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theEvergreen C�NSTRUCTION � � <br /> GTY OP <br /> everett PERMIT PERMIT NO. 09550 <br /> CITV HALL 259-B7a5 <br /> eveAEtr,wr, ser. ❑ COMBINATION ��UILDINCa ❑ MECHANICAL ❑ PLUMBING <br /> pWNER MAILADDPE55 CITY ZIP PMONE <br /> Don White 5615 Seahurst Avenue Everett 353-3926 <br /> nRCNrtECiORDE5IGNER MAILADDRE55 CIIY pIP PHONE <br /> GENERAL CONiPACTOR MAR qODNE55 GITY ZiP PHON[ LICCNSE I <br /> Pleasant Valley Pools 7627 ] 93rd Place Edmonds 745-6060 <br /> MEGIIPWCALGJNLRALTOR MAILADDNL55 Cltt ZIF RIONE ItCEN5E1 <br /> PIUMBINGCONTRRCTOP MAILAppRE55 CITY 21P MON[ IILENSEI <br /> CLA55 Of WORK <br /> ❑P,EW ❑ADDITION ❑A�TERATION ❑pEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> YALUA�ION OF WOFn <br /> S 16�0��. �0 <br /> DESCPIBE WONK <br /> Znetall gunite swimming pool <br /> PROPOSED USE OF BUILDING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ieca�ocscaiarioeorrnoveaTrisr�owt�ciowoannr.cNrouacovie,� PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT. <br /> 44 Everett Dells ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eiacK_ov TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> . VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TH ERFOr1tdANCE OF CONSTRUCTION. <br /> JOB A�DRE55 SIGNaTU�/Jf CONLRACTOF 0 A H ED AGENT pD^TC <br /> 5615 Seahurst Avenue l� �O�3-' � <br /> PLUMBINO � HANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CAND.VNITS—HP [� <br /> DATHTUB REFRIGERAT!ON UNIiS—H.P.EA <br /> LAVATORV(WASH BASIN) 901LER5--HP.EA <br /> $NOWER GFS FlRED A C UNITS—TONNP;3E EA <br /> KITCHEN SiI:Y.8 DISP. FORCED AIR SVSTEMS—9 T.U. M EA. <br /> DISHWASHER WALI NEATERS—d.T.U. M <br /> IAUNDRY TRAV UNIT NEATEAS—�.T.U. M <br /> CIOTHES WASHER EVAFORATN[COOLF�lS <br /> INATER HEATER CLOTHES DRVERS <br /> URINAL VEN'ILATION FAN <br /> DRINKING FOUNTAIN PANGE HOOD <br /> FLOOR DRAIN AIF HANDLWG UNIT— C F M. <br /> VACUUM BREAKERS STOVL <br /> ROOF DRFINS--RAINLEADERS METAL FlREPLACE 8 CHIMNEV <br /> SI W:�SERVICE—OAR.ETC.) <br /> SUB TOTAI SUB TOTAL S <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> SIDE YARD SETBACK STREET SET9ACK REAR VARD SETBACK PLAN CHELK NUMBER PLAIJ CHECK FEE <br /> 6� Z 0� 2 O� FEE FEC[IPT NO. <br /> 81/9550 --- <br /> USE ZONE LCT AREA VACANT SITE <br /> R�i LiYES GHD FLFS � VRWATION FEE <br /> x 7C <br /> TYPE OF CONST. (xCUPANCY GROUP NO.OF DWELLMG UNITS <br /> OUIl01NG 416 ��00. S� l�� <br /> SIZE OF BLOG. N0.OF STORISS 6�AX.OCC.I OAD <br /> PWMBING <br /> FIPE ZONE BASEMEIJT FIR[SPPINKLERS <br /> REOUIRED MECHANICAL <br /> ilvES dfdb <br /> APPpOVRLS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST U BC <br /> PENALiV SEC.303(al <br /> 2 OUILDING PLANS <br /> 3. FIRE NVDRANT TOTAL S O OO <br /> a. FlRE PROTECTION SVSiEM PERMIT VALIDATION <br /> 5. GRADING WHEN PROPERLV VAL�DATED pN iN15 SPncH y+�s is voua e,e�M10 q ^_ 7 <br /> _ OI <br /> fi. DRAINAGE � <br /> L ENVIRONMENTAL IIAPACT STATEMEN? � <br /> 8. HEALTH DISTRICT � � � <br /> — i � <br /> AFPLICATION PCC.BY PLANS CNECNEO BY APPR.FOR ISSUANCE BY � . . <br /> V.C. <br />