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7he [ rergrcen <br />everett � � �ONSTRUCTIO[-� <br />CITY HALL 259�8745 <br />PERMIT PERMIT NO. 15523 <br />EVERET7, Wq gB201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAII ADDRESS CITY <br />W.W. Templin P.O. Box 206 Lynnwood 98046 ZP 335-1311P�oNE <br />ARCMITECT OR OESIGNEfl MAIL AOORESS CITY Z�p <br />PHONE <br />GENERAL GONTRA�TOR MAIL AODRE55 <br />Same <br />��T� Z�P PHONE LICENSE � <br />MECHRNICRL CONTRACTOR MAIL AppPE55 dTY 21P PNONE LICENSE • <br />PWMBING GONTqqCTOfl MAIL ADDRESS CITY 21P PMONE 4GENSE � <br />XnC NEW ❑ qppIT10N ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREP�ACE INSER7 <br />s 22,400.00 <br />Foundation and Modular Home <br />'ROPOSED USE OF BWlOING <br />Single Family Residence <br />EGRL DESCRIPTION OF PflOPERTY �SMOW BELOW OR ATTACM <br />�or 13 a�ocK 6 oF Beverly Park <br />Z 7 28 5 <br />1722 Puget Drive <br />PLUMBIN(i <br />N�•. TYPE OF FI%TUHE <br />SMOWER <br />KITCHEN SINK d <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREANEHS <br />ROOF ORAINS — RAINLEADE <br />SINK �SERVICE — BAR, ETQ) <br />SUB TOTAL = <br />PERMIT S <br />TOTAL FEE S <br />5' � 10' <br />C-1 <br />1 <br />7. ENVIRONMENTAL CHECK LIST <br />2. eUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATi <br />B.HEALTH OISTRICT <br />APPLICATION ACC. BY P�An <br />20' <br />VACANT SITE <br />66E5 ::NO <br />NO. OF DWELL <br />MA%,OCG LOO <br />FIRE SPiiINKLE <br />REOUIRED <br />YES _INO <br />FOR <br />Lc <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 CONSTRUCnoN <br />�GENT <br />MECHANICAL �� / <br />N0. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />VlALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL = <br />PERMIT f <br />TOTAL FEE s <br />( NUMBER PLAN CI <br />FEE <br />FEES VAIUATION <br />BUILDING <br />PLUMBING <br />MECH4NICAL <br />O7HER <br />PENALTY <br />TOTAL <br />onte <br />RECEIPT NO. <br />FEE <br />s22,400.00 185 <br />U.B.C. <br />SEC. 70J (a) <br />185 <br />WHEN PROPERLV VALIDATED pN 7H166P146E) 7MI�19 YpIQI q[q►AIT � <br />J b J 7 I 0 J U U <br />ADDRESS FILE <br />r. <br />�r,�ur R�cEirr. � <br />�i � !;1i�,l: Y'C) U <br />- 3 UCr o 5 <br />H <br />N <br />� <br />