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CITY HAl'. 259�6145 <br />EVERETT. WA 98201 � COMBINATION � BUILDING Cr+ MECHANICAL PLUMBI G _ <br />�In, Z�p PHONE <br />OYl NER MAIL ADpRE55 <br />Sherstad and Williams, Inc. P.O. Box 419 Kirkland 98033 827-0494 <br />��n, �ip rHowE <br />ARCHITECT OF DESIGNER MAIL AD�FE55 <br />GENCFAL WNTPACT04i MAIL ApDRE55 <br />CITY ZIP PHONE UCENSE I <br />SH ER SW 24613 <br />Same <br />MELNANICA� CANTRACTDn MAIL ADDRE55 <br />CITY 21P PMON6 LICENSE / <br />��rv Z�p PMONE UCENSE I <br />PLUldB�NG CA'1TRAQOR IdAIL AOOPE55 <br />�NEW ❑ADD.'ION ❑ALTEPATION ❑REPAIR ❑DEMOUTIOiJ ❑fENCE ❑S1GN ❑GARAGE <br />S (J$rO�Q.�� <br />DESCRIEE WORK <br />Construct Sinale Famil <br />r�oaoseouseoc-. �',,,o��� <br />Sin;7.�:- F3mily Residenc <br />LEGAI DESGRif 1.JN OF PROPERi V(SHOW BELON OR ATTA�N <br />,L�r 24 6LOCN_OF Cedar Rid <br />JOB A�UN[e� <br />7612 Lower Ridge Road <br />PLUMBING <br />OF FIXTURE OR ITEM <br />DISP. <br />TRAY <br />_ <br />� <br />SIDE YARD SET6 �K STREE7 5 <br />USE ZONE LOT AREA <br />R-1 <br />TYPE OF CONST. OCCUPA <br />V-N <br />SIZE OF BLDG. NO. OF S <br />26'x60' <br />3 <br />R 12-28-4 <br />ETOACK REAR YAHU st <br />2G' 20' <br />VACANT SITE <br />C�1}4S ❑NO <br />NCY GROUP NO.Of DWELL <br />R-3 1 <br />TORIES MAX. OCC. LO! <br />1 <br />none <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS '��� <br />3. FIRE HYDRANT � _ <br />q, FIREPROTEC710NSYSTEM � _ <br />5. GRADING � � <br />G. DRAINAGE �. ' � �� � <br />7, �[JVIFONMENTAL Ih1PACT STA7EMENT <br />e. wEa�rH oistdicI;, � <br />AC:C. Q'i) I Pl� CHcC:(FD BY <br />' I;I <br />c -� i �.�. <br />0 <br />I HEREB" CERTIFY THAT I HAVE �iEAD AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SA�AE TO RE TRUE AND CORRECT. <br />ALL PROVISIONS OF IJ+WS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI[D <br />HEREIN OR 40T. THE GRANTING OF A PCRMIT DOES NOT <br />PRESUME TO GIVE AUTHOi 7TY TO VIOLATE OR CANCELTHE PRO� <br />CONSTRUOCTION OR THE PERFORMANC�ECOF CONSTRUCTIONNG <br />SIGNAiURE OF (�CQO� 0�1��:1ZE0 /GENT �ATE <br />MECHANICAL <br />ryp, TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P EA. <br />pEFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GNS FIRFD AA. UNITS — TONNAGE EP <br />S. FORCED AIR S'lSTEMS — B.TL. M 6 <br />WAI.L HEATEf7S — B.T!J. IA <br />UNIi HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES DRYCPS <br />VtNTILAiION FAN <br />�. RANGE HOOD <br />.._........�.����.��r— GF <br />FEE <br />SUBTOT�L a <br />PERMIT S <br />T07AL FEE S 14 <br />=CK NUMBER PLAN CHECK FEE <br />FEE _ O B. S O I �ECEIPT NO. <br />Qj°7865 n4�7u <br />£65,U00 <br />PLUMBING <br />� <br />PENALTV U.B.C. <br />£CC.803(a) <br />70ia� 2 4 5 0 0 <br />PERMIT VALIDATION ��� � �g .,4 � � ({ { <br />WHEN PROPERLY VALIDATED (IN THI& S T S IS Y r �FR � V� <br />$��1L��'— 3 c"�'D <br />;�C;GP, RECEIPT� <br />�,;n 1R RECEIPT -ii-{f�NK YOU � <br />qppR. FOR ISSUANCE BY. ��. !l� V Y C� U <br />— � nu� 8 0 <br />ADDRESS FILE <br />—qAUG80 <br />