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Ihe£eergreen _� <br /> ��T�°F � -'':ONSTRUCTIOP'- � <br /> everet� PERMIT PERMIT N0. 16617 <br /> CITY HALL 259�8745 <br /> EVERETT,WA9B201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> O�'MER MAIL A�DRE55 CITY ZIP PHONE <br /> Alan Chriatensen 544 Pilchuck Path Everett WA 98201 259-0589 <br /> ARCHITEGT OR�ESIGNER MAIL AODRESS QTY ZIP PMONE <br /> GENER�LCONTR�CiOP MAILAOORE55 CITY 21P PHONE LICENSE• <br /> Ridler erothers <br /> MECHANICAL CONTpACTOR MAIL ADORESS CITY ZIP PNONE LICENSE� <br /> PLUNBING GONTPAGTOR MFII ADDPE55 CITY ZIP PHONE LILENSE� <br /> CU55 OF WOPN <br /> ❑ NEW ❑ ADDITION C�AI.TERATION ❑REPAIR O OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VA�UATION OF WORN <br /> =2�4�0.�� <br /> DESCPIBE WOHN <br /> Tear off and new roof <br /> PROPOSED USE OF BUIL�ING <br /> Sinqle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL DESGPIPTION OF PROPERTY�SHOW BELOW OR ATTACII FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ��8 6 `�ocK_oF $ridgeway 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 /> J09 AD RE SIGNATURE OF CONTRACTOR OR AUTHORRED AGENT T <br /> 54� P�lchuck Path X 5/ �86 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS- H.P. EA. <br /> BATHTUB REFRIGERATION UNITS- M.P. EA. <br /> LAVATORY(WASH BASIN� 801LERS- H.P.EA. <br /> SHOWER GAS FIRED A.C.UNI7S-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- D.T.U. M <br /> LAUNORYTRAY UNIT HEATERS- B.T.U. M <br /> CLOTNES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRRIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE-W000 <br /> ROOF DRAINS- RAINLEADEflS METAL FIREPLAI;E 8 CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOUL f SUB`OTAL f <br /> PERMIT f 7ERIAIT f <br /> TOTAL FEE f TOTALFEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YPRD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE FECEIPT NO. <br /> USE ZONE LO7 AREA VACANT SITE <br /> �. .YES .-:NO FEES VALUATION FEE <br /> T'PE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS glllld111 COde SUrC dY E: 1 SO <br /> SIZE OF BLOG. N0.OF STORIES MA%.OCC. LOA� BUILDI4G S 2�QOO. 3B SO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> . .YES �..NO <br /> APPROV11L5 BV OATE OTHER <br /> 1.ENVIRONMENTAL CHECK IIST PENALTY U.B.C. i <br /> 2.BUILDiNG PLANS SEC.303 Ia) <br /> 3.FIFlEHYDRAN7 TOTAL 90•00 9 I <br /> 4.FIREPROTECTIONSYSTEM PERMITVALIOATION OS <br /> 5.GRADING WMEN PROPERLV VALIDATED(IN THIS SPA�E)THIS IS YOUR PERMIT fti• <br /> 6.DRAINAGE ���7 � <br /> 7.ENVIRONMENTALIMPACTSTATEMENT g �� tl"� � <br /> B.HEALTHOISTRICT ��1 �"� � <br /> APPLICATION ACC. BY PLANS CHECKE�BV APPR. FOR ISSUANCE BY GRSFI �•� �, � <br /> M.M. <br /> 4 <br /> ADDRESS FIIE <br />