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Ihe £vergreen <br />�,TY°F ' -�� '�ONSTRU�TIOI\'� � <br />everett PERMIT P�RMir No. 16344 <br />CITV HALL 259�87A5 <br />EVERETT,WA982U7 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL A�DRESS CITY Zlo PHONE <br />Lessley Construction 18204 Hothell-Everett Highway, #2 Bothell, Wa 98012 481-8866 <br />ARGHITECT OR DESIGNEfl MAIL AOJRESS CITY ZIP PMONE <br />Chuck Lee (Design Consultants) Mukilteo 74506569 <br />GENEflFL CONTRFCTOR MAIL POURE55 QTY J,IP PHONE LICENSE N <br />Lessley Construction <br />MECMANICAL CONTRACTOfl MAIL FO�RE55 CiTY 21P PNONE LICENSE M <br />PLUMBING CONTRACTOR MAIL A�ORE55 CITY IIP PHONE LICENSE I <br />� N[W ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERi <br />f 50,000 <br />Sing'e family residence plan 1096 Hasic <br />family residence <br />�or 17 BLOCK_OF Willow Creek Glen <br />1514 - Slst P1 SW <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />3 WATERCLOSET(TOILE� <br />BATHTUB <br />u1VATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINN G DISP. <br />OISHWPSHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAF, ETC.1 <br />6' <br />SEZONE <br />R-1 <br />VPE OF C <br />V-N <br />2E OF BL <br />R = 1� <br />REM ZONE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLIC,OTION AND KNOW THE SAME TO BE � RUE 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 />OR CANCEL THE PROVISIONS OF ANY OTHER STPT[ OR <br />LOCAL LAW REGU'_ATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF fJ7$�ACT/OR OR AUTHORIZED AGENT DATE <br />X /////f%1J�i� <br />FEE I N0. <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATIOA UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIF SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLEFS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — VJOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />SUB TOTAL i <br />PERMIT f _ _ <br />TOTAL FEE 5 <br />EETSETBACK REAR YARD SETBACK PLAN CHECK Nl <br />20' 20' 86/16221 <br />AREA VACANT SITE <br />j{YES ��.NO FEE <br />:UPANCV GROUP NO. OF DWELLINCa UNITS BUllf]lll(�_C <br />R-3 <br />1} <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PUNS <br />J. FIRE HYORANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />6. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTPTEMENT <br />B. HEALTH DIS7RICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />STG <br />1 <br />5 <br />:_VES .-.NO <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER p�llC WOLkS <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE � Bas <br />i3ix3a <br />VALUATION <br />t <br />� <br />� <br />S <br />S <br />�HECK FEE <br />78545PrNo. <br />FEE <br />363100 <br />PERMIT VALIDATION ^'^R�+o"'�'* <br />�EN„PROPERLY VALIDATED (INB�CE) TFI�LSQ]UR PERMIT ' �j� <br />O O E SRCFI tSS.00 `�' <br />S g BLDG fc"83.OD M <br />�i�7 f�.� (f% <br />ISSUANCE BY � t�CH f19.50 �� <br />� ��� �.� <br />� <br />L.C. g <br />.y <br />H <br />ADDRESS FILE� <br />�C@�ITII'�# <br />