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rheEv�rxY,oF �- �ONSTRUCTIOP' <br />everett PERMIT PERMIT NO. 12213 <br />CITY HALL 259�87d5 <br />EVERETf. WA 98201 �] COMBINATION �I BUILDING � MECHANICAL � PLUMBING <br />OWNEN MAILROORESS CITY ZiP PMONE <br />� Dr. John Vandree 812 Grand Everett 98201 252-0790 <br />APCMIiEGT OR LESIGNER MAR PODRE55 CITY ZiP PMONE <br />GENERAL CONTN�CTOfl MRIL �OOPESS CITY 21P PMONE IILENSE / <br />Lyle Smith Builder Inc. P.O. Box 463 Woodinville 98072 668-5733 <br />MECHANICAL CONTR�CTOR MAIL AD�RE55 GRY Z�P PMONE LIGENSE I <br />LYLESI2130D <br />PLUMBINGGONTRACiOH MRILAOORE55 GITY 21P PMONE LICENSE� <br />0 <br />❑ NEW �(ADDITION ❑ ALTERATION ❑ t�EPAIR ❑ DEMOLITION O FENCE C SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />.U�TION OF WORK <br />i 40����.�Q <br />Single Famil <br />EGAL DESGRIPTION OF PROPEI <br />�or 1 eiocn_oc <br />18 29 5 <br />812 Grand <br />PLUMBINU <br />U7:1 <br />WATER CLOSET�TOILET� <br />BATMTU6 <br />LAVATORV �WASM BASIN� <br />SMOWER <br />KITCHEN SINK d DISP. <br />OISMWASMER <br />LAUNOHVTRAY <br />CLOTMES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACIIUM BREAKERS <br />ROOF DRqINS — RAINLEADERS <br />SINK ISEPVICE — BAH. ETC.1 <br />SUB TOTAI f <br />PEflMiT S <br />TOTRL FEE f <br />SIDE VARD SETBACK STREET SETBACK REAR <br />riance 20' <br />USEZONE LOTAREA VACA'. <br />R_ 1 vEs <br />TYPE OF CONST. OCCUPANCY GfiOUP NO. O <br />V-N Add'n R-3 <br />SIZE OF BLOG. NO. OF STORIES MAX. <br />956 Sq. Ft. 1 <br />1. ENVIRONI <br />2. BUILOING <br />U m S <br />C T <br />� <br />APPROVALS <br />CMECK U5T <br />HWM <br />BY <br />FEE <br />f <br />1 <br />OCQ LOAD <br />O�TE <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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT RE OF CONTRAG OP O tMORIZED AGENT GATF. <br />X �7N �. ...� brtLl 7/26/83 <br />AIR COND. UNITS — M.P. EA. <br />RFFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />�ORGED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATeflS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEHS <br />VENTILATION FAN _ <br />RANGEHOOD <br />AIR MANDL�NG UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE d CHIMNEY <br />SUB TOTAL f 15 <br />PEPMIT f <br />TOTALFEE f <br />( NUMBER PLAN CMECK FEE <br />FEE RECEIPT NO. <br />.2213 154.7 <br />FEES �ALUATION FEE <br />evi�oinc 540 000 _ 238 <br />PLUMBING LQ OO <br />MECHANICAL 1S OO <br />OTMER <br />PENALTY U.B.C. <br />SEC. 907 (a� <br />TOTAL Z6� 00 <br />VERMIT VIILIDATION <br />WMEN PROPERLY VALIDATED pN THIg �W1(�) TMI�S2/� P�IL� (� <br />�� <br />N <br />5014.00-_ 3 YOUR RECEIPt� <br />7NANK 1'OU <br />r.c , � RiK Yo �PT <br />. ,2 6 ,�. 83 <br />A L� A�� oi - - <br />7 <br />1 <br />J <br />, <br />