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�itie E'verRreen <br />� ;,::: �,rY�, ,-�- �ONS�RUCTIC�I�� <br />everett � �ERMIT PERMIT NO. 1626H <br />{� CITY H L� e� 45 �. <br />V EVERE '.aN alzo'i �� �O7VfB��NATION ❑ BUILDING ❑ MECHANICAL ❑ P'LUMBING <br />01YNER MAII AD�HESS CITY ZIF PqpNE � <br />LESSLEf CONSTRUCTION 18204 Bothell Everett Hwy Bothell WA 98012 481-8866 <br />FRCHITECTOROESIGNeR MAILAOOFF55 CITY 21P PHONE <br />GENERAL CONTdACTOR MAIL A�DFESS dTV ZIP PHONE UCENSE N <br />Same <br />MECMANICAL CONTRACTOR MAIL A��P� SS QTV ZIP PHONE LICENSE N <br />GLUMBING CONTRACTOR MAIL ADDRESS CITV IIP PNONE LICENSE M <br />C� NEW ❑ ADDITION � 4LTEtiATION O REPAIR O DEMOLI710N ❑ FENCE ❑ SIGN ❑ WO00 STOVEIFIREPLACE INSERT <br />VALUATION Of WORK <br />f �JQ����.OQ <br />New single family residence <br />)SED USE OF BUILDING <br />single family residence <br />.euR� ucacmrnun u� rHuren�r �SnOw NELOW OR ATTACH FOUfl COPIES) <br />�or30 BLOCK_OFWi��OW Creek Glen <br />1419 - 51st �L SW <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />WATERCLOSET�701LEn <br />� BATHTUB <br />SHOWER <br />KITCHEN SINN 4 DISP. <br />DISHWASHER <br />LAUNDRYTR'.Y <br />CLOTMES WASHER <br />WATER HEA�ER <br />URINAL <br />DRINKING FOl1NTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOiAL <br />PEHMIT <br />TOTAL FEE <br />SIDE YARD StT�4CK STREET SETBA <br />i � <br />USE ZONE LOT AREA <br />_—R-1 <br />TYPE OF CONST. OCCUPANCY G <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STORIE <br />R=1415 1�- <br />FIRE ZONE BASEMENT <br />APPAOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PLANS — <br />3.FIREHYORANT `.� <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />" 8. DRAINAGE <br />` 7.ENVIRONMEN7AlIMPACT.STATEMENT <br />- �8. HEALTM DISTfiICT N <br />�.: <br />J� <br />� <br />ITEM I FEE <br />S <br />S <br />REAR VARD SETBACK <br />oni <br />NO <br />OCC.LOAD <br />i�.fd <br />I HEflEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AMD <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMf'LIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM NCE OF CONSTRUCTION. ll <br />XIGN�U�CO�R�CTOR O�ZEO AGENT � pATE /�7 <br />6 /% /..3- % d � <br />N0. TYPE OF EOUIPMENT <br />Alii 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 />FORGED AIR SYSTEMS - B.7.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />j CLO7HES DRYERS <br />VENTILATION FAN <br />RANGEH00� <br />AIR HANDLING UNI7 - L.F.M. <br />S70VE - WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHEGK NU� <br />86/16268 <br />FEES <br />BUILOING <br />PLUMBIIJG <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAL <br />SUB !OTAL S <br />PERMIT f <br />TO7ALFEE S <br />PLAN C <br />FE[�d S � C <br />VALUATION <br />S �.. ...... <br />U.B.C. <br />SEC. 303 <br />FECEIPT NO. <br />FEE <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS �S xOf�1R,PF�iM1T— .�, � <br />IJ5) ;/05,11'J r_;_ <br />; .� <br />� . o <br />APPR.FORISSUANCE BY � � -� � � � <br />�C <br />..,,, �.,.� <br />ADDRESS FILE <br />