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. �� <br />7he Llrr�reen C O N ST R U CT I O^' <br />everett I PERMIT PERMIT NO. �19Og <br />GTV NALL 255�B7d5 <br />EVERETT, WA 98201 � COMBINATION ❑O BUILDING ❑ MECHANICAL � PLUMBING <br />01YNER MqIL AODiiE55 GITY ZIP PNONE <br />Kay M. Schruder 2431 Dlonroe Ave. Everett 98203 353-1929 <br />ARGNITECT OR pE51GNER MAIL ApORE55 CITY 21P PMONE <br />GENERAL CONTRACTOR MAIL ADDRE55 CITV ZIP PHONE UCENSE • <br />Same <br />MECNANICAL CONTRACTOR MAIL ADDPESS QTY ZIP PMONE LICENSE Y <br />PLUMBING CONTRACTOR MAIL ADOPESS GTY ZIP PMONE LICENe.. M <br />❑ NEW Q ADDITION ❑ ALTERATION C) FiEPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 12,000.00 <br />Enlarge bedroom, convert attached <br />�OSEO USE OF BUI�OING <br />Sinqle Family Residence <br />ior 3_4e�or,K 24oF Pinehurst <br />2431 Monroe Avenue <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />1 WA7ERCLOSETI701LEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOl1NTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADE <br />SINK �SERVICE — BAR, ETC � <br />PERMIT <br />TOiA� FEE <br />V-N I Add'n R-3 <br />3LOG. NO. OF STORIES <br />add'n 150 Sq. Ft. <br />FIRE 20NE BA <br />APPROVALS <br />1.ENVIRONMENTALCHECK LIST <br />2. BUIL�ING PLANS <br />3. FIF'e HVDRANT <br />4. flflE PROTECTION SYSTEM <br />5. GRAOING <br />6. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />d. HEALTH DIS7RICT <br />STG I H�4M <br />S <br />5 <br />5 <br />rage to living area. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE AND <br />CORAECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WNETHER 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 CONSTiiUCTION. <br />SIGNFT EOFWNTRACT RON THORIZEO GENT 5/11/83 <br />x �/inrr„ a�l��,���,�e,C� <br />FEE NO. TYPE OF EOUIPMENT <br />2 00 A�A COND. UNI7S — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />Z OO GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL 5 <br />PEHMIT 5 <br />70TAL FEE S <br />REAR YARD SETBACK PLAN CHECK NUMBEH t <br />83/11909 FEE60.13 <br />VACANT SITE <br />vE5 NO FEES _ VALUATION <br />1 <br />MA%. <br />APPR.FORI: <br />LC <br />DATE <br />NO. <br />FEE <br />BUILOING �z,000. 92 50 <br />PLUI.IBING 6 00 <br />MECHANICAL <br />OiMER <br />PENALTY U.B.G. <br />SEC. J03 Ial <br />TOTAL 98 50 <br />PEHMIT VALIDATION t�t � �• <br />WHEf�P�i�EfiL��LIDATED�f1j TMIS S�A�P� T411S IS 0 R PERMIT Q� ( <br />aU b J O <br />��UR RECEIPT <br />-� � ��.•.i��� Y� U <br />I I uAY 8 3 <br />ADDRESS FI�E <br />YOUR REC���' <br />YHANK YOIf-� <br />���aY83 <br />"1 <br />� ■ <br />�� <br />