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����������A������� ; � �ONSTRUCTIOi�'"` �' <br />� <br />everett PERMIT PERMIT NO. -�•5�1� <br />CITY HAIL 259�87d5 <br />EVERETT, lYA 98201 ❑ COMBINATION � f3UILDING ❑ MECHANICAL ❑ PLUMBING <br />01YNEP MAIL ADDEESS CITY �iP VYONE <br />Douglas R. Libby 6101 Oakes Everett 98203 35i-5201 <br />ARCMI�EGi OR DESIGNEP h1AIL AOORESS CITY ZIP PHpNE <br />GENEPAL LONTRACiOF MAIL AODNE55 CITY 21P PHONE 1.ICENSEI <br />Same <br />MECHANICAL CONTflACTOR MAIL RD�RESS GITY Zlp PNONE LICENSE M <br />PLUMBING GGNTRACTOR MA4 AODRE55 CITY 21P PHONE IICENSE � <br />O NEW O ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br />VALUATION OF WOPK � <br />s ?�D��.Qn <br />construct pitched roof and a small addit <br />PROPOSED USE OF BUIL�ING <br />si�gle family residence <br />LEGAL OES:RIP710N OF PROPEf1TY �SNOW 0EL01Y r.q RTTAC4 FIUR COPIES� <br />N� 8-S 2 Pinehurst lliv. A <br />LOT _ BLOCK_OF <br />JOB AO�RESS <br />6101 Oakes <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATERCLOSET�701LE� <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWEH <br />KITCHENSINKR DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOI'HES WAShIER <br />WATER HEA7EF <br />URINAL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEPS <br />SINK�SERVICE — BAR,ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPNOVAlS <br />1. ENVIPONMENTAL CHECK LIST <br />2. BUILDING PLFYS <br />3. FIRE HVDRANT <br />n. FIRE PROTEC710N SYSTEM <br />5. GP.ADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BV PLA� <br />FEE <br />� <br />S <br />S <br />REAR YARD <br />YES . NO <br />REOUIRED <br />�VES� NO <br />BY I OATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE iRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEA 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 />SIGNATURE OF CONTRACTOR OR AyTHOR12ED AGF,yT _ OATC <br />� <br />MECHANICAL <br />N0. <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATICN UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI7S — TONNAGE EA. <br />FORCED AIR SYS7EM5 — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT NEATERS — B.T.U. M <br />EVAPORATIVE COOLEFS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPIACE INSERT <br />HEAT PUMP <br />SUB TJTAL S <br />PERMIT S <br />TOTAL FEE f <br />( NUMaER PLAN C�. <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENAI.TV <br />E 2,000. <br />.� <br />U.B.C. <br />SEC.3091a1 , <br />1/8/86 <br />FEE <br />RECEIPT NO. <br />FEE <br />32 50 <br />TOTAL I 32 I 50 <br />1 <br />PENMIT VpLIOATION <br />WMEN PROPERLY VALIDATED QN THJ�S�PaAjE� T�il�l� .'Ol�i P��MIT �� <br />/ L <br />Q7 <br />�n <br />OR ISSUANCE BY . , . . . - . � i ' � <br />DAB . ... . . � <br />- , , ; . ', <br />ADDR[SS FlLE <br />