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�hc L'vcrirren <br />��,,�F ; .. .�ONS�f R�l�;TIOI"�. � <br />evere�i PERMIT PERMIl' NO. 1-5� � <br />CITV MALL 259�B7d5 <br />EVERETT, WA 98201 [] COMBINATION � BUIL�ING ❑ MECHANICAL � PLUMBING <br />YNEH MAIL AODFE55 CITY ZIP PMONE <br />Dennis Diedrich 5512 South lst Everett 98203 252-6339 <br />AF�.HIiEGT OR �ESIGYEfl MFIL AODRESS CIT" Z�P PNONE <br />GENERAL CONTRACTOR MAIL ApORE55 CITY ZIP PFpNE LIGENSE � <br />Same <br />MECHRNICAL CONTFAGtOR MAIL ADDRESo CITY Z�P PryONE �ICENSE I <br />PIUMBING CONTRACTOR MAIL AOpqESS CITY Z�p PMONE �ICENSE I <br />❑ NEN' ❑ ADDITION ❑ ALTERA710N I$I7FiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLACE INSER7 <br />° 1,600.00 <br />'�CRI9E WORK <br />re-roof portion of ro <br />IPOSEO USE OF O�JILOING <br />Single Fam_:y Residence <br />LOT __BLOCN _OF <br />tion <br />Town of I,owell <br />JOB ADORE55 <br />_ 5512 South lst Avenue <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN� <br />SMOWER <br />KITCHEN SINK S OISP. <br />DISHWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DqAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.� <br />R-2 <br />F CO <br />V—N <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE 5 <br />EETSETBACK REAR <br />—N <br />AREA VACAI <br />N/A ves <br />:UPANCV GROl1P NO. OI <br />R-3 <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SV$TEM <br />5. GRAOING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMEN' <br />8. ME�LTH DISTRICT <br />APPUCATION A�C. BY PLANS CHI <br />JEF <br />FEE <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRI�G 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 VIOLAI'E <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />S�GN/AiL\RE\OF WNiRACTOR OR AUTH R2ED IGENT /�/� DATE <br />i� l I /f)�..�.'l�'� 1,.: � � � !; � .� _ r 11\ %�24�8�J <br />MEC' IANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. � <br />GAS FIREO A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYS7EMS — B.7,U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIJE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AiR HANDLING UNIT — QF.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIHEPLACEINSERi <br />HEAT PUtdP <br />FEE <br />SUBTOTAL S <br />__ PEHMIT f <br />TOTALFEE S <br />RD SETBACK PLAN CMECK NUMBEF PLAN CHECK FEE <br />85/15203 FEE 1�.23 RECEIPi <br />SITE <br />� FEES VqLUATION FEE <br />Mnx. occ. <br />1 <br />-:VES ��.NO <br />APPR.FORISSUANCE <br />euaowc <br />PLUMBING <br />1dECHANICAL <br />OTHER <br />PENALTY <br />S 1,600. <br />TO7AL I I Z6 <br />PERM�T VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />F�DDPESS FILC <br />� <br />