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NieEvergreen ^ONSTRUCTI�ON - � <br />CITY OF <br />everett PERMIT PERMIT NO. 09140 <br />CITY HALL 259�8745 <br />EVERETf. WA 98201 ❑ COMBINATION }� BUILDING ❑ MECfiANICAI PLUMBING <br />OWN[P <br />IAAII AODRE55 LITV LIP PIIONE <br />Winnefred Hammitt 925 Rucker Avenue Everett 98201 252-3994 <br />ARCHITECi OR DESIGN[R MAIL ND�RE55 CIiY 21P PHONE <br />G[N[RALLONiRACLOR <br />MRIL AD�RE55 CIiY 21P �NON[ LICENSE I <br />Capstin Const. 3311 123rd Street S.E. Everett 98204 337-1011 <br />MECHANiG4LGONiPACtOR <br />MAILAO�RLSS CITY ZIP PHONE LiCENSEr <br />i'LUMBIHG CONTRFCiOR <br />MAILADORE55 Cliv ZIP PHONE UCENSE� <br />55OF WORK <br />❑NEW ❑ADDITION ❑NLTERATION K�EPAIR ❑DEMOLITION ❑PENCE ❑SIGN GARAGE <br />UATION OF WOFK <br />5910�0.0� <br />{CRIB[ WORK <br />replace shingle roof with co <br />singie family residence <br />LEGAL DESCRIPttON (`F PROPGRiY �SHOW OCIOW OR ATIACH <br />0}4-15 ����74 oF Bailey's <br />JOB ADDRESS <br />925 Rucker Avenue <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />V�ATEf1 CLOSET QOILET) <br />(ITCHEN SINK B UiSP. <br />]ISHWASHER <br />AUND(lY TRAY <br />JLOTH[5 WASNER <br />NATER H[ATER <br />URINAL <br />DRINKING FOUNIAIN <br />FLOOF Df1AIN <br />VACUUM BREAKERS <br />ROOF OqAWS — RAII <br />SINK ISENVICE — DA� <br />SIOE YARD SEiBACK STREET SET <br />USE ZO�IE I.OT ANEA <br />1. ENVIRONtdENTALCHECKUST <br />2. BUILDING PIANS <br />3. F�RE HYDRANT _ <br />d, FIRE PPO7ECTICN SYSTEM <br />5. GRADING _ <br />G. DRAINAGE _ <br />Z ENVIRONMENTAIIMPACTSTATEMENT <br />8. HEALTH DISTFICT <br />qpPLICATION AC(:. BY PLANS CMECKEU FV <br />R[AR <br />lJYES <br />ition re-roof <br />I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNONI THE SAME TO BE TRUE .4ND CORRECT. <br />ALL PROVISIONS �.)F LAWS AND OP.DINANCES GOVERNING THIS <br />_ TYPE OF WORK N1LL BE COMPLIED WITH WHETHER SPECIfIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DO[S NOT <br />PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />O TRUCTIQR`pR THE P�RF��CG OF CONSiRUCTION. <br />acNAiu 40FCON1�/G�ORORAI�N R�F� � N1 � �A�t <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIH CO�JD. UNITS — H P En _ <br />FEFRIG6PATION UNITS — ��.H. [A _ <br />DOILEFS — H.P. EA. <br />G�5 FiRLD A.C. UNITS — TONNAGE E <br />fORCED AIR SYSTEMS — B.T.U. <br />YJALL H[ATEPS — �.T.U. <br />,�.��� „cnr�nc _ n r i� <br />[4�Z9 <br />APPR.FORISSUANCE BY <br />FAN <br />�I� <br />'LAN CHECK NUM�ER <br />FEE: <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALIV <br />TOTAL <br />M <br />M <br />M. <br />TOTAL FEE � <br />P�AN CHECK FLE <br />p�� RECEIPT NO. <br />VALUATION FEE <br />$4,000. 44 50 <br />u.o.c. <br />SEC. 303 (a) <br />44 50 <br />YLRMII �nu��� ��• <br />WHEN PROPERLY VALIDATED �1N THI$ S( ACE) 5 IS IS YOUli P6RM�� U � <br />i '1 I i, �1 —O <br />V <br />r � <br />....�... �I� � <br />� . � �� <br />� . � <br />