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�heC•vergreen .- cP�N�TRIlCTION ' �� <br /> CITY OF <br /> everet't PERMIT pERMIT N0. OH31Z <br /> CITV HALL 259�8145 <br /> :vea=_rr,�^�n sezoi ❑ ::OMB!NATION ;� BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILA�ORE55 CIiY 21P PMONE <br /> Richard Renson 1711 Lombard <br /> ARCHItECT Oti DESIGNI:R MAIL NOORESS CIiV ZIP PHONE <br /> GENERAL CONTRACTCR MAIL A��RESS CITY ZIP �HONE IICENSE/ <br /> Alpha Contracting 5325 SR92 , Lake Stevens 98258 <br /> MECHAN�CALCONTFACTOR MAILADDRE55 CIiY ZIP PMONE LICENSEf <br /> PLUMBINGCONTRhCTOR MAILADDRE55 CITY ZIP FHONE LICENSE� <br /> ClAS50F WORK <br /> ❑NEW ❑ADOITION ❑ALTER4TION E}hEPAIR ❑LEMOI.ITION ❑FENCE ❑SIGN ❑Gl.AAGE <br /> VALUATIOY OF\YOPK <br /> E S , OOO . 00 <br /> DESCflIBE WOFN <br /> Foundation repair <br /> PROPOSED USE OF BU'LOING <br /> I HEREBY CERTIFY THAT I HAVE READ RND EXAMINED THIS AP� <br /> �ecn�oescaiPnoNOFPaoaeaTvisHowee�owoannFCHFouacoPiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVErtNING THIS <br /> ior 5-6 eiocK 351oF Everett Div TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HFREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOL.,TE OF CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOC.4L LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CANTRACiO AU7M051Z D AGENT DATE <br /> JOB AD�FF55 <br /> 1711 Lombard X ' f' � /18 80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) ��R COND.UNITS—H.P.EA <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY(WASH BASIN) BOILEflS—HP.EA. <br /> SHOWER GAS FIRED AC. UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTE�15—BS.U. M EA. <br /> DISHWASHER `NNLL HEATERS—B.T.U. �+1 <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. �+1 <br /> :.IOTHES WASHER EVAPoRATIVE COOLERS <br /> WATER HE{.TER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOf1 <br /> RGOR DRAIIJ AIR HANDLIN3 UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS M[TAL FIREPLACE 8�HIMNFY <br /> SINK�SERVICE—BAR,E�CJ <br /> SUB TOTAL SUB TOT/:L S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIUE YARD SEiBACK STREET SETBACK fiEFR YARU SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AHEA VACANT SITE — <br /> GYES ❑NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $ 5 ,000. 32 00 <br /> SIZE OF BLDG. NO.OP STORIES MA>:.OCC.LtJAD <br /> F.UI.:BING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEHS <br /> REdUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY �ATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST PcNALTY U.BC. <br /> — SEC.303(a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT T�TA� 32 00 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WH[N PqOPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S. GRADING 743 � � O F �. ^ O _' ", <br /> 6. DRAINAGE � �� � <br /> 7. ENVIRONMENTALIMPACTS7ATEMENT M <br /> 0. HBALTH OISTRICT �'� � �� R i1 r C E I PT o <br /> APPLICATION ACC.BV PLANS CHECKED BY APPR.FOR ISSUANCE BV <br /> ; ;�! .n,Pl� Y� U <br /> I l sE° 8 0 <br /> ADDRESS FILE <br />