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�he Evergreen �^ �t e� Q��� I O� <br />CIiY OF ` � V � 1 <br />evere�t PERMIT pERMIT IVO. 08350 <br />CITY HALL 259�87a5 <br />EVERETT, WA 98201 ❑ COMBINATION Iy,�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OC/tIEP ���AILAOORE55 CITY ZIP MHONE <br />Donald Tollefson 6901 Lombard 353-3350 <br />ARCHITECT OR �ESIGNER MAIL ApORESS CITY ZIP PMONE <br />GENERALCONTRACTOR MAIIADORE55 CITY ZIP PHON[ LIC[NSE� <br />Everett Suilders Inc. 5606 Evergreen Way 98204 353-7161 <br />MECXNNICALCONTRACTOF MAILAODRE55 CRY 21P PNONE UCENSEI <br />EV ER EB 301PH <br />PLUMBINGCONTRACiOR MAILADDRESS CITV 21P PMGNE LICENSEI <br />❑NEW �141DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />Vl.:'JATION OF WUHK <br />j SIBC�.�O <br />DESCFIBE \YORK <br />Remodel existing residence <br />Single family residence <br />LEGPL �ESCRiPTION OF PpOPEPTY (SHOW 9ELOW OR ATTACH FOUR COPIES� <br />17 thru 22 23 Pinehurst Div. B <br />LOt BLOCK_OF <br />5450-023-019-0005 <br />690i Lombard <br />PLUMBING <br />NO. iYPE OF F <br />DRAINS — <br />9FRVICF — <br />SIDE �FRD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />FIRE ZONE <br />qA51 <br />STREET SETBACI <br />LOT AREA <br />OCCUPANCY GP <br />R-3 <br />NO. OF STORIES <br />1. EIJVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIFE HYDRANT <br />4. FIRE PROTECTION SYS7EM <br />5. GFADING <br />6. DF7AINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />pPPLICP.TION ACC. [3Y PLANS CHECKED BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVENNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTlNG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE PP.O� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU�TION OR THE PE,��FORMANCE OF CONSTAUCTION. <br />GrueTIIRF tI��MNTPACTOROR AO➢16AIdEL AGLNT �ATE/ i <br />�1L.L�e.�� <br />•MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — HP. fA. � <br />REFAIGERATION UNITS — HP. [A <br />BOIlERS — H.P. EA. <br />GAS IRED A.C. UNITS — TONNAGE EA. <br />FO' ED AIR SYSTEMS — B.T.U. M <br />C/ t HFATERS -- B.LU. M <br />JT HEATERS — �.T.LL �� <br />`VAPORATIVE COOLERS <br />CLOTHES DRVERS <br />�ENTILATION FAN � <br />RA�;SE HOOD <br />AIR HAnuwm i�AiT — C. <br />STOVE <br />METAL FIREPLACE & CHIMNEY <br />REARVARD <br />❑YES 7C1d10 <br />NO. OF DWELLING UNITS <br />1 <br />MA%.00C.LOAD <br />APPFi FOR ISSUANCE �Y <br />PERMIT S <br />TOTALFEE S <br />'.CK NUMBEfl PLl+N CHECY FEE <br />6��83r,0 FEE 36.73 I RECEIPTNG. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALiV <br />TOTAL <br />WHEN <br />s 5800. <br />U.B.C. <br />SEC. 303 (a) <br />VALIDATED pN THIS SFACE) THIS IS'lOUR PERMIT <br />56150 <br />56��J <br />C'�' <br />Lf� <br />Uca6 $056.50 � <br />� <br />1 <br />�� <br />