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rhe Evergreen <br />GTY OF <br />evexett <br />CI7Y HALi 25&8745 <br />EVERETT, WA 98201 <br />�� �:ONSTRUCTION� � <br />PERMIT PERMIT N0. 16346 <br />Ix1c COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAODRE55 CITY I 21P PHONE <br />Lesaley Construction, Inc 18204 eothell �verett Hwy 2 Bothell 98012 481-8866 <br />AHCHITECT OR OESIGNER MAIL ADDRESS CITY ZIP PNONE <br />Impression Design 355-3200 <br />QENEPAL CANTRAGTOR MAIL AODRE55 CITV ZIP PNONE LICENSE � <br />Lesslev Oonstruction same as above LESSLI*210PK <br />MECMANICAL CONTP�CTOH MAIL ADDRE55 CITY ZIP PMONE IICENSE N <br />Same <br />PLUMBIN6 CANiPACTOF MAIL ADUflE55 CITY ZIP PHONE LICENSE I <br />Fabinson Plimibing 743-9858 <br />CUSS OF WORK <br />I$ 4EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ N;?OD STOVEIFIREPLACE INSEHT <br />VRLUATION OF WORK <br />f 50 000 <br />DESCRIBE WORK <br />et....�e a�..;70 .-veiAonro - Rasic Plan 1249 — <br />LOT +�' BLOCN_OF �� <br />JOB ADDRE55 <br />1510 - 51� Ylace SW <br />PLUMBIN� <br />NO. TYPE OF FIXTUHE � <br />2 WATERCLOSET(TOILETI <br />2 BATHTUB <br />2 LAVATORY(WASHBASIN) <br />SHOWER <br />1 KITCHENSINKBDISP. <br />1 DISHWASHER <br />LAUNDRYTRAY <br />J. CLOTHES WASHER <br />1 WATER HEATEFl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADE <br />SINK ISERVICE - BAR, ETC.) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND I:'!OW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVI510NS 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 PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEI THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTR': CTION OR THE <br />PERFORM NCE OF CONSTRUCTION. <br />SIGNpTURE CONT OHAIITHOFIZEUAGENT DFTE <br />X �/J�X �' <br />E': }.0 HANICAL <br />ITEM FEE Nt:�. TYPE OP EOUIPMENT <br />4 00 A�R COND. UNITS - H.P. EA. <br />A 00 REFRIGERATION UNITS - H.P. EA. <br />4 0 BOILEFiS - H.P. EA. <br />GAS FIRED A i.. UNITS - TONNAGE EA. <br />2 00 FORCED AIR SYSTEMS - B.T.U. M EA. <br />2 00 �'�'A�L HEATERS - 8.1'.U. �'1 <br />UNIT HEATERS - B.T.U. M <br />2 00 EVAP09ATIVE COOLEPS <br />2 UO 1 CLOTHES DRYERS <br />Z VENTILATION FAN <br />1 RANGEHOOD <br />I AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />1 METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />20' 20' <br />USE ZONE LOT AREA <br />R-1 <br />TYPE OF CONST. OCCUPANCY GR� <br />V-N R-3 <br />SIZE OF BLDG. NO. UF SiORIES <br />R= 1242 M= 440 1 <br />FIRE ZONE BASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION :'i STEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />MPS <br />C�P.Ix�P.fX�7-11 <br />�i�'C <br />YARD SETBACK YLnrv cnwn m <br />6' 86/16346 <br />YES _:NO <br />SUB TOTAL <br />TOTALFEE S <br />FEE m <br />FEES I VALUIITION <br />1 ,. ....,.. �� __. . <br />aui�oiNc �/& <br />;C. LOAD <br />PWMBING <br />100014 <br />RINKLERS MECHANICAL B SR�,N <br />_D <br />�NO <br />DATE OTHER Driveway <br />. PENALTY 6`E9.�03 <br />LC <br />�tt <br />RECEIPT NO. <br />FEE <br />DOfiN0i�3 At�t <br />2 00 <br />2 �� <br />TOTAL I roL� L.�_M A� <br />PENMIi VALIDATION ( �� ' �jQ_m <br />WHEN PROPERIY VALIDATED IN CEi� h1a; UR PEFMIT <br />wnm: ibo.00 <br />(�ECK f676.00 <br />ADDRESS FILE <br />i.o <br />� <br />M <br />cD <br />� <br />