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Uh• l:�� rrpr� i•n <br />e�erett ���STRUCTIO�� <br />PERMIT PERMIT NO. � �� ;c' <br />CIiY HALL 259�R7d5 <br />evE�err.wnoe;o, jX� COMBINATION ',yt� BUILDING X MECHANICAL � PLUMBING <br />C'i:klR lAAll AODiiE55 CIIY IiP FMONL <br />Duane Df. Berg 2704 12IIth Street S.W. Everett 98204 353-6229 <br />4RCMIlFCi OR pESIGNt�� MPiL AODRE55 GI*Y ZIP PMONE <br />..ENERALCONIRAGLOF MAI�AODRE55 CITY 21P PMONE IICEN5E1 <br />Same <br />MECH4NiCnL GONTPALiOR MRIL AODRE55 GITY Zlp PHONE LICENSE x <br />PtUM81NG GONTRAGLOH MAI� AD�RE55 CiT\' ZI • PMONE LICENSE F <br />I��IEW O AODITI )N ❑ ALTERATION ❑ REPAIR :] DEMOLITION ❑ FENCE ❑ SIGN I] WppD STOVFJFIREPLACE INSERT <br />VAWATION OF WORIt <br />s 53,OOO.GO <br />DESCFIBE WORN <br />construct single family residence <br />vroroseo us� oF euamHc — <br />single family residence <br />wr 5 s�ocK_aF West Czeek Div. 1 <br />JOD <CDBESS <br />td 19 28 5 <br />10703 4th Avenue S.E. <br />PLUMBING <br />NO. TYPE UF FI%TURE OR ITEM FEE <br />2 WATERCLOSE7�TOILETI 4 <br />1 BATNTUB � <br />z LAVATORYIWASN�ASIIrI 4 <br />� SHOWER � <br />DISMWASHER <br />LAUIJDRV TRAY <br />CLOTMESWASHER <br />WqTER HEATER <br />URINhL <br />DR:NKING FOUNTAIN <br />FLOOR OFAIN <br />V4CU6'M 6REAKERS <br />ROOF DHAR,S — GAINLEADERS <br />SINK (SERVICE — 6AR, EfC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />10'(N)-6'(S) 20' <br />USE 70NE LOi AREA <br />V-N <br />1366 Sg Ft.__ <br />Rt7E LONE <br />R-3 <br />1 <br />� None <br />APPROVALS <br />t. LNVIRONNENTAL CHECK LIST <br />: LiUII.DII�G PLANS <br />3 �IFEHYDRANT <br />e, �IRE PqOTECTION SYSTE�vI <br />5 GRAOING <br />6. DPAINAC. � <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />' 8� MEALTH DISTRICT <br />, APPLICATION ACC. BY � PLANS CHE <br />STG <br />FiS�1 <br />� �� <br />5 Z( <br />f <br />f 2( <br />',EAR YARD SETE <br />20' <br />Y�C4NT SITE <br />� ES NO <br />10. OP DWELLItJ <br />1 <br />iax.occ.�ono <br />S <br />I[RqE�1SPRINK�ER: <br />�X'XSREONO <br />BY OA1 <br />OY IAPPF.FORISSUANGE �� <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND �XAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORP.ECT. ALL PROVISIONS OF LAWS AND ORDINANGES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THI'_ GFANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVI�IONS OF ANY OTHER STATE OR <br />LOCAC� W REGULATING CONSTRUCTION UR THE <br />PFiiFOTiHt CE OF CONSTRUCTION <br />AGCNi �l L�Alli <br />_ , �7 ---/�f�- � <br />MECHANICAL \ <br />N0. TYPE OF EOVIPME <br />AIR CONU. UNITS — MP EA. <br />REFRIGEflATION UNITS — HP. EA. <br />001L'cR5 — 11.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIP SVSTEMS — B.T.U. M EA. <br />VJALL HEATERS — �.T.U. M <br />UNIT HEAiERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />2 VENTILATION FAN <br />1 flANGEHOOD <br />AIH HANOLING UNIT -� C.F.M. <br />STOVE — WCOD <br />METAL FIREPLACE 8 CHIM.NEV <br />FIREPLACE INSER� <br />MEAT PUMP <br />PLAN CHECN NUMpEFl <br />84/13859 <br />FEES <br />�UILDING <br />PLUMBiNG <br />MECMANICAL <br />OTHER <br />PENALTV <br />FEE <br />SUO TOTAL f � <br />PERMIT S <br />TOTALFEc S ZS <br />PLAN CMF.CK FEE <br />FEE189.80 RECEIPT NO. <br />71584 <br />I VALUATION FEE <br />E 53,000. <br />SEC. 303 <br />rorn� I I 3 <br />PERMIT VALIOATION <br />WMEN PHOPERLY VE.LIDf.TED �i4 THIS SPACE� THIS IS YOUR P[PMIT <br />.�.f'�!:._. �.�.. <br />00 <br />C. <br />u <br />� <br />M <br />.—! <br />z <br />0 <br />-i <br />n <br />m <br />—1 T <br />�� <br />�' m <br />C O <br />mo <br />-i c <br />O s <br />m <br />-a z <br />2 --i <br />m <br />.o z <br />C <br />r S <br />—1 'r. <br />K <br />T <br />O D <br />�� <br />_ <br />m �- <br />� <br />O <br />or <br />C> f�� <br />C V+ <br />3 � <br />m <br />2 C> <br />-i r <br />m <br />a <br />F <br />� <br />x <br />r� <br />N <br />z <br />C <br />.�-. <br />c� <br />;� <br />