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�he £verRreen <br />GTYOF �� -�;ONSTRUCTI01�"- '� <br />everett PERMIT aeRnnir No. 16345 <br />CITV HALL 259�8745 <br />EVERETT, WA 98207 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER �� MFIL ADORESS <br />CITY ZIP PHONE <br />GENERAL CONTPACTOP. MAIL A�ORE55 CITY 21p PHONE UCENSE / <br />"'^"^""^""' ���* ZIP PMONE UCENSEM <br />PLUMBING CONTRACTOR MAIL AODRE55 QTV � ZIP PHONE UCENSE M <br />I� NEW O ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLACE INSERT <br />�_UATION O� WOHK <br />S Jr�s���. <br />iCRIBE WORK <br />New single family residence <br />1POSED fISE OF BUILDING — <br />Singl e famijy residence I HEREBY CERTIFY THAT I H,�VE READ AND EXAMINED THIS <br />LOT <br />JOB ADDRESS <br />1512 - 51�t PL cw <br />PLUMBIN6 <br />TYPE OF FIXTUHE OR <br />WATER CLOSET (TOILE7) <br />BATHTUB <br />IAVATOFY�WASH BASIN) <br />SHOWER <br />KITCHEN SINh 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WA i cR HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />�� <br />SEZONE <br />R-1 <br />YPE OF C7N5 <br />V-N <br />ZE OF BLDG. <br />1375+420 <br />SU9TOTAL <br />TOTAL FEE <br />EET SETBAi <br />2�� <br />R-3 <br />L OF <br />2 <br />1. ENVIRONMEN7AL CHECK .IST <br />2. BUILDING PLANS ' <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING i <br />6. DRAINAGE <br />7.ENVIRONMEN7ALIMPACTSTATEMENT i <br />B. HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHFCKED <br />sg s� <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 PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL L�4W REGULATING CONSTRUCTION OR THE <br />pERFORy(ANCE OF CONSTAl1�TION. � / <br />SIGNATU '�F CONTflACTOR OR A}ySN6�Z�D AGENT ATE <br />FEE NO. TYPE OF EQUIPMENT <br />4 OO AIR COND. UNI7S — H.P. EA. <br />4 OO REFRIGERATION UNITS — H.P. EA. <br />Q QQ BOILEFS — H.P. EA. <br />CAS FIRED A.C. UNITS — TONNAGE EA. <br />2 OO FORCED AIR SYSTEMS — B.T.U. M EA. <br />2 OO WALL HEATERS — B.T.U. M <br />UNIT HEATERS — A.T.U. M <br />Z OO EVAPORATIVE COOLERS <br />Z OO j CLOTHES DRYERS <br />� VEN71LA710N FAN <br />� RANGE HOO� <br />AIR HAN�LING UNIT - C.F.M. <br />� STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />S <br />S ��� <br />REAR YARD SEi[ <br />2�� <br />VACANT SITE <br />XYES f.�.NO <br />NO. OF DWELLIN <br />1 <br />MAX.00C.LOAD <br />YES <br />86/16345 <br />FEES <br />PLUMBING <br />MECHANICAL <br />OTHER ��vewa <br />M 1+ <br />�N (J� <br />O Qi <br />PPR.FORISSUANCE BY $ <br />a <br />lc � <br />cn <br />� <br />�: <br />it <br />ADDRESS fILE }' <br />SU9 TOTAL S <br />PERMI7 S <br />TOTAL FEE 5 <br />PLAN CI <br />FEg�asic_� <br />VALUi+T10V <br />U.B.C. <br />SEQ 703 <br />FEE <br />RECEIPT NO. <br />FEE <br />1 50 <br />VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L17 <br />� <br />M <br />Ln <br />. : <br />