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�he C rerCreen <br />evere�tt � �ONSTRUCTIO�� <br />CITYHALL259�B7d5 PERMIT PERMIT NO. 157�� <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL 7Eli� PLUMBING <br />OWNER MAIL ADORE55 CITY <br />David M. Schruder Z�P P��ONE <br />15606 OK Road Snchomish 98290 339-0294 <br />ARGMITECT OR OESIGNEN MAIL ADCRE55 CITY 21P VMONE <br />GENERALCONTpq(;tOR MAILAD�RE55 CITY Z�p <br />PMONE LICENSE � <br />MEGHqNICAL CONTflACTOR MAIL 4pORE55 CITY ZIV PHONE LICENSE ♦ <br />Same <br />PLUMBING GONTRACTOR MAIL AODRE55 piY ZIP PHONE LICENSE I <br />❑ NEW ❑ A�DITION ❑ A�TERATION ❑ qEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />S <br />41-43 12 Pinehurst Div. A. <br />�ot_e�ocn_oF <br />6105 McDougall <br />PLUMBING <br />No• TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILE� <br />7 i BATHTUB <br />LAVATORV�WASM BASIN) <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />LAUNDRYTqAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS – RAIN <br />SINK ISERVICE – BAR <br />SUB TOTAL <br />PERMiT <br />TOTAL FEE <br />SIDE YARD SET7ACK STREET SEiBACI. <br />USE ZONE LOT AREA <br />TYPE OF CONST. OCCUPANCY GPOUP <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTA� CHEC,f_( LI57 <br />2. BUILDING PLANS o <br />3.FIREHYDRANT �^ <br />4. FIRE PROTECTION SVSTEM <br />iS.GRA�ING� � ' <br />�§. DRAINAGE � ' �� <br />d.ENVIRONMENTALIMPA S7ATEMENT <br />r- • — <br />�d.MEALTHWSTPICT �p <br />�PPUCA[ION AC�C. BV �PLANS CHECKED BY <br />. � <br />'_.� ('1 <br />c =; <br />r� <br />3 <br />s 3 <br />s 11 Q <br />EAR VARD SETB/ <br />ACANT SITE <br />YES NO <br />0. OF OWELLING <br />A%.00Q LOAD <br />RE SPRINKLERS <br />30UIRED <br />VES NO <br />3Y OATE <br />ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIG�E OF CONxiACTOH OR qUTHORI2ED AGENT OATE <br />X � <br />MECHANICAL <br />NO� <br />.11R COND. UNITS - M.P. EA. <br />REFRIGERATION UNIiS - H.P. EA. <br />BOILERS -- H.P, EA. <br />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 HEATERS - B.T.U. ; � <br />EVAPORA7IVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDUNG UNIT - GF.M. <br />STOVE - WOOD <br />METAL FIRBPLACE 8 CMIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />CH <br />FEES <br />BUILDING <br />PLUN�ING <br />MECHANICAL <br />OiHER <br />PENALTY <br />SUB TOTAL s <br />PERMIT S <br />TOTAL FEE S <br />PLAN CH <br />FE[ I <br />E <br />12/z/95 <br />� <br />RECEIPT NO. <br />VALUATION I FEE <br />U.B.C. <br />SEC.903 <br />� <br />TOTAL I I SUI 00 <br />PEflMIT VALI�ATION �,, <br />WHEN PROPERLV VALIDATED pN THI¢ �I�C�) THIS 7�a�'C�ll� P�i�. IT_� �.�F3 <br />,� <br />� '- <br />. . � �; r„ r.-.'.-. <br />, �.:CFIr � , , <br />'!': 1'OU <br />ADDRFSS FIL[ <br />- ') L'�C u � <br />H M <br />H '*J <br />�� <br />� <br />6 <br />� <br />� H <br />'z <br />� � <br />� � <br />� H <br />N <br />N <br />� <br />. � <br />� <br />� <br />H <br />� <br />H <br />