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�heEv�RYeoF CC�-�VSTRUCTION -� � <br />everett PERMIT pERMIT NO. 07931 <br />CITY HALL 259�8745 <br />EVERETf, �YA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBlNG <br />OWNER NqILRDDRE55 CITY ZIP PHONE <br />Roy Wishon <br />ARCNITECT OP DESIGNEii Mnit nDDRESS CITY ZIP PMCNE <br />GENERRL CANTRACTOR MAIL AODRESS GTY 21P PHONE LICENSE / <br />Damaqe Repair Services Box 20A5 Everett 98203 337-4'l22 <br />MEGMRNICAI.00NTRACTOR MA!LADDRESS d7V ZIP PHONE LICENSEI <br />PWMBINGCONTRNCiOR MAIUO�RE55 CRY IIP PHONE IILENSE� <br />❑NFW ❑ADDITION ❑ALTERA710N C��EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORR <br />S 4��0�.�0 <br />Fire <br />Sinqle Fam31y Residence <br />IEG/�L DESCRIP7IGN 0: PAOPERTY �SHOW BEIOW OR / <br />5 610 Everett <br />wr eiocK_oF _ <br />JDB AODRE55 <br />2609 Rockefeller <br />PIUMlINO <br />N0. TYPE OF FO(TURE 011 ITEM FEE <br />WATER CI.OSET OILET) <br />BATHTUB <br />IAVATORV ASH BASIN) <br />SHDWER <br />KIT�HEN SINK 8 DISP. <br />DISH.'.'ASHER <br />LAUNDRV TRAV <br />CLOTHES WASHEI� <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOGR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK IS[RVICE — BAR. "cTC] <br />SIDE VARD SETBACK I S7REET <br />USE ZONE I LOT AREA <br />OF <br />FIPE ZONE <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. fIAE PROTECTION SVSIEM <br />5. GRADING <br />Fi. DRAINAGE <br />7. ENVIRONMENTAl. IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED 8Y <br />REAR YARD SETAACK <br />❑YES ❑NO <br />APPR. FOR ISSUANCE BY <br />K.C. <br />I HEREBY CERTIFY THAT I HAVE READ A��D EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br />ALL PROVISIONS OF LAN�S AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTIIJG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR IOCAL IAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA�UR �OF CANTMC70R OR AUiHOAIZEC AGE ORTE <br />X �, � %�il�s� <br />MECHANICAL <br />NO. TYPE OF cOUIPMENT FEE <br />AIR CAND. UNIiS — H P. EA. <br />REFRIGERATION UNITS — H. <br />BOILERS — N P EA. <br />GAS FIRED A G UNITS — TOI <br />WALL HEATERS V—LB!T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATNE COOLERS <br />VENTILATION FAN <br />AIR NANDLING UNIT — <br />M <br />GF.M. <br />METAL fIREPLACE 8 CHIMNEV <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />�ECK NUMBER PLAN <br />_ FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEP <br />PENALi1 <br />s 4000.00 <br />U.B.0 <br />SEC.303 <br />flECEIPT NO. <br />28�00 <br />PROPERLY VALIDATED (IN THIS SPA 4 �f `�5 VOU(R POEfj7[d�j • O� � 4 � <br />09 + `a r <br />� M <br />YOUR RECEIP� � <br />7 F;,�,N K Y O 1J� <br />' � <br />