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�l�+e�rergreen w.�GONSTRUCTIQ�^ k�'u'' <br />C�ivOF �. . � �� <br />everett PERMIT PERMIT Nu. 1513� <br />CITY HAIL 259�87a5 <br />. Eveaen.wAeazoi �] COMBINATION � BUILDING Cr� MECHANICAL ,,�'�. PLUMBING <br />OWNER MRILADORESS CIiV 21P PHCNE <br />Dan Willadsen Everett 98::04 347-6719 <br />ARCNIiEGT OR DESIGNEfl MAIL ADDRE55 CITY ZIP PHpNE <br />GENERAI GONTRAGTOP A!pIL AD�RE55 QTY ZIF PMONE LIGENSE M <br />Ken McCallister Const. 1627 126th Street S.E. EVerett 98204 337-6858 <br />MECMANICAL CONTAACTOR MAIL ADORESS CITY Z�P � NM 210FCL LICENSE � <br />PLUMBING GONTRAGTOR MAIL ADORESi GITY ZIp PMONE LICENSE w <br />�1EW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WO00 STOVE/FIREPLACE INSERT <br />VAWATION OF WORR <br />f %5���0.�0 <br />Construct Single Family Residence <br />Single Family ItEsidence <br />LEGAL DESCNIPTION OF PROPERTY �SMOW BELOW OR ATTACH FOUR •:0°IES� <br />14 Edgemoor Heights <br />LOT_BLOCK__OF <br />Z 35 29 4 <br />5116 Dover Street <br />PLUMBING <br />NO. <br />2 WA7ERCLOSET�701LEn <br />1 BATHTUB <br />2 LAVATORV�WASHBASIN <br />i �MOWER <br />,1 KITCHEN SINK 8 DISP. <br />1 �ISHWASHER <br />LFUNORYTRAY <br />� CIOTHES WASHEF <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETCJ <br />YARD SETBACN <br />6' <br />ONE <br />R-1 <br />OF CONST. <br />V-N <br />� B§� Ft. <br />i0 Sq. Ft. <br />FEE <br />SUB TOTAL i <br />PERMIT S <br />TOTAL FEE S <br />IEET SETBACK REAR YARD 5 <br />2U' 20' <br />' AF"eA VACANT SITE <br />%{NlES :.NO <br />R-3--M <br />NO. OF STORI <br />1 <br />BY <br />1. ENVIHONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />8. FIRE HVDRANT . <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />1 <br />DATE <br />7.ENVIRONMENTALIMPACTS7ATEMENT � <br />� B. HEALTH DISTRICT <br />APPLIGATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />M[d <br />0 <br />HWM I LC <br />I HEREBY CERTIFY ThAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNUW THE SAMG TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY GTHER STPTE OR <br />LOCNL LAW RECaULATING CONSTRUCTION OR iHE <br />PERFORMANCEOFCONSTRUCTION. <br />SIG�IATURE ['F CO �TRjA�:;T^OR OR AU(jM0i72€U FGEN/�T JATE <br />i� � Iv�. V \! \ � \ C.11 �) \I t n ��o . <br />NO. � TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATIJN UNITS — H.P. EA. <br />BOILEHS -- H.P. EA. <br />GAS FIPED A.C. UNITS — TONNAGE EA. <br />1 FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ER5 — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES DHVERS <br />i VENTILATION FAN <br />1 RANGEHOOD <br />AIR HANDLING UYIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEPT <br />HEAT PUMP <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />85/15134 FEE 232. <br />EES VALUATION <br />S 75,000. <br />U.B.C. <br />SEC.303 <br />FEE <br />? 18 <br />5 <br />s 18 <br />�HECK FEE <br />RECEIP7 NO. <br />7A336— <br />FEE <br />358 <br />20 <br />18 <br />TOTAL I I 396 I00 <br />PERMIT VALIOATION <br />WHEN PROPEFLY VALIDATE� QN THIS SPACE) THIS IS VOUR PERMIT � <br />_M <br />r-1 <br />� <br />.-"i <br />A'�`JRESS FILE <br />z <br />0 <br />-� <br />f') <br />m <br />�� <br />., .-i <br />Nm <br />0 <br />m o <br />c� <br />-i c <br />om <br />i -�-� <br />m <br />�-.� <br />.O 2 <br />C <br />a -+ <br />rx <br />1 N <br />< <br />T <br />O n <br />3 <br />—1 m <br />2 <br />m � <br />N <br />O <br />or <br />n m <br />C t/� <br />3 tn <br />m <br />2 C'1 <br />-� r <br />• m <br />a <br />A <br />--1 <br />S <br />a <br />z <br />-� <br />x <br />N <br />Z <br />O <br />� <br />C'f <br />m <br />