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CITY HALL 259�8l15 <br />EVERETT. WA eezo� ❑ COMBINATION �BUILDING ❑ MECHANICAL CI. PLUMBING <br />OVMER MAILAOORE55 CITY ZIP PHONE <br />Donald Tollefson 6901 Lombard 353-3350 _ <br />nPCNRECT OR DESIuNER IAAIL FDORES� CITY 21P VHONE <br />GELERPLfANTBACTOq MRILApDPE55 CITY LiG PNONE IIGEIbE1 <br />Everett Buiiders Inc. 5606 Evergreen Way 98204 353-7161 <br />MECHhNiCALCANTfiACiOR IAAILADDPE55 QTY ZIP PMONE LICENSE• <br />EV ER EB 301PH <br />F�WABiNGCAN7PACTOR MAILAUDFE55 CITY ZIP PMONE LICENSEI <br />CLASS OF WORK <br />❑NEW �imD1Tl0': ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE _ <br />IAWAiION OF WORK <br />S 5�80�.�� <br />�esCaiee woarc <br />Remodel existing residence <br />'ROPOSED USE OF 9111LDING <br />Single family residence <br />i.EG/L �ESCRIPTION OF PROPERTV �SMOW BELOW OR AiTACH FOUR WPIES) <br />Lo 7 thrB �2K 2 2oF Pinehurst Div. B <br />5450-023-019-0005 <br />6901 Lombard <br />PLUMBING <br />B <br />TYPE OF FIXTURE OR ITEM <br />SINK 8 <br />0 <br />� <br />SIDE YARD SETBACK <br />USf, ZONE <br />NPE OF CANST. <br />V—N <br />SIZE OF BLDG. <br />FIRE ZONE <br />STRCET SE <br />LOT AREA <br />4— j <br />OF STORIE: <br />1. ENVIRONMENTAL CHECK I :ST <br />1. BUILDING PLANS <br />3. FIflE HYDRANT <br />4. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />E. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPUCATION ACC. BV PLANS CHECKED BY <br />v.c. <br />FEE <br />I IiFREBY CFRTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRAN7ING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE llR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRU TION OR THE P FORMANCE OF CONSTHUCTION. <br />SIGNATURE fANTFACTORpR\UTH IEDAGENL OPTE / <br />/1 �C <br />� � � �� <br />h1ECHANICAL <br />TYPE OF EOUIPMtrv� <br />AIR COND. UNITS — H P. EA. � <br />REFFIGERAiION UNITS — H.P. FA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.LL M <br />VJALL HEATERS — B T.U. M <br />UNIT HEATEFS — B.T.U. � <br />E�'APORATIVE COOLERS <br />CLOTHES DRYERS _ <br />VENTILATION PAN <br />FANGEI100D <br />AIR HANDLING UNIT — �� <br />STOVE <br />METAL FIREPLACE & CHIMNEV <br />� SIIBT:IiAL <br />REAR YARD SETBACK PLAN eHten rvun�nen <br />80/8350 <br />VACANT SITE FEES <br />❑YES 7C7d10 <br />NO. OF DWELLING UNI7S <br />1 BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />9Y <br />APPR. FOR ISSUANCE BY <br />PENALT' <br />FEE <br />PLAN CHECK FEE <br />FEE 30,'73 � RECEIPT�JO. <br />U.B.C. <br />SEC.303 <br />� �....�.. ..._. _.... _.. <br />WHEN PROPEflLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />56I50 <br />56�50 <br />O <br />� <br />�ea6 $056.50 � 1 <br />� <br />•;,�,;� R�i�'=1PT <br />�,,;a.�JK YGU <br />� <br />