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- . <br /> 4 .- <br /> � <br /> thrE�rrgreen - CjrNSTRUCTION - <br /> ' arvoF ' <br /> everett PERMIT PERMIT NO. 06555 <br /> CITV HALL 25d-B7dCi <br /> eveHETr.�vn eezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OR^.�LR MPILAUDBf55 G�iY ZIV P��ONE <br /> J. V Curran M.D. 5130 View Drive Everett 98203 259-6603 <br /> AOLNii[GTORDESIGNCR Mhi�ADDRE56 GiY ZIV P110NE <br /> G(NCRALCONiRPGfOn MAtLA0DbE65 CItY IIP PIIONE UGENSEr <br /> Curran P,O, Box 2217 98203 258-1993 <br /> ULLnnNiCAICONTRACTOR MA:�pDURE55 CITY ZiP PHOHE IiGENSE� <br /> �'lU�'��INGCONiRACiOR MAIL60DR[5$ CITY ZIP PHONE lIC[NSE� <br /> CLn55 OF 1VOPK <br /> ❑NEW XAADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> vnW/TiON OF WDRK <br /> b 1�����.�0 <br /> DC6G91pE WOPK <br /> Bedroom Addition/Jacuzzi tub installation/Fireplace <br /> rnovoseo use of owiovuc <br /> single family residence I HEREBY CERTIFY THAT I HAVE �EAD AND EXAMWED THIS AP� <br /> imnioescairno�+orrr+o��eamisr+owee�owonnnncHvouacoviesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OP LAWS AND ORDINANCES GWERNING THIS <br /> io* e�oc.:_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Sec. 8 2Wp 28 Rqe 5 HEREIN OR NOT. THE GRAIJTING OF A PER�v11T DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTH[F STATF OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> S�,N�. iF Uf fA�-tRAQOR LA AV➢��nqCO cG�IL DAtC <br /> .��1���n�0 View Drive X /f�, <br /> i/ <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOS[T(TOILET� AIR COND.UNIiS—HP EA. <br /> BATHiUB RFFRIG[�ATION UNITS— <br /> NP EA <br /> LAbATORY(WPSH BASIN) [iOILERS—H P EA. <br /> SHOWCP GAS FlRED A C.UNITS—TONNAGE EA <br /> KIT�HCN SRJK 6 DISP VORCED AIR SYST[MS—9 T.U. M EA. <br /> DISHWFSHER WPLL HEATGRS— 0 T U. M <br /> LAUNDRY 1HAY UNIT H[NT[RS—D T.U. M <br /> CL0IHES VlASHER EVAPpRATNE COOLERS <br /> WATER HEATER CIGiHE50RY[RS <br /> UAINAL VflMIIATION FAN <br /> DRINY.ING FOUNTAIN RANGL HOOD <br /> 1 FIOOH ORAIN AIR HANDUNR UNIT— QF.M <br /> VACUUM BRF.AKERS STOVE <br /> ROOF DRAINS—RAINIEADER$ METAL FIREPLACE 8 ;HIMNEY <br /> SINK(SLfiVICE—�AR,ETCJ <br /> 1 ACU72I TUB <br /> SUBTOTAL 4 O SUBTOTAL S <br /> PERMIT S PEflM1T f <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE VARD SETBACK STRELi SCTBACK REAR YAPD 5[iBACK �LAN CHECK NUIdDER PLAN CNECK FEE <br /> 79 6555 `EE RECEirr No <br /> USE ZONE LOT ARLA VACANT SITE � z6.Q� 24279 <br /> L]YES C]NO FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> SIZEOFBLDG. NO.OFSTORIES MA% pCA.LOAD �UILDING SSO�OOO.00 S2 OO <br /> PLUMBING <br /> � �� <br /> FIRE ZONE �ASEMENT FIR[SPRINKLERS ' <br /> REOUIRED MECNANICAL <br /> I�YES ❑NO __ <br /> APPROVAL� �� BV DATE OTHEP <br /> t ENV�;UNM�ENTAL CHECK LIST PENALTV UB.C. <br /> ' 2 BULLOINGPIANSN SEC.303(a) <br /> 3. PIREHY�;±pNT y� TOTAL ► S) OO <br /> <. Fl E 7[Gn0 YSTEM PEqMiT VAIIDATION '� <br /> Vl 5 A � WHEN PROP[RLV VALIDATED pN TNIS SPACL)THIS IS YOUR PERM❑ � <br /> � G. �AIf�iE ��- [ 65� �OJL.VO � � � <br /> � . 7. VI MENTA�1pp�T STATEMENT � <br /> � 8 A[/1�DISTR:B� � � <br /> P � A�I ON ACC G� PLANS CHECNED BY APPR FOR ISSUANCE BV YO U R REC E!PT O � <br /> c � � v.c. . Tf-fANK YOU <br /> � . , <br /> . ADDR�SS Fll_� � �� s��+' 19 <br />