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theEvergreen rO�C�Q�^�'O� . � <br /> pTY OF V � l V <br /> everett PERMIT PERMIT NO. 09418 <br /> CITY HALL 259�8745 <br /> EVERET�.WA 9820t ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MhILAD�PE55 CITY 21P PHONE <br /> James Blair 7513 Heather Way Everett 98203 355-1668 <br /> ARCHITECTORDESIGNEfl MAILFDORE55 CITY ZIP PNONE <br /> GENERALCANtMCTO� MAILAD�RESS LIiY ZIP PMONE LICENSEI <br /> Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 <br /> MECMANICAL fAHiqAGTOR MAIL nDDRE55 CITV ZIV PHONE 4CENSE I <br /> EV ER EB 301PH <br /> PLUMBING GONTRhCTOR MAIL AD�RE55 CITY 21P PNONE LILE115E I <br /> ClASS OF WOPK <br /> ❑NEW ❑ADDITION }�ALTERATION ❑flEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> y 3583. 00 <br /> DESG�IBE WORN <br /> Re-roof and gutters <br /> PROPOSED USE OF 9UILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EhAMINED TH!S AP• <br /> LEGALDESCRI�TIOIJOFPflOPEFiY1SMOW BELOWOPAiTACMFOURLOPIES) PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> W � 1 4 Sylvan Crest ALL PROVISIONS OF LAWS AND URDINANCES GOVERNING THIS <br /> � r eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WH_THER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI.THE PRO� <br /> VISIONS OF AtJY OTHER STATE OR LOCAL LAW REGULATING <br /> CONST UCTiON OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIG TU OfCONt T OFAUTN ZE AGENT DATF <br /> h�r Way pEss 7513 Heather Way �• — <br /> X <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FI%TURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ROILET) AIR COND.UNITS—H.P.LP.. _ <br /> BATHTUB flEFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH BASIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK u DISP. PORCED AIR SYSTEMS—O.T.LL M EA. <br /> DISHWASHER WAIL HEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS-�B.T.U. M <br /> Q�THES WASHER EVAPORATIVE COOLEFS <br /> WATER HEATER CLOTHES GlYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RF11GE HOOD _ <br /> FLOOR DRAIN AIR HAPI�LING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLAC!:8 CHIMNEY <br /> SINK ISERVICE—BAR,ETQ) _ <br /> SUBTOTAL SUBTOTAL 3 <br /> PEpMIT S PEPMI7 f <br /> TOTAL FEE S iO7ALFEE S <br /> SIDE YARD SETBACK STREET SETBACK REAfl YAFD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES �ALUATION FEE <br /> TVPE OF fANSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> EUILDING a 3583 .00 44 50 <br /> SIZE OF BLD(i. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEflS MECHANICAL <br /> RE�UIRED <br /> ❑vES ❑NO <br /> �APPHOYALS BY �ATE OTHER <br /> 1. ENVIFONMENTAL 'HECK LIST PENALTY U B.C. <br /> • SEC.303(a) <br /> 2. BULJIN.,PLANS <br /> rora� v 4 5 G <br /> 3. FIqE HYDP:aNT <br /> 4. FIRr PPOTECTION SYSTEM PERMIT VAUDATION <br /> WNEN PROPEliLY VALIDATEO(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � <br /> 6. DRAINAGE - _� <br /> r - ' h (� [ (� <br /> 7. ENVIRONMENiALIMPACTSTATEMENT � � � ' �' ' <br /> � <br /> B. HEALTH DISTRIGT Q <br /> APPLICA710N ACC.BY PU+NS CHECKE�BY APPR.FOR ISSUANCF�Y , , _ <br />