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u <br />r <br />L <br />1hr £rerAreen <br />�iTY �F <br />everett <br />CITY HP.LL 259�8745 <br />� ;ONSTRUCTIO�" <br />PERI�IIT <br />PERMIT NO. 12755 <br />EVERETT, WA 982C7 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAOORE55 GITY IIP PHONE <br />LAWRENCE HEIGERT 4930 DOGWOOD DR EVERETT 98203 259-6861 <br />ARCNITECT OR DESIGNER MAIL ADDRE55 LITY ZIP p�{ONE <br />GENERAL GONTRACTOR MAIL AODRE55 CITY ZIP PMONE LICENSE M <br />EVERETT BLDRS 5606 EVERGREEN WAY 98203 353-7161 223-01-EV ER E6301PH <br />MEGMANILAL CONTPACTOR MAIL ADDRE55 CITV ZIP PHONE LICENSE I <br />PLLIMBING GONTRAGTOP MAIL PDOPE55 CITY 21P PMONE IiCENSE � <br />❑ NEW ❑ ADDITION X�.] ALTERATION ❑ REPAIR ❑ OEMOLI710N O FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORK <br />= 5500,00 <br />Install windows and roof <br />Residence <br />�er 4 <br />4930 DOGWOOD DR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AFPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ISHUW BELOW OR ATiACH FOUF COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />ViewRidge No. 3 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPEi.IFIED HFREIN OR NOT. THE GRANT�NG OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANC L THE PROVISIONS OF ANY OTHEA STATE OR <br />LOCAL �W RECy{JLATING CONSTRUCTION OR THE <br />PERFORr/i NCE O{rdONSTRUCTIpN. <br />PLUMBIN6 <br />NO. TYPE OF FI%TURE OR <br />WATEP CLOSET �701LEn <br />BATHTUB <br />LAVATORY p4A5H BASIN) <br />SHOIYER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASIIER <br />WATER HEATE(i <br />URINAL <br />DRINKING �OUNTAIN <br />FLOOR DPAIN <br />VACUUM Of1EAKERS <br />FOOF DRF.INS — RAINLFADERS <br />SINK (SERVICE — BAR, E,-C.1 <br />SUB TOTAL <br />TOTAL FEE <br />S¢E OF BLDG. <br />APPROVALS <br />i. ENVIRONMENiAL CHECK LIST <br />2. BUILOING FLPNS <br />3. FIRE HYDRnNT <br />4 FIREPROTECTIONSVSTEM <br />5. GRADINu <br />G.DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTHICT <br />FEE <br />� <br />f <br />S <br />REAR YARD SETBACK <br />;_:YES :=;NO <br />0Y <br />� <br />NO. TYPE OF E�UIPMENT <br />Alfl COND. UNITS — H.P. EA. <br />REFRIGEFATION UNITS — H.P. EA. <br />�OILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGL EA. <br />FORCED AIR SVSTEMS — B.T.U. N Eh. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEPMIT S <br />TOTAL FEE S <br />PLAN CHECK NUMBER PLAN CI <br />FEE <br />FEES VqLUATION <br />BUIL�ING it�500.QQ <br />PLUtdBING <br />MECMANICAL <br />DAT� OTHER <br />CHECKED BY �APPR.FORISSUANCE <br />PENALTY <br />DATE <br />11/30/83 <br />RECEIPT NO. <br />FEE <br />56 <br />TO7AL � � 56 �50 <br />PERMIT VALI�ATION <br />WHEN PROPERLV VALIDATED IIN THIS 6R4�OE{'THIS I�YeI�R �E�M� ;r� 1 <br />y 2S J LC�J <br />� <br />,"_��'J � REGEIPF`! <br />. . � :.,��� ���1� <br />ADfJRESS PII.E <br />- I lEC J� <br />� <br />� <br />