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L <br />7he Ercrgrren <br />��,�oF <br />everett <br />CITV HALL 259�87G5 <br />� ^,ONSTRUCTIO�'— <br />PERMIT PERMIT N0. 13�i64 <br />EVER�TT,WA98201 ❑ COMBINATION RB BUILDING ❑ MECHANICAL ❑ PLUMBING <br />r OWNER MRILAOORE55 GITY ZIP PIIONE �{ <br />• <br />LEE HARMON 7659 NE 141st St Bothell �,^ ^O^'� 82] d�R6 <br />ARCMITEGT OR OESIGNEH MAII APORESS CITY ZIP PHONE <br />GENEPnL CONTHAGTOfl MAIL ADORE55 CITY 21P PHONE UCENSE M <br />Same <br />MECHANICA� CONTRACTOR MAIL FDDRESS CITY 21P PMONE UGENSE � <br />PLUMBING COM1T� 'ION MAII AOORE55 CIiV ZtP PMONE LIGENSE R <br />� NEW ❑ A�DITION ❑ ALTERATION O REPAIR U DE�'OLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIFEPLAGE INSERT <br />S %B�D�O.Oa <br />Construct duplex <br />ex <br />�or 3 BLOCK_OF Hawthorne Hei <br />532 A & B Harthorne <br />PLUMBINQ <br />NO. TYPE OF FIXTURE OR ITEM <br />4 WATERCLOSE7�TOILEn <br />Q BATHiUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SiNK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />70TAL FEE <br />SIZE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PRO7ECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTM DISTRICT <br />� <br />S <br />S <br />REAR VAt70 SETBACK <br />VACANT SITE <br />;-.VES .-NO <br />NO. OF DWELLING UNITS <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />VES . NO <br />BY UAiE <br />CHECKED BY IAPPR. <br />I HEREBY CERTIFY THAT I HAVE READ ANC+ EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO B� 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 STPTE CR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CON TRUCTION. <br />SIGN�(U�RE Of LO RACTOR HOR12ED AGENT DATE <br />X 11�,� � ���� 7/19/A4 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILEaS — H.P. EA. <br />GAS FIRED A.C. UNIiS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />INALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILAiION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUN.P <br />PLAN CHECK <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />SUP TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN CMECK FEE <br />FEE NECEIPT NO. <br />VALUATION FEE <br />$ �nn <br />�al <br />rorn� I I 183 I50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THISiSPACFJ,TH15 16 YpWipERMIT __� <br />> L A I d J') U <br />Renewal of Permit No. 10518 cL) <br />M <br />� ' ! F I.--1 <br />BY <br />� � :� <br />ADDRESS FILE <br />�) <br />� <br />