRONMENTAL CHECK LIST <br /> PENALTY U B C <br /> 2. BUILDING PLANS SEC.303�a) <br /> � �• 3.FIRE HYDRANT � TOTAL 2 S 00 <br /> ,� 4. FIRE FROTECTION SY51�M PEpMIT VALIDATION <br /> 5. GRADIN WNEN PROPERLY VALIDATED(IN iHIS SPACE�THIS IS YOUR PERMIT <br /> — , —e oaniy��� 8 6 9 6 s 0 � 1.5� — �? , <br /> 7. ENVI� F¢pITAL IMF�, S7ATEMENT � �V <br /> t"� <br /> �y0. HEAL o�,cT a YO'U�R REGE�IPT � <br /> NAPPLICA�N C.BY � � PLANS CHECKED BY APPR.POR ISSUANCE BV <br /> O m oAB ' TH,�NK YOU <br /> c �_ ; ' <br /> , .L� . ; , � 2 �T 8 2 <br /> ADDRESS FILE _�_ _ __.: _ _ <br />