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-, <br /> tNe Evergrecn �ONSTRUCTIOI� <br /> � CITY OF � <br /> everett PERMIT PERMIT N0. 11380 <br /> CITY HAIL 259�87A5 <br /> EVERETT,WA 9B20t ❑ COMBINATION ❑ BUILDING �C Ij MECHANiCAL ❑ PLUMBING <br /> OWNER MIILAUDRE55 G��Y ZIP PNONE <br /> , - Paul F. Werner 541 Pilchuck Path Everett 98201 259-3815 <br /> ARCHITECT OR D[SIGtlER MAIL ADDRE55 CITY ZIP PIIONE <br /> GENERALCANiRACTOR MRILAppPE55 CIiY ZIP PNONE UCENSE� <br /> Same <br /> MECHANICFI CONTRPGTOR MPIL ADORE55 CITV ZIP PMONE LICENSE I <br /> PLUMOWGCONTRALTOR FIAILADOPE55 CIiY ZIP PNONE LICENSEI <br /> � <br /> C1�550F WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> E <br /> DESLqIBE WORN <br /> Install fireplace insert <br /> PROPOSE�USE OL ONLOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> IEGA��ESCRIPTIONOFPROPERiY�SNOW9ElOWOFARACMFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior • o�a�oF TY� E OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO�PODRES$ SIGN �.E CONiqACiO 1 A HORI U AGENi OAiE <br /> / <br /> 541 Pilchuck Path X �� <br /> PLUMBING M CHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAT[R CLOSET QOILET) AIR COND. UNITS—HP.EA <br /> BAiHTUB FEFRIGERATION UWTS—HP. EA <br /> LAVATO�Y�WASH BASIN) �OILERS—HP [A. <br /> SHOIVER G�S fIRF.D AC UNITS—TONNAGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—�.T.0 !d EA. <br /> DISHWASHLR IVALL HEATERS—87.0 M <br /> IAUNOPY TRAY UNIT HEATERS—8 T.U. ti� <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> \YATER HEATER CLOTNES DPYEFS <br /> URINAL VENTIINION FAN <br /> DFINKING FOUNTA!N (7ANGE I100D <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M <br /> VACUUM BREAKERS STOYE <br /> ROOF DRAINS—FININLEPDEPS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE —BFR.ETC.) 1 Fire lace <br /> SUBTOTAL SUBTOTAL S <br /> PEFM�T 3 PERMIT S — <br /> TOTALFEE f TOTAL FEE S <br /> SIDE YARD SETBACH STREET SETBACK PEAR YAiiD SETBACK PWN CHELK NUMBEF PLAN CHECK FEE <br /> FE� RECEIPi N0. <br /> USE ZONE LOT ANEA VACAt1T SITE FEE <br /> 11vES I!NO FEES VALUATION <br /> 7VPE OF CONST. GCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 <br /> SIZE OP BIDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FlfiE ZONE ��SEMENT pEOUIflED KLERS MECNANICAL 1'J S O <br /> iiYE$ f1N0 r <br /> APPHOVALS BY DATE OTHER J <br /> L ENVIBONMENTAI CMECK 115T AENAL7Y U B C. <br /> SEC.3031a1 <br /> 2. BUILDWGPLANS 70TAL 17 SO <br /> 3. FIRE HYDRANT <br /> a. FIRE PqOTEC110N SYSTEM PERMIT VALIOATION <br /> WHEN PPOPERLY VALIOATED(IN TNIS SPACE)TNIS IS VOUR PERMIT �y <br /> 5. GRADING 1596 i � I �: �0 �' -p <br /> W <br /> 6. DRAINAGE ' M <br /> Z ENVIRONMENTAL IAIPAGT STATEMENT <br /> B. HEALTN�ISTPICT YO U R REC E I P'f� <br /> APPUCATION ACC,BY PIANSCHECKED BY APPR. FOR ISSUANCE BY 7���� �O U . <br /> � • <br /> 1 r � � <br /> ' � � 9 [�c82 <br /> , <br /> ADDR[SS FILE �__ _ _ <br />