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rhe£vergreen I <br /> UTYOF C JNSTRUCTION . � � <br /> everett PERMIT pERMIT NO. 10515 <br /> CITV HALL 259�8745 <br /> EVERETT.VJA 99201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ p�UMBING <br /> OWNER MAILqDORE55 CITY ZIP PHONE <br /> - - Helen G. Forrest 2016 Oakes Avenue Everet 252-6050 <br /> ARCNRECi OR DESIGNER AIAIL qODRL55 CRY ZIP PIIONE <br /> GENERAI GONiRACiOR h1AIL AODRESS GiV IIP PNO�lE �ICENSE I <br /> Same <br /> AIECNAWCAICONTR�CtOR MAILApDPE55 CITY ZIP PHONE LICENSE� <br /> PLIIMBINGCONTRACTOP AIAILAppRESS GITY ZIP PHONE UCENS[I <br /> CLASS OF WORK ( <br /> ❑NEW ❑qDDITION ❑ALTERATION �},(iEPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWATION OF WOPK <br /> f 200�, �a <br /> DESCR17E WORK <br /> re-roo - <br /> PPOPOSED USE OP�UIL�ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> �eca�o�scaianoNOFvqoaean��sHowoe�owoanirncHFouAcoaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 24-25 422 Everett Division K ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> �or e�oc�_oc TYPE 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 VIOLATF OH CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> � RES SIGNAtURE�CONiRAC10tiORAUifORIZEDAGEfjJ DAiE <br /> �g t�akes , <br /> X ' ' �i ��.i.��C1i . 5/3/82 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOS[T(TOII.ET) AIR COND.UNITS—HP.LA <br /> BATHTU� REFRIGERATION UNITS—H.P.EA <br /> LAVATORY�lYASH BASIN) �OILERS—HP. EA. <br /> SHOWER .AS FIRED AL.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. PORCf:D AIR SYSTEAIS—B.T.U. M EA. <br /> DISHWASMEfi WALI HEATERS—�1.U. M <br /> LAUNDRY TRAY UNIT HEATERS�-B T.U. M <br /> CLOTHES YlASHER EVAPORATIYG COOLFflS <br /> WATER HEATER CLOTFI[S DRYERS <br /> UFINAL V`cNTILATION FAN <br /> ORINKING FOUNTAIN RFNGE HOOD <br /> FLOOR DFAIN AIR HANDLING UNIT— GFM. <br /> VACUUM BREANERS STOVE <br /> ROOF DRAINS—qAINLEADERS METAL FIREPIhCE&CHIAINEV <br /> SINK(SERVICE—BAR.ETC.) <br /> SUBTOTAL SUBTOTAL S <br /> PEflMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE 5 <br /> SIUE YARD SETBACK STRE[T SETOACF REAR YARD SETBACK PLAN CNECK NUMBER PLAN CNECK FEE <br /> FE[ RECEIPT NO. <br /> USE ZONE LOT AFEA VPCANT SITE <br /> ❑YES f.]NO FEES VALUATION FEE <br /> TYP[OF CONST. OCCUPANCV GHOUP NO.OF DWELLING UNITS <br /> SILE OF BLDG. NO.OF STORIES MAX.OCG LOAD BUILDING S2 �OOO, 3 L S O <br /> PLUMDING <br /> FINE ZONE BASEMENT FIFE SPRIWKLLRS <br /> I7EOUIPED MECHANICAL <br /> IlYES fiNO <br /> APPROVALS 9Y DATE OTHER � <br /> t. ENVIRONAtENTAL CNECK LIST PENALTY U B.C. <br /> 2 E3UILDING PLqNS SEC.3031a1 <br /> 3. FIR[HYDRANT T�TA� 3 Z S O <br /> d. FIRE PRO7ECTION SYSTEM PEPMIT VAIIDATION <br /> 5. GHADING WHEN PROPERLY VALIDATED�W THIS SPACE)THIS IS YOUfi PERMIT <br /> 6. DRAINAGE ^ a 0 0 � O � q.�0 �� � <br /> L 7 � <br /> 7. ENVIP7NMENTALIMPACTSTATEMENT � <br /> B. HEALTH DISiflICT � <br /> � . � <br /> APPLICAiION ACC.BY PLANS CHECHED�Y AFPR.POR ISSUANCE BY YO U�R f�EC E I Pti`� <br /> iHANK YOU <br /> �DDR[55 FILE -_ � I��Y gZ <br />