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+.n <br />dir L�'erAreen <br />� �r, �� <br />everett <br />CITV FALL 259-67a5 <br />EVERETT, WA 98201 <br />� CnNSTRUCTIq►' <br />P�RMIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT N0. �. 3 6� 9 <br />❑ PLUMBING <br />OWNER MA'IADORE55 CITY 21P PHONc <br />Don Colbert Sr. 2105 Mukilteo Dlvd. Everett 98203 355-2021 _ <br />P9CHI1EGi OR OEFIGNER MAIL ADDFE55 QTY ZIP PMCNE <br />GENERPL CONTRAGi011 MAIL AO�RE55 CITY ZIP PMONE LICLNSE � <br />Everett Builders Inc. 5606 Evergreen Everett 98203 353-71G1 <br />HEC4�NIGAL CONTHACTOR MAIL A�ORESS CRY ZIP PiONE UCENSE � <br />EV ER EB *301PH <br />PLUAIpMG GOVTRAC�CR MAII. ADDRESS CI�Y 21P °hONE LICENSE / <br />y+ V O Nf:W O ADDITION O A�_TERA710N C}�;{jEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WO00 STOVEIFIREPLACE INSERT <br />.UATION OF WORK <br />S rJrJ6�.�0 <br />replace foundation and re-r.00f composition <br />Single Family Residence <br />ioT_aiocK__oF. <br />5255 000 005 0105 <br />Mukiltco Blvd. <br />PLUMBING <br />TYPE OF FIXTURE OR <br />VJATER CLOSE7 (TOILEn <br />BATMTUB <br />LAVATORY�WASHBASIN) <br />SHON'EA <br />KITCHEN SINKB DISP. <br />DISHWASHER <br />LAUNDR"TRAY <br />CI.OTHES W4SHER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />V4CUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SEFiVICE — BAR, ETQ) <br />USE ZON <br />SI2E <br />PERMIT <br />TO7AL FEE <br />BA3EMENT <br />APPROVALS <br />1. ENVIRON:d[NTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDF.ANT <br />4. FIFE PROTECTION SYSTEM <br />5. GRADING _ <br />6. DRAINAGE _ <br />7.ENVIRONMEN.'ALIMPACTS7ATEMENT <br />8. HEALTh DISTRI�:T <br />i HEREBY CERTIFY THAT I HF.VE READ AND EXAMINED THIS <br />- APPLICATION AND KNOW THE SAME TO 9F. TRUE AND <br />FOUACOPIES� CORRECT. ALL PROVISIOVS OF LAVJS AND ORDINANCES <br />GOVERNING THIS TYPE Of WORK WI�L BE COMPLIED WITH <br />WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PFIOVISIO�VS OF ANY OTHER STATE ON <br />LOCAL LAW REGULATING CONSTRUCTION OF THE <br />PERFORMANCE OF CONST/RUCTION. <br />vIGNAjOljC OF CONTRACT{1R OR AU HORI�E➢,AGENT �TE / <br />y �� % 25 94 <br />FEE <br />f <br />s <br />S <br />YES .NO <br />M AX. <br />PLANS CHECKED BY 1 APPR. <br />��' <br />MECNANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGFRATION UNITS — H.P. EA. <br />BOILEflS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EP.. <br />FORCED AIR uYSTEMS — B.T.U. M EA. <br />WALL MEATEFS — BT.U. M <br />UNIT HEATERS — B.T.U. �� <br />EVAPORATIVE COOLEPS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />SUBTO7AL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN CI <br />FEE <br />VAIUATION <br />S55G0.00 <br />FEE <br />RECEIPT NO. <br />FEE <br />56 I 50 <br />PERMIT VALIDA710N ' r (1 1 <br />WHEN PROPERLV VALIDATED IIN THIS SPACEI�THIS IS YO� �.EF7MK �j <br />� <br />CD <br />.. � '. � l I�� <br />BY � �.. U� <br />. i <br />n,�(?I'; cc FII f <br />...� C •t <br />H 1— <br />H '^ <br />H� <br />�' F <br />M C <br />O( <br />c <br />F <br />�� <br />� � <br />.�' ' <br />�i � <br />�� <br />O <br />.� : <br />�,y. <br />�. <br />c3. <br />l� <br />�J. <br />