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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />rONSTRUCTION -- <br />PERMIT <br />PERMIT NO. 18256 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L*MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />C H Ouist 1557 164th NE v-7 Bellevue 98008 747-7418 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Owner <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />_ Owner <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORK <br />[$NEW ❑ ADDITION El ALTERATION El REPAIR El DEMOLITION <br />El BUILDING RELOCATION <br />DESCRIBE WORK <br />Install one forced a+r system , <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ W'.00DSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />single Finaily,residence <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BE LOW OR ATTACH FOUR COPY SI <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT —BLOCK _ OF_ <br />WHETHER SPECIFIED HEREIN ON NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />_ <br />THE PERF RMANCE OF CONSTRUCTION. <br />SIGNATUR NTH .TOR. AUTHOR) AGENT..91OWNER GATE <br />X S �o <br />JOBADDRESS <br />7825 Iarimer Ridge <br />PLUMBING <br />MECHANI <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE. OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY (MASH BASIN) <br />BOILERS — B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — a T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />SACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />Ws <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />PERMIT <br />TOTALFEE <br />S <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />FEE <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />DYES ONO <br />BUILDING <br />$ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX. OCC. LOAD <br />05/26/B7 4:5 <br />FM 00M#54<2 <br />MECHANICAL <br />INVESTIGATION FEE <br />FIRE SPRINKLERS REQUIRED YES El NO <br />STATE BUILDING SURCHARGE <br />IiECH $2 <br />.00 <br />MET 2 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACG DY <br />PLANSCHECKEDBY <br />APPR FOR ISSUANCE 6Y <br />DRIVEWAY PERMIT <br />TOTAL <br />24 <br />00 <br />S.H. <br />PERMIT VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YUUH Pt H1n11 <br />