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rhe £verRreen <br />��T� �F <br />everett <br />CITY MALL 25a�87G5 <br />EVFRE7T. WA 98201 <br />r" ' ;ONSTRUCTIO�`� <br />PERMIT <br />❑ COMBINATION ❑ BUILDING � MECHANICAL <br />PERMIT NO. �-665�. <br />❑ PLUMBING <br />V.��.�� LESSLEY CONSTRUCTION MA��18204 - Bothell EverettYHwy #2 Bothell WA 98012NE481-8866 <br />ARCHITECT OR DESIGNER MAIL A��FESS CITY ZIP PHONE <br />GENENAL CONTRACTOfl MAIL AO�RE55 GITY ZIP PHONE LICENSE N <br />MECHANICAL ONTPACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE N <br />Re�iable Sheet Metal 11447 - 120th Ave NE Kirkland WA 98033 622-3450 <br />PLUMBING CONTRpCiOfl MAIL AODRE55 CITY ZIP PMpNE LICENSE N <br />IXJ NEW � ADDITION ❑ pLTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOU S70VE/FIREPLACE INSERT <br />s <br />Single family residence <br />LEGAL �ESCFIPTION OF PROPER7Y (SMOW BELOW OF ATTACH FOUR COPIES) <br />LOT_BLOCK__OF <br />1419 - 51st P1 : <br />PLUMBING <br />TYPE OF <br />WATER CIOSETQ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWqSHER <br />LAUNDRYTRAY <br />CLOTHES WASHEq <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TO7AL FEE <br />Sitt u� BLUG. NO. OF STOR <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFE HYORAN7 <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OFi CANCEL THE PROVISIONS OF ANY OTHER STA?E OH <br />LOCAL LAW REGULF.TING CONSTRUCTION OR TfiE <br />PERFORMANCE OF CONSTRUCTION. <br />SXIGNATUR�� PR�A���a j �� <br />� <br />MECHANICAL <br />NO. TYPE OF EOUIPMEN7 T FFF <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEPS — B.T.U. M <br />lIN1T HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES DRYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />S <br />S <br />f <br />REAR VARD SETBACK PLAN CHECK NU� <br />VACAN7 SITE <br />._YES :-.NO FEES <br />NO. OF DWELLING UNITS <br />BUILUING <br />MAX.00Q LOAD — <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />REQUIRED <br />:=:VES :_NO <br />BY DATE �THER <br />°ENALTY <br />SUB TOTAL s <br />PERMIT s <br />TO7AL FEE S <br />FEE I RECEIP7 NO. <br />VALUATION I FEE <br />S <br />SEC. 30) (a) <br />rorn� i100016651 14 I 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN(��PACE) YH�LSB�UR PERMIT � <br />li-i <br />co <br />� <br />ISSUANCE BY � <br />AUDRESS f-ILE <br />