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the £��crgreen <br />QiY OF <br />everett <br />CITV HALL 259�87<5 <br />� �ONSTRUCTIOP' <br />PERMIT <br />PERMIT NO. 12 � 9 2 <br />EYCRETf, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADORESS CIiY 21P PHONE <br />MR. BEHNKE 3602 ROCKEFELLER EVERETT 98201 <br />APLMITECi OR �ESIGNER MAIL ADDRE55 dTY ZIP PMONE <br />GENERAL CONTRRGTOR MAIL PD�RE55 GITY ZIP PMONE LICENSE � <br />G& W ROOFING 10924 - 19th SE Everett WA 98205 334-0535 GWROOC190MN <br />MECNANICAL CONTFACTOR MAIL ADORE55 CITY ZIP PHONE LILENSE � <br />PLUMBING CONTRACTOR MAIL AppRE55 CITY ZIP PHONE LICENSE Y <br />❑ NEW O ADDITION O ALTERATION IXREPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSER7 <br />s RXW4l4lX4l4l 3, 500 . 00 <br />Reroof - shakes <br />)POSED USE OF BUILOING <br />Single family residence <br />LOT _ BLOLN _OF <br />Rockefeller <br />PLUMBING <br />TYPE OF FIXTURE OR ITE�1 <br />WATER CLOSET (TOIIEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />UISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — NAINLEADERS <br />SINK (SERVICE — BAfi, E7C.1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />BLDG. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING FLANS <br />J. FIFE HYDRANT <br />d. FIRE PROTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. HEALTH DISTRIC7 <br />APPLICATION ACC. BV PLAI <br />BY <br />FEE <br />S <br />f <br />VACANT SITE <br />�.�YES :-.NO <br />BY <br />LOAD <br />ISSUANCE <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 VIOLA7E <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTiON. <br />cifr�nTUREOFCONTRACTOflOAAUTHOR12EUAGENT / DATE <br />� <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.G. UNI75 — TONNAGE EA. <br />FORGED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATI'JE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEA7 PUMP <br />SUB TOTAL <br />PERMIT <br />TO7ALFEE <br />;NUMBER F <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />FENALTY <br />S <br />6/14/83 <br />� <br />5 <br />S <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I tlK��{9d <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS� iPi CeE) TMIS�SOVQU�i P��IT �(�,� <br />o t� �I 4 ��v <br />� <br />N <br />. YOUR RECEIPT�—�+ <br />Tt1ANK YOU <br />nDDR[SS FILE <br />I 4 ,� 8 3 <br />'1 <br />