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�he£vergreen • C�� � RUCTION � • <br /> CITY OF <br /> ever�tt PERMIT pERMIT NO. O6H27 <br /> CITY HALL 259�8745 <br /> eveRerr.wn 9c�oi � COMBINATION � BUILDING ❑ MECh'ANICAL ❑ PLUMBING <br /> OIVNER MAILA�DRESS ❑1T ZIP PIIONE <br /> Joseph Murphy 4727 200th S.SS. Apt. 118 Lynnwood 98036 776-7694 <br /> -snzNneeionoesicNen MAILAODRE55 citr zie rHor+e <br /> GENCFAL CONiP4CTOR AIAIL ADDR[55 CIiY 21P PIIONE LILENSE� <br /> Fvei•ett Huilders 5606 Evergreen Way Everett 98203 353-7161 <br /> 'ECNAY.ICALCONiRnCTOR NP4ADORC`5 CITY ZIP PNONE UCENSEI <br /> EV ER EE 301PH <br /> PlUM81NGCONT(1PCi0R AtAILA1JOflE55 CITY 21P PMOt�E UCENS[e <br /> GLA55 OF\YJRK <br /> ❑NEW ❑ADDITION ❑AL7ERATION 7F�• REPAIR ❑DcMOI.IT10N CFENCE ❑SIGN ❑GARAGE <br /> VPI Ul+TION OF 1YOaK <br /> � Si760.�0 <br /> �ESCRipE WOPK <br /> REPAIR FOUNDATION UNDER EXISTIIdG RESIDEND <br /> . rnorosEo usE oF ouiioiNc <br /> RESIDENCE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecn�eeunmtioNe.raoPer+trisr+owoEiavennnna�rour+co=,�,i PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io.�_eiocrzlL_oF AFt1F'RT V uyyyg._N 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 STATE OR LOCAL LAW REGULATING <br /> CONST,RUCTION OR TyEPE�ft ORMANCE OF CONSTRUCTION. <br /> .io�nooaess s,cN �i a�ov corni croa nun�oa�z o eEr+r nnre <br /> � 6617 ELLIOTT SaAY X I /� <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(iOILET� AIR COND.UNITS—H.P.EA <br /> BATHTU� REFRIGERATION UNITS—HP. EA <br /> IAVATORY pYASH BASIN) _ �OILERS—H P.EA. <br /> SHOK'EH GAS FIRED AG UNITS—TONNAGE EA. <br /> HITGHEN SiNk&D�SP. FORCED AIR SVSTEMS—D T.U. M EA. <br /> DISfiWASHEF� \NALLHEATERS—B.T.U. M <br /> LAUNDRY iRA1� UNIT HEATERS—B.T.U. M <br /> CLOIHES WASHER EVAPORnTIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS _ <br /> URINAL VENTILATION FAN <br /> DRINKING FpUNTAIN F7ANGE HOOD <br /> FLOOR DRAIN AIR HnNDLING UNIT— GF.M. <br /> VACUUM PR[AK[RS STOVE <br /> ROOF DRAWS—RA�NLEADEflS METAL FlREPLACE 8 CHIMNEY <br /> SINK�SEFVICE—�AR.ETQI _ <br /> SUBTOTAL SUB iOTAL 5 <br /> PERMIT S PEflMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIDE VAPD SETBACK STPEET SET�ACY. REAR YARD SGIPACH PIAN CHEGK NU6IBER PIAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLINp UNI7S <br /> euaou.� 55760.00 <br /> SIZE OF BLDG. NO OF STORIES Mn%.OCG.LOAD <br /> P�UMBING <br /> FIREZONE BASEMENT FIRESFc�,NKLfRS MECHANICAL <br /> REOUIR_D <br /> [7YES ❑NO <br /> APPROVAIS OY DATE OTHER <br /> L ENVIRONMEN7AL CHECK LIST pENALTV U.BC. <br /> _ SEC.303(a) <br /> 2 BUIIDING PLANS <br /> rora� 36 00 <br /> 3. FIPE HV�RANT <br /> � PIRE PROT[CTION SVS7EM PEIiMIT VALIDATION � <br /> \'/HEN PF70PERLY VALIDATED QN THIS SPACE)THIS IS VOUR PEflM1T <br /> 5 GRAUING 3574 5036. 00 �� �• <br /> 6. �RAINAGE � N <br /> i. ENVIRONMENTAL IAIPACT SiATERIENT � ' � <br /> 8. HEALTHDISTRICT � �OUR RECEIP o <br /> APPLIGTION ACC.�Y PLANSCHECKEU BY APPR FOR ISSUANCE BV � ' THAN�4 YO.0 <br /> � <br /> , . . , <br /> -- ' I 2 aci .19 <br /> ADDRESS FIL[ <br />