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�hrfverRreen �CONSTRUCTi� � <br />CITV OF � <br />evere�t PERMIT PERMIT NO. 14764 <br />CITY MALL 259A7�5 <br />EVEFET7,Wh99201 �] COMBINATION � BUILDINO �$ MECHANICAL `� PLUMBINfi <br />ON'NER MAIL �ODNESS CITY ZIP >MONE <br />Gaylord M. Pearaon 3424 172nd S.W. Lynnwood 98037 74J-6467 <br />ARCMITELT OR DESIGNER MAIL ADDRE55 CITY ZIP PHONE <br />GENER�LGONTP�GTOR MAILADDRESS CITY ZIP PNONE LIGENSE� <br />Same <br />MECHANIC�I CONTR�CTOP MRIL AUDflE55 CITV ZIP PHONE LICENSE 1 <br />PLUMHiNG CONTRACTOR NP'L ADORE55 GITY ZIP PNONE 4CENSE � <br />CU55 OF \YORN <br />� NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEFT <br />f 30,000.00 <br />Relocate residence add to kitchen <br />OPOSED USE OF BUILOING <br />ingle Family Residence <br />i�0-11 eiocK 8 oF �well Div. A <br />aon nooeess <br />4<20 3rd Street <br />PLUMBINQ <br />SHOWER <br />1 DISNINASHER <br />L4UNDRYTRAV <br />CLOTHES WASHER <br />i WATER MEATER <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKEPS <br />ROOF DRAINS — ��AINLEADEflS <br />SINK �SERVICE — BAR, ETC.1 <br />5� <br />V-N <br />LUB 70TAL <br />PEflM1T <br />TOTAL FEE <br />. STREET SET0A1 <br />20' <br />LOi AREA <br />OCCUPANCV GI <br />R-3 <br />NO. OF STORIE� <br />1 <br />BASEMENT <br />Nom <br />APPROVALS <br />1. ENVIRONMENTAL CHECK UST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADI NG <br />. 8. ORAINAGE <br />I.ENVIRONMENTALIMPACTSTA :MENT <br />-R MEALTH DISTRICT <br />; APPLICATION ACC. BY �PLANS CME <br />, EB � <br />� <br />i <br />f� S4 �0 <br />REARYARO SETBACK <br />io� <br />VACANT SITE <br />gYES ..NO <br />1 <br />MA%.00C.LOAD <br />R ISSl1ANCE BY <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAhi1NED THIS <br />APPLICATION AND KNCW 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 NnT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO G:\'E AUTHOPITY TO VIOLATE <br />OR CANCEL THE PROVISIONS Or' ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR TNE <br />PERF(1 ANCE OF CONSTRUCTION. <br />SIGNqT FGO//1j7RACT/OJROPl)p�UTXOFY �NT OATE <br />XJ'/-�-tG // / \ .Ai � w-�_ <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. �A. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DIiYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEIWSERT <br />HEAT Pl1MP <br />SUB TOTAL S <br />PEflMIT f <br />TOTAL FEE S <br />F[E RECEIPT NO. <br />85/14764 125.45 �G8_ <br />FEES VALUAiION FEE <br />BUiLDING 539,000. 193 00 <br />PLUMBING 14 OO <br />MECH.NICAL '] SO <br />orr+�a <br />PENALTY U.H.C. <br />SEC. 907 1a1 <br />TOTAL Zl�{ SO <br />PERMIT VALIOATION <br />WMEN'PROPERLY VAL16ATE0 (IN THIS SPACE� THIS IS YOUA PERMIT � <br />, . �� . . . . _ C� <br />� <br />�' <br />� � , � � <br />ADDRES:. FILE <br />