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�heEvergreen �pNSTRUCTION -� <br /> CITY OF <br /> everett PERMIT pERMIT NO. 10916 <br /> CITY HPLL 259�8745 <br /> evEaerr.wn eezoi ❑ COMBINATION ❑ BUILDING y�; MECHANICAL ❑ PLUMBING <br /> OWNER MniLADOR[55 CIiY ZIP vMON6 <br /> , RICK LANGLOIS 2001 Melvin Avenue Everett 98203 353-4599 <br /> PRCHrtLCT Ca UCSK;NER MAIL ADDRE55 CITV ZIP MpNC <br /> GFNfqAI CONTRAGTOR MAtL ADDFE55 CR� ZIP FHONE UCENSE I <br /> Owner <br /> MEGHANIUI COHTNAGTOR �A�l P�DRE55 CIiY ZIP PHONf LIC[NSC♦ <br /> �'WMBiNG CONTRACTOR MAIL ADDRE55 GITY IIP PHONL UCENS[1 <br /> I <br /> CIA'oSOF WORK ' <br /> �NEW ❑ADDITION L�AL7ERPTION LREPAIR ❑DEMOLI'ION ❑FENCE ❑SIGN ❑G�PAGE <br /> VnWAT�ONOP WOAK <br /> 3 <br /> DESCAik"WORK <br /> Inscall wood stove <br /> oppapSED USL OF B�ILDMG <br /> Residence I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINEf: THIS AP- <br /> :�.onicrscwa*ior+oFraovearv�sNoweeiowoannncr+Four+cor�iEs PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC?. <br /> ALL PROVISIONS OF LAWS AND ORDIPIANCES G04ERNING THIS <br /> ic� eiocK__nv TYPC- OF WORK WILL BE COMPLIED WITH WH=Tr1ER SPECIRED <br /> HEREIN OR NOT. THE GRAIJTING OF A PEqNiT DOES NOT <br /> PRESUME TO GIVE AUl'HORITY TO VIOLATE OR CANCFL THE PRO� <br /> VISIONa OF ANY OTHER STATE OR f OCAL �AW REGULATING <br /> CONSTRUCTION OR THE PERFORIJANCE O� CONSTRUCTION. <br /> JOB RDDnE55 Si�";�N-U�f 0� (!_'�Nt�aQOf�09 AUt ��RLD PGf 4i D��t[ <br /> 2001 Melvin Avenue x d 8/24/82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXiURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WA7Fu CLOSET(IQILET) Plli f,OHD. UNITS--H P.EA <br /> pq7�{T�B P[FRIGLqATION UNIiS— H P EA <br /> LAVATORv fWASH BASIIJ) �OI�EGS—H F F.A <br /> SNOWER GASFIREDAC UNITS—TOHfJAGEEA. <br /> KITCHtN SINK B CISP. FOACED AIP SVETLIAS—B TL M F.A. _ <br /> DISHWASHER WAIL H[ATEPS--�T U M <br /> LAUNUHY TRAY UNIi HEATEHS—�T U. M <br /> CIATHES WASMEH EVAPORATIVE COOLGRS <br /> �yq��p H��7[q CLOTHES D(7VEHS <br /> UFINAL VENTILATiON fAIJ _ <br /> DRIN✓.�NG FOUNTPIN NANGE HWD <br /> FLOOF CRAIN A�R HAIJDUNG UNIT— C.F.M <br /> VACUUM�F6AKFRS STOVE <br /> ROOF GRAINS—RAINLEA�ERS MEIAL FlREPL4CL 8 CHIMNEY <br /> SINK(S[HVICE—OAR,E7GJ 00 SLOVB � Q <br /> SUBTOTAL SUBTOTAL S O OO <br /> PERMIT f PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SiDE 1AHD SETBACK G i P!_I�� S[TdRG✓. RCAR VARD SET�ACK PLAN CH[CY.NUMOER PLAN CHLCN�EC <br /> FLE R6CCIPi IJO. <br /> 115E iONE L07�HEA VACANT SITE <br /> I iYES f-:NO FEES VALUA710N FEE <br /> TYPE OF CANST. OCCUPANCY GROUP NO OF DWELLING UNITS <br /> BUILDING � <br /> SIZE OF BLDG. NO OF STOPoES AIAX.OCC.LOAD <br /> PLUTABRJG <br /> I-1RE ZON[ BASEMENT FIRE SPNINKLCRS <br /> neouweo M�cHnwica� 17 50 <br /> "YCS ! NO <br /> ! <br /> APPROVALS BY UATE OTHER I <br /> ��+ <br /> t RJVIRONMENTAL CHECK LIST pENq�T� U 8 C <br /> SEC. 303�a) <br /> 2 BUILDING PIANS <br /> 3 FIRE HYDRANT TOTAL �� SO <br /> < �iFE PROTECTION SYSiEM PERMIT VAUDATION <br /> _ WHEN PROP[RLY VAUDATED IIN TNIS SPACEIIHIS IS YOUR PERMIT <br /> 5. GRADING f� t CD <br /> 6. DRAINAGE 6 6 6 M + 0 ' �• J 0 � <br /> ] EIJVIRONMENTAI.IMPACT S7ATEMENT � <br /> � <br /> 8 HEALTII DISTRICT C <br /> APPUCATION ACC.BY PLANS CMECKED 8Y APPR.FOF ISSUANCE DV • YO U R R EC L I <br /> T11nNK YOU <br /> �,�ci�;�;s rit.,_ <br /> 25a� R1 <br />