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thcErergreen �— �ONSTRUCTIO�'�� <br />GTv OF � <br />everett PERMIT PERMIT NO. 12583 <br />CITY HALL 259�B7a5 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL APDRESS CITY ZiP PNONE <br />Mrs. Leonal Barber 3006 Nassau Everett 98201 <br />AqGHITEGT OR OESIGNER <br />MAILAD�RE55 CITY ZIP PHONE <br />GENERRL CONTPACTOR MA:L ADDRE55 CITY 21P PHONE LICENSE � <br />Star Home Improvement 5314 2nd Street Everett 98203 353-9278 <br />MEGHANICFL CONTfiACTOR MAIi. AD�RESS CITY ZIP PNONE LICENSE I <br />DIEDRWK 312 DC <br />PLUMB�NG CONTRACTOR <br />MAIL ADORE55 GITY ZIP PMONE LILENSE / <br />O NEW H±NDDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJ'�IREPLACE INSERT <br />3 12,000.00 <br />install basement under existing residence <br />'ROPOSED USE OF Bl11LDING <br />Single Family Residence <br />.EGRL DESCRIPTION OF PROPENTY ISHOW BELOW OR FTTACM FOUR GOPIES� <br />�or 28 e�ocK�23 oF Evezett Div. H <br />3006 Nassau <br />PLUMBING <br />TYPE OF FI%TURE <br />WATER ClOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINL <br />SINK ISERVIGE — BAR, <br />SUB TO' <br />PEflMIT <br />SIZE OF <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />J. FIRE MYDRANT <br />4. FIRE PROTECTION SVSTEM <br />6. DRAINAGE <br />7. ENVIRONMENTAL <br />6. HEALTH DISTRICT <br />EB <br />STATEMENT <br />f�ii�� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO�1J THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISif,1VS OF LAWS AND ORDINANCES <br />GOVERNING ThIIS TYPE OF WORK WILL BE COMPLIED �YIT4 <br />WHETHER St'ECIFIED HEREIN OR NOT. THE GRANTING UF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA4 LAW REGULATING CONSTRUCTION OR THE <br />FEE NO. TYPE OF EOUIPMENT _ <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />801LER5 — H.P. EA. <br />GAS FIRED A.C. UNITS — TnNNAGE EA. <br />FORCE� AIR SYSTEMS — B.T.U. M EA. <br />WALL HEPTERS — B.T.U. M. <br />UNIT HEATCRS — O.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />vFUTII ATION FAN <br />�f <br />'�EAR YAFD SETB <br />'ACANT SITE <br />-,YES :.:NO <br />!O. OF DWELLIN <br />dA%.00G LOAD <br />=1RL SP(iINKLER <br />iEOUIRED <br />YES NO <br />FOR <br />DAB <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F_M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUM^ <br />93/12583 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTNER <br />PENAL7Y <br />FEE <br />TOTAL f <br />�IIT = <br />1L FEE S <br />PLAN CNECK FEE <br />FEE 60.13 RECEIPT NO. <br />�� 4 <br />VALUATION FEE <br />$12 <br />303 <br />92 <br />TOTAL 92 50 <br />PERMIT VRLIDATION y, <br />WMEN PfiOPERLY VALIDATED (IN THpe ���1 THI�I�YI�' U� i�F�1�F— (� <br />�) <br />L <br />�;�� �,!? R6C61PT��; <br />BY � ;!�i�K YO U <br />ADDRE55 FILf: <br />0 <br />2 8 O�T 8 3 <br />� <br />� <br />� <br />H� <br />m <br />� <br />� <br />M <br />�z <br />H <br />� N <br />'O=J � <br />� H <br />N <br />� � <br />"] � <br />� <br />� <br />H <br />� <br />H <br />C+1 <br />