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�heEvergreen • CJ TRUCTION � <br /> an oF <br /> everett� � ERMIT PERMIT N0. 0�499 <br /> CITY HALI 259�87<5 <br /> EVERETT,WA 982U7 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � <br /> OWNER MAILADDRE55 GiY ZIP PMONE <br /> Richard J. Sullivan 316 N. 82nd. St. Seattle 98103 259-3656 <br /> ARCIUTEGi OP DESIGNER IAAI�ADORE55 f,IT'! ZIP PNONE <br /> Richard J. Sullivan 2730 Colby Ave. Suite 723 259-3656 3206 <br /> �EN:R4�CONIFACi0f1 MAILADpRE55 LITV 21P PHONE UGENS[I <br /> I.�fC��nNICALiANTPACTOR MAILA�pHEES GIT( ZiP PMONE UCENSE/ <br /> PWMBiNGfANTRAGTOR l.�.AILADDRE55 LITY ZIP PNONE UCENSE� <br /> GLA55Of WORK <br /> ❑NEW ❑ADDITION �(�ALTERATION ❑RLPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> ✓AWATION OF WUAK <br /> 5 20/��� _�� <br /> DESCAipE WCRY. <br /> Alteration and addition to existing residence-remodel interior 5inclose back <br /> raorosco i.se oF ew�oirvc <br /> Si na1 P fami 1 v dwal l i na I HEREBY CERTIFY THAT I HAVE READ AND EXAMItiED THIS AP- <br /> �cctiioesca� norvoFaanvwn� ��owr,eiowcr+nnAo���ouacovicsi PLICATION ANC K.'vOW THE SAME TO BE TRUE AND CORRECT. <br /> 7 427 EV2Y0tt D1V. G ALL PROVISION° OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eiceK_or TYPE OF WURK WILL BE COMPLIED WITH WHEINER SPECIFIED <br /> HEREIN OR �JOT. THE GRANTING OF A PERMIT DOES NOT <br /> PP.wiiME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CC�NSTRUCTION O HE PERFORMANCE F CONSTRUCTION. <br /> JOF ADDRE55 SiI;K URL C�CO�J . R OR U�,��JHiZLO AGCNL � DaTE <br /> 201? Grand Ave. 4 s ' <br /> PLI�p,SiiING ECHANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER Ci05[T i i'Jq 6T1 � �11H COND UNIiS—HP.EA. <br /> l7ATHTUB RCFRIGERATION UNIiS—N.P.EA <br /> LAVAiORY(WASH BASIN) HOIIERS—HP.EA. <br /> SHGWER GAS FINEO A C.UNITS—TONNAGE EA. _ <br /> K�ICHEN SINK 8 DISP. PORCCD AIR SVSTEMS—B T.U. M FA. <br /> DISHWpSHER Q \VALL HEATERS—B.T.U. M <br /> LAUNDRY TAAV UNIT H[ATERS—R.TL. M <br /> —7. CLOTNES WASHGR � [VAPORATIVE COOLERS <br /> WATER NEATER � CIOTNES DRVCPS <br /> URINAL LX VENiILAl10N FAN �I OO <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOf�DRARJ AIR HANDLING UNIT— QEM. <br /> VACUUM BREAKERS STOVE _ <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACE 8 CNIMNEV <br /> SINK(SERVICE—�OAH,ETC� <br /> SUBTO7AL � � SUB TOTAL S <br /> PERMI7 S PERMIT S � <br /> TOTAL FEE S LG OO 70ipL FEE f % OO <br /> SICF yqRD SETOACN STNLET SET[3A�k HEAR VARD SETBACK PLAN CHECK IJUM11�CR PLAN CHECK FEE <br /> FEE REceirr no <br /> USE ZONE LOT AREA VAC4NT_SIT[ <br /> f;1E5 XNO ��6 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF D\7ELLING UNI1S <br /> V-N R-3 1 BUILDING 5 20,000 92 00 <br /> SIZf OF ALDG NO.OF STORIES MA%.OGC.LOAD <br /> Z PLUMBING <br /> RRE ZONE 8�15Eh1ENT FIRE SPFINKLLRS MECHANICAL <br /> REOUIR <br /> 3 � NO i'YES 'NO <br /> APPpOVAIS BV DATE OTHER <br /> 1. ENVII70NIdENiAI CHECh;115T pENALTV U O C. <br /> o SEC.303!a) <br /> 2. BUILDING PLANS <br /> 3. FIRE HYDRANT N > TOTAL <br /> 4. FIR[FR �CTION S�STEA1 PERMIT VALIDATION <br /> — WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> .o ' �A"°" . -�„- � I 6. 0 D -- 3 0 6 2 3 !U 9 2.A,D -� �„ <br /> b oR��m o . <br /> �j 7. E ENiA:I�✓i'ACT STATEMENT ' � � ` � ' �� , . � <br /> � B. "E ��� 'r"�`i�"' RECEiPT • YOU R R�'GEIPt o <br /> pPp T ACf:.�VC7 FLANS CHECKED�Y APPR.fOR ISSUA G Y <br /> � o � 'i1�A. K YOU � ' THANK YOU <br /> � . <br /> w . : A 'f,• <br /> i� ' ���s ���: - � . - 9 wc .79. � � . <br />