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- . <br /> � <br /> � <br /> � the Erergreen CO"�STR U CTI O N � � <br /> CI7V OF <br /> everett PERMIT pERMIT NO. O?2H2 <br /> CITY HALL 259�8745 <br /> EVERETf,\VA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> OWNEfl MAII�D�flE55 CIiY ZIP PHONE <br /> Aurelid Nunez 1214 Wetmore 98201 259-4755 <br /> ARCNITEGTORDESIGNER MRI�qDORESS CILY ZIP FNONE <br /> GErvERALCONiPACTOH MPILFDDRESS CIiY ZIP PMONE LIGENSEI <br /> Alpha Contracting 5325 SA92 Lake Stevens 98258 691-6071 <br /> M[CIIINIGFLCANTMCTOR MPILADORE55 CIiY ZIP PNONE �ICENSEI <br /> PWb18iNGfANiRACTOR MAIIADDRE55 GIiY ZIP PMONE LICENSEI <br /> CU55OF WOHK <br /> ❑NEW ❑ADDITION ❑ALTERAiION 7�DiEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VRLUAiION OF WORk <br /> F rJ��O�.�� — <br /> OESCRiBE WORK � <br /> rebuild fireplace, replace rotted posts and install pier blocks, replace lead bends <br /> aaoaosco use oF ew�oir+c <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecnioescaianoNorvaocearr�sNoweeiowoannnc��FouncociEsr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br /> �oT22'23 Bi�K 229oF Su lement lat of Church TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> 6 LaMoure's HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE:'�.JTHORITY TO VIOLATE OR CANCEL THE PRO• <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PEFF qMANCE OF CO�STRUCTION. <br /> SIGNAiURkOFCONiNAGTJPSIR iI1DR DAf,ENi UPiE <br /> JOB FODRE55 2/28/80 <br /> 1214 Wetmore X ��� dT✓h� <br /> PLVMBINO MECHANICAL <br /> ' NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> 1 WATEFl CLOSET(TOILEn �Ifi COND UNITS—H P.EA. <br /> 1 BAIHTUB 2 OO REFRIGEPAiIOtJ UNITS—HP.EA <br /> LAVATORY(WASH BASIN) BOILERS—H P.EA. <br /> SHOWER GAS FlRED AC UNIiS—TONNAGE EA. <br /> � KITCHEN SINK 6 DISP. I�-0RCED AIR SYSTEMS—8 T U. IA EA. <br /> DISHWASHER 1VALLHHATERS—�T.U. �� <br /> LAUNDRY TRAY UNIT HEATFRS—B T.U. M <br /> CLOTNES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEA?ER CLOTHES DRVERS <br /> URINAL VENTIIATION FAN <br /> ORINKING FOUNTAIN RAIJGE NOOD <br /> FLOOR�RAIN AIR HANDLING UNIT— C F.A1. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAIN$—RAWLEADEflS MEIAL FlREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAti.ETC.1 <br /> SUBTOTAL SUBTOTRL S <br /> PENMIT f PERMIT s <br /> TOTAL FEE f B 0 TO7ALFEE : �, <br /> SIDE YARD SETBACK S�PEET SET�ACK REAR YARD SETBACK PLAN CHECK NUM�ER PLAN CHECK Fl�.c <br /> F�E RECEIPL NO. <br /> USE ZONE LOT AREA VACANT SIT[ FEE <br /> ❑YES CiNO FEES VALURTION <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWEILRJG UNITS <br /> BUILDING $ S,OOO.00 3Z OO <br /> SIZE OF BLOG. NO.Of STORIES M�����dA� H OO <br /> PIUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> REOUIPED <br /> ❑YES ❑NO <br /> APPROVALS.., . <br /> BY DATE �THER <br /> 1. ENVIRONMENTAICHECKLIST PENALTV U.BC. <br /> SW.3U3(a) <br /> 2. OUILLIINGPLANS TOTAL QO OO <br /> 3. FIHE HYDRANT � <br /> � a. FIPE PROTE�TION Sy�7EM PERMIT VALIDATION <br /> W HEN PROPERLY VALIDA7ED�W THIS SPACE)THIS I$YOUR PERMI7 <br /> 5. GRADING� V � � 4 � $ 0 31. 0 0 ��� <br /> N 6. ORA1 N <br /> � Z ENV�iON�NTAL I! � T STATEMF.NT � <br /> � <br /> � e Hea3i�oisTaicr o YO U R REC E I PT� <br /> APPLI4�A O�CC.BY • PLANS CHECKED BV APPR.FOF ISSl1ANCE�� <br /> » .< � rr-in��K You <br /> c Q m `� <br />