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�!he Errr�nt�n <br /> � � � �� ^ONS�I�UCTIOt� <br /> everett PERMIT PERMIT NO. 13�24 <br /> CITY HFLL 259-B7d5 �. <br /> V �VEFSEU.�JJq�,98POJ ;�j �OMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER lfA1LA00R'S5 CITY ZIP PMONE <br /> GARY AND JENNIFER KNUDSt�N 1615 ROCKEFELLER EVERETT WA 982U1 259-;�50 <br /> APGMIiEGT OR DESIGNEF MAIL AO�AE55 CIiY ZIP PNUNE <br /> GENEPAL CONTRAGTOR MAIL AOORE55 GITY ZIP PHONE IIGFNSE� <br /> THREE LAKES CONSTRUCTION 6523 - 171st S� SNOHOMISH WA 98290 252-2173 THREELC201P4 <br /> MEGMANICAL CONTRRCTOR M�IL RODPESS CITY 21P PNONE LICENSE� <br /> PLUMBING CONTFAGTOR MAIL AOOFE55 CITV 21P PMONE LICENSE• <br /> CLASS OF WORK <br /> ❑ NEW O ADDITION ❑ ALTERATION �REPAIR ❑ DEMOLITION ❑ FFNLE ❑ SIGN :� WOOD STGVFJFIREPLACE INSERT <br /> VALUATION OF 1VORK <br /> 3 9���.�0 <br /> DESCRI�E WORH <br /> Windows, insulation, plumbing, electric, fence repair <br /> anoaoseo usE oF om�oirm <br /> Sl� 12 fdml l residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 9 Y APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �e�ni.o�scaicrior+oFVROPearr�s«oweeiowonnnncHFouacoaiesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> wi_o�ocn�3�or�vQratt "N" GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> 7 & 1/2 Of 8 PERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PE RMANC UF CONSTRUCTION. <br /> JOB ADOR[SS 51 ATUP�F GONT C R OR F TMORI2 AGENT DAiE <br /> 1615 Rockefeller � _ 9/17/84 <br /> PWMBING MECHANICAL _ <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATLRCLOSET(TOILEn AIR COND.UNITS— H.P.EA. _ <br /> � BATHTUO REFRIGEFATION UN17S— H.P. EA <br /> LAVATORI'�WASH BASIN) BOILERS— M.P. EA. __ ,_ <br /> SHOWER GAS FIFED A.C.UNITS-- 70NNAG[ EA. <br /> KITCMEN SINK&DISP. FORCED AIR SYSTEMS — BSL. M EA. <br /> DISHWASHER WALI HEATERS— B.T.U. M _ <br /> � LAUNDRY TRAY � UNIT HEATERS — B.T.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � WATER HEATER 2 GLOTHES DRYFRS <br /> URINAL VENTILATION FAN <br /> DRINKItJG FOUNTAIN RANGE HOOD _ <br /> FLOOR ONAIN AIR MANDLING UNIT — QP.A � <br /> VACUUM BREAKERS STOVE—1Y00D _ ~ <br /> FOOF DRAINS— RAINLEADERS MLTAL FIREPLACE 8 CHIMNEV � <br /> SINK�SERVICE— BAR, ETC.) FlREPLACEINSERi <br /> HEAT PUMP <br /> H H <br /> _ y " <br /> SUB 70TAL '+ Q 00 SUB TOTAL S 3 QQ � � <br /> PERMIT S PERMI7 S � <br /> TOTAL��EE S 4 OO TOTAL FEE S 3 O (� �� <br /> SIDE VAF�SETDACK STREET SETBACK (7EAR YARD SE7BACK PLAN CMECK NUMBER PLAN CHECK FEE � � <br /> FEE RECEIPT NO. � <br /> —' � �. <br /> US[ZONE LOT AREA VACANT SITE FEES VALUATION FEE � <br /> YES NO ' f <br /> TYPE OF CONST. OCCUPAHCY GROUP NO.OF DWELLING UNITS �y � <br /> dUILDING S(��QQ.Qp 80 50 �:.� � <br /> 5¢E OF BLDG. NO.OF STORIES MA%.OCG LOAD � ' <br /> PLUMBING 4 OO K <br /> �FIRE ZONE BASEMENT F�RE SPflINKLER9 G � <br /> REOUIRED MECHANICAL 3 OO �" ' <br /> YGS . NO '"� � <br /> APPROVALS BY DAfE OTHER i_ <br /> LLB.C. <br /> t ENVIRONhtENTAL CHECK LIST PENAL7Y SEC.703(a� � � <br /> - rt <br /> 2.BUILDINGPLANS - � _ TOTAL S] 5O > <br /> 3.FIRE HYDMANT � <br /> IY FIRc PROTECTION SYST6M PERMIT VALIDATION <br /> 5.GRADING \VHEN PROPEfiLY VALIDATED QN TMIS SPACE)THIS IS YOUHpE(iMli �'. <br /> � � --(V( ' <br /> 6.DRAINAGE . Q�J <br /> 7'.ENVIRONMENTALIMPPGT$TATEMENT (� <br /> . 8.MEALTH OISTFICT _� <br /> � pPPLICATION ACC. BY "�LANS CNECKED BY APPR. FOR ISSUANGE BY � � �� <br /> St9 , <br /> - i <br /> � <br /> � '� ;�DD:Zi_55 i��lL . . . <br />