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I � <br />Ihc£vcrgreen � C(�ISTRUCTION � <br />GTY OF <br />everett PERMIT pERMIT N0. 06951 <br />CITY HALL 259�8745 <br />EVERETT, VJA 982�7 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br />OC:NhR I.IAILADDBESS CIiY pIP PHONE <br />Dr. Michael Jenkins 4806 Dover Everett 98203 <br />:.ROIIIECT OR DESIGK[R MAIL ADDRE55 CIiY ZIP PNONF <br />GENERRLCONiRNCiOR MAILADOfiE55 CITY IIP PHOI:E IICENSE� <br />R.S.T. Construction Inc. P.O. Box 2157 Everett 98203 252-6666 <br />I.�EC�/AIUC4L WNiiiACTOR MAIL AOPRE55 CITV ZIP PMONE UCENSE ♦ <br />�'WA�piNGCANTRACTOq AfAILApDRE55 CITY LP PMONE L�.GENSE� <br />❑NEW <br />vPwni�oN OF WOHI: <br />8�0�0.00 <br />add a sun <br />C��D�ITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S,GN ❑GARAGE <br />vFoposEo use oF ouaoiNc <br />single family residence <br />LEGI+L DESCFiPT10N OF PPOFER*Y �SIIOW �[lOW OR FTTACH FOUR COPoES) <br />1-2-3 11 Oueen Anne <br />JO]AUDRl55 <br />9806 Dover <br />PLUMBING <br />�ISHlVASHER <br />LAUNDRY TRAY <br />CLOTHES WASHEH <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTP <br />FLOOR DRAIN <br />SIDE Y'AFD SETBACK <br />US= ZONE <br />TYPE OF CONST. <br />SIZE Of BLDG. <br />F'IR't ZONC <br />0 <br />� <br />PERMIT <br />TOTAL FEE <br />STHEE75LTEPCn <br />LOi dREA <br />NO. Or' STORIES <br />BASEAIENT <br />APPROVALS <br />1. ENVIflONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROT[CTION SVSTEM <br />5. GRADING <br />fl DRAINAGL <br />' CNVIRONMENTAL IAIPACT STAiEMENT <br />c �If ALTH DISTRICT <br />�PPIJCATION ACC. BY PIANS CHECKED �Y <br />hwm <br />FEE <br />I HENEBY CeRTIfY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />.4LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 STATL= OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNNUHC OF WMNACiOR OR AUTl/ORIZED A(SENi DAiE <br />/ � <br />X � ',. : � : �_., �,� .,, ; .� 11/14/79 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — HP. LA <br />REFRIGERATION UN�iS — H P. 61 <br />�OILERS — N.P. EA. <br />GAS FIRE� A 0. UNITS — TONNAGE EA. <br />FORCED AIR S1'STEMS — BS.U. M EA. <br />WALL HEAIERS — � T.U. M <br />UNIT HEAIERS — 0 T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIP HANDLING UNIT — <br />STOVE <br />FiEAFi VARU 5[TBACK 1 PLAN CHECK N <br />❑YES ❑NO <br />N0. OF UWELIING UNITS <br />MAX.00C.LOAD <br />APPR. FOP ISSUANC`_ UV <br />FEES <br />SI1B TOTAL S <br />PERMIT 5 <br />TOTALFEE 5 <br />PLAN CHECK FEE <br />F[E I RECEIPT NO <br />i <br />s 6,000.00 94 00 <br />U.B.C. <br />SEC.303(a) <br />TOTAL • I I 49 I00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�sos I044.00 --� .�-, <br />� <br />� <br />7UUR RECEIPT o <br />:':NFaN� YOdI <br />I 4 ►� 7 4 � <br />�� <br />