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!he £cergreen <br />CITV OF <br />everett <br />CITY HAL� 259�8745 <br />EVERETT, WA 98201 <br />�ONSTRUCTIOI� � <br />PERMIT PERMIT NO. 12159 <br />� COMBINATION ❑ BUILDING ❑ MECHANICAL LI PLUMBING <br />OWNER MAILROOPE55 CITY I�p PHONE <br />CARL d. ENGELSON 4414 Grand Avenne Fverett WA 9R?� ?54_1963 <br />ARCHITECT OH DESIGNER MML ACDRE55 CIiY LIP PHOfiC <br />GENER�� CONTR�GTOR MAIL ADDRE55 CITY 21P PNONE UCENSE I <br />Douglas Enaelson <br />MECH�NICAL CONTRACTOR Mqll AUURESS CITY ZIP PMONE LICENSE � <br />PLUMBING CONTPACTOR MAIL ADDRE55 ��TY ZIP PHONE LICENSE � <br />O NEW KxADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD ST�JVE/FIREPLACE INSERi <br />V�LUATION OF WORK <br />O�OQ�.�� <br />LG�1�1 <br />se <br />�or 8 e�ocK�4 aF V9CtOT'y HEi <br />PLUMBINO <br />NO. TYPE OF FIXTI <br />WATER CLOS[T (TOILEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS - FiAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE f <br />6 ft 20 ft <br />USE ZONE LO7 AREA <br />R-1 <br />TYPE OF CONST. OCCUPANGY GROU� <br />V-N Addn R-3 <br />SIZE OF BLDG. NO. OF S70FIES <br />1 + basement <br />FIRE ZONE BASEMEN7 <br />APPPOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />1. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRhINAGE <br />7.ENVIRONMENTALIMPACI'SiATEMENS' <br />APPUCATION ACC. BY PLANS CHECKED BY <br />EB HWM <br />20 ft <br />VACANT SITE <br />YES x No <br />NO. OF DWELLIN <br />1 <br />MAX.00C.LOAO <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WiTH <br />1VNCiNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL W REGU'_ATING CON RUCTION OR THE <br />PERF M NCE OF CONS7RUCTIO : <br />SIGNATU E CONTyAGTO��f1,�iHORIZED T DATE <br />MECNANICAL <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H P. EA. <br />BOILERS - M.P. EA. <br />GAS FIRED A.C. UNI7S - TONNAG <br />FORCED AIR SVSTEMS - B.T.U. <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS - 9.T.U. <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECK NUA <br />83/12159 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />DATE OTHER <br />PENALTY <br />TOTAL <br />EA. <br />M EA. <br />M <br />M <br />QF.M. <br />SUB TOTAL f <br />PEHMIT f <br />TOTAL FEE S <br />FEE 36.73 I RECEIPT N0. <br />VALUATION �333 E�- <br />$8 , 000. <br />WHEN PROPERLY VALIDATED (IN THIS PA E) THI Y P IT <br />9�9� � %. —�. <br />7.80 due on plan check fee r..� <br />/1 N <br />APPR. FOR ISSUANCE BY . Y" U R R EC E I PT �""� <br />�Nc �r�lnr�e You <br />I 3 � 83 <br />ADDRESS FILE <br />