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lheEvergYee�n r,--. �ONSTRUCTIn�� <br />eve�ett PERMIT PERMIT NO. 16603 <br />CITY HALL 259�8745 <br />EVERET7,WA98[Ol ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS CIiY ZIP PHONE <br />D. A. BRANDVOLD Box 3066 Everett WA 98203 355-6000 <br />ARCHITEGT OR OESIGNER MAIL ADpRESS CITY 21P PHONE <br />Garv Parkinson <br />GENERALWNTPqGTOR MFIL�IDORESS Cf:Y 21P PMONE UCENSEA' <br />Owner <br />MECMANICAL CONTRACTOR MAIL AO�qE55 CITY ZIP PHONE UCENSE Y <br />PIUMflING CONTRACTOR MAIL AODFlESS CITY 21P PMONE LICENSE 1 <br />❑ NEW ❑ AD�ITION �iJ AL7ERA710N O�ftEPAIR ❑ DEMOLI710N O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALURTION OF WORN <br />�9�00.0� <br />DESC3IBE WORK <br />Repair deck, {K►�i�e�r-eer�t and change roof structure <br />Residence <br />LOT, BLOCK <br />Ptn ! ot <br />JOB <br />PLUMBIN6 <br />NO. TVPE <br />WATER CIOSI <br />BATHTUB <br />SHOWEfl <br />� <br />KITGHEN SINN 8 DISP. <br />DISHWASHER <br />IAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �AAINS — RA1P <br />SINK (SERVICE — BAF <br />SUB <br />TOTAL FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TF:IE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OFiDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFf <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />L�AL��AVr H�U�'ATINGSC�ONSTR CTIONTS R ET�HE <br />ITEM � FEE � N0. <br />5 <br />5 <br />S <br />wc c�nc lUl qMEA VACANT SI7E <br />R-� UfIICIIOWII ',YES XNO <br />TVPE OF CONST. OCCUPANCY GROUP NO. OF DWEL <br />V-N R-3 1 <br />5¢E OF BLDG. . NO. OF STORIES MA%. OCC. LC <br />N NA <br />FIREZONE BA$EMENT fIRESPRINKL <br />aFOUIFED <br />ES _:NO <br />APPROVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLAiJS <br />9. FIRE HVORANT <br />C. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMPAGT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR IS; <br />mm <br />jef <br />lc <br />AUTHORIZED AGENT <br />AIR COND. U�JITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. FA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPOP4TIYE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIA HAN�LING UNIT — <br />STOVE — W(lOD <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />EA. <br />M EA. <br />M <br />M <br />QF.M. <br />TO7AL FEE <br />PS6�� b6O3 UMBER f <br />FEE <br />40.63 <br />FEES VALUATION <br />BUILDING S nnnn nr <br />PLUMBING <br />MECHANICAL <br />4/87 3: <br />FEE <br />� � <br />S � <br />S 3 <br />7HECK FEE t <br />BO4j QCEIPT NO. � <br />FEE j <br />� �i <br />74 50 I <br />'M OOOpk4�90 I:kkk ' <br />O7MER State Bld Sui 'h'��� e �"""' 1 50 <br />PENALTYAdCI� Plan Ch2 ����'a) gT.go %. 8� <br />TOTAL CHECf; 48 .BO g3 80 <br />PERMIT VqLIDATION <br />WHEN PqOPERLY VALIDATED pN THIS SPAGE) THIS IS YOUR P°P.Id1T M <br />� <br />�.� <br />(!? <br />BY � � <br />ADDRE55 FILE <br />