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� <br />� <br />ihc £vergrecn �`O N ST RU CTI O I�' <br />arr oF � <br />everett PERMIT pERMIT NO. 1OE97 <br />QN �!nLL 259-e7a5 <br />eveaerr.wn �azoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\YNER MAILPDOAE55 CIiY ZIP PMOtlE <br />Harold Shoffner 5614 Sunstet Lane Everett 98203 353-4652 <br />FRC1�rtfCTOR:t51GNCR ��AILADDRE55 Cltt 21P PMONE <br />GENERnL CONiPACTOR MAIL ADDRE55 CITY ZIP PHONE UCENSE I <br />Everett Builders Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />1AECNAWCALCONLR/.CTOR MAILADDRE55 CIL✓ ZIP PMONE UCENSLI <br />!'LU6�BINGGONiRACTOR MAILADDRE55 CITY ZIP PHONE I�CENSE� <br />C1A55 OF \YORR <br />❑NLYJ ❑ADDITION �UERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s 1586.00 <br />oescaioe wona <br />Reroof Residence -- comp <br />rNoroseo use oF uuaowc <br />single family residence <br />L WAL �ESCR�Pt10N OI' PROPERLT ISMO\V OEIOW OR AT' <br />ior 20 B��K_oF Highldnd <br />JOBADDRL55 <br />5614 Sunset Lane <br />PLUMBING <br />NO. TYPE OF F <br />WAT[H CLOS[T I101LET) <br />FLOOR DRAIN <br />VACUUM BREAKE <br />ROOF DRAINS — <br />ciuv �womrc — <br />TOTAL <br />YARD SEiOACK � STREFT SE7�ACK <br />iYPE OF CANST. � OCCUPANCV <br />FIRE ZONE � UASF.MENT <br />ITEM <br />APPflOVALS <br />1. ENVIRONMENTALCIiECKLIST <br />2. �UILDING PIANS <br />9. FlRE NVDRANT <br />4. FIRL PROTECTION SYSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. CNVIRONMENTAL IMPACT STATEMENT <br />8 HFALTH DISTRICi <br />APPUCATION ACC. 6Y PIANS CHECKED DY <br />i <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP� <br />rovawaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />arms TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORiiY TO VIOLATE OR CANCEL THE PRO- <br />V�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF GONSTRUCTION. <br />SIGVFT iF FLONRi . OiiAU111CRI:CD�GENi �/i[ <br />X (L2�� 6/23/8 <br />MECHANICAL <br />PEAF YARD SE18A <br />VACnNi SITE <br />i.]YES L'NO <br />NO.OFOWELUNG <br />MA%.00C.LOAD <br />iIRF SPRINY.LERS <br />REOUIRED <br />flYES I�NO <br />BY DATE <br />APPR.FORISSUANCE�V <br />AIR CAND UNITS — HP. [A <br />REFRIGERAI�ON UNITS — HP EA <br />BOILEPS — H.P. EA. <br />GASFIREDAC UNIiS—TONNAGEEA. <br />FORCED AIR SYSTCMS — B t.U. M EA. <br />WAII HEATEPS U.�.U. M <br />UNIT HEATERS — B T.U. M <br />EVAI'OPAT�VE COOIERS <br />CLOTH[S DRYERS <br />VENiILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C FN. <br />STOV[ <br />AIFTAI FIREPLACE 6 CHIMNEY <br />LHECK <br />BUILDING <br />PENALTY <br />SUB TOTAL s <br />PEHMIT t <br />TOTALFEE S __ <br />PLAN CH[CK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />s1586.00 26 50 <br />U.D.C. <br />SEC.30] <br />26 � 50 <br />PERMIT VALIDATION � <br />WHEN PROPERLY VALIDATE� (IN TMIS SPACE) THI515 YOUR PERMIT <br />�iaa 5026.50-- � <br />� <br />YOU R RECEIPT � <br />, T�#�lJK YOU <br />1 <br />ADDRESS FILF <br />23�81 <br />