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rhe EverRreen <br />�iT� �F <br />everett <br />CIT1 MALL 25987�5 <br />� �COI�STRUCTIO• � <br />PERMIT PERMIT NO. 15H28 <br />EVERETT, WA g8201 ❑ COMBINATION C� BUILDING ❑ MECHAtJICAL ❑ PLUMBING <br />owN�PH TAYLOR 428 ROSE ��ooRess ��,T WA 98�L�� 353���627 PNONE <br />ARGHITECT OR OESIGNER MAI� AODRESS CITY 21P PNONE <br />GENERnL CONTRACTOR MAIL ADORE55 CITY 21P PHONE LICENSE • <br />EVERETT BUILDERS 5606 EVERGREEN WAY EVERETT WA 98203 353-7161 <br />MECNANICAL WNTRACTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE 1 <br />'�MBING CONiRRCTOP MAIL qDCdES$ CITY ZIP PNONE LICENSE 1 <br />C1A55 �F WORn <br />L NEW ❑ ADDITION ❑ ALTERATION �I REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD S70VE/FIREPLACE INSERT <br />VALUATION OF WORK <br />SZ9%0.�� <br />DESCRIBE WOFK <br />Reroof <br />Residence <br />LOT_BLOCK_OF Yecxs eav <br />Lot 22 N 102' less E 55' <br />JOB <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />LAUNDPY TfiAY <br />CLOTMES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />STflEET5ET8ACK <br />S <br />S <br />VES .:NO <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF �WELLIN <br />SIZE OF BLDG. NO. OF STORIES MAX. OCQ LOAD <br />FIHE ZONE BASEMENT FIRE SFRINKLER: <br />REOUIRED <br />YES NO <br />APPflOVALS BY DA1 <br />1. ENVIRONMEN7AL CHECK LISi <br />2. BUILDING PLANS <br />7. FIRE HYDRANt <br />4. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMEN7 <br />B. HEALTH DISTRIC7 <br />ACC. BV <br />stg <br />BY IAPPR.FORISSUANCE BY <br />I HEREBY CERTIFY TH�T 1 FIAVE READ AND EXAMINED THiS <br />APPLICATION AND KNOW THE SAME TO BE 'fRUr AND <br />CORRECT. ALL PROVISIONS OF LAW� AND ORDINANCES <br />GOVERNING TH�S TYPE OF WORK WILL BE COMFLIED WITH <br />WHETHER SPECIFIED HEREiN OR NOT. THE GRANTIWG OF A <br />PERA1IT DOES NOT PRESUME TO GIVE AUTHOHITY i O VIOLATE <br />OR CANCEL THE PFlOVISIONS OF ANY OTHER STPTE OF <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEPFO MANCE.OF CONSTRUCTION. <br />SIG ATU �OF LONT AG�OR ON AUTHOR/y1EO� P�GENi OAIE C <br />l� 1 i� i-i ,�/�'i!J i�— / �.J <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFflIGEF'ATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />fORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATEflS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEriT <br />FEE <br />SUB TOTAL S <br />PEFMIT 5 <br />TnTAL FEE f <br />� NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUA710N FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />$2970.00 <br />�al <br />38 I 50 <br />707AL I I 38 � 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS S��P IC�� TMIS J$ X�IF�PF�Af�IT_ (';Q <br />n 'hU7b U '�� <br />� <br />LC') <br />. . :; :C� IFTa-; <br />: � � U <br />I % :�C ii ) <br />ADDRESS FILE <br />