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rhe E+'erareen C� N ST R U CT I O'-' <br />( •t'r OF <br />everett PE�RMIT PERMIT NO. ��14C1 <br />CITY HALL 259�8745 <br />EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />MAIL ADDRESS <br />CITY ZIP PMONE <br />OYJNER Z59-Q51� <br />William Hasket 1617 52nd Street Everett PMONE <br />ARCMITECT Oil DESIGNER h1A1L ADDRE55 <br />cirr Z1P <br />��TY Z�p PMONE LICENSE M <br />GENERAL CONTRACTOR MAIL ADPRE55 <br />Everett Brilders, Inc. 5606 Evergreen 4lay Everett 98203 3P ONE16�" ��CENSE� <br />MAIL AO�FESS ��iY ZIP <br />MEfi!.�NICALGONTRAGIOR EV ER EB *301PH <br />PiUM01NG CONTPACTOR MRIL AO�RESS <br />CITY ZIP PHONE LICENSE Y <br />❑ NEW � ADDITION ❑ ALTERATION O REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ W�OD STOVE/FIREPLACE INSERT <br />1 2715.00 <br />construct 28'x8' and 20'x3' Deck <br />si.ngle family residence <br />�or._e�ocK_oF <br />1617 52nd Street <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />BA7HTU0 <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHENSINK801SP. _ <br />DISHWASHER <br />LAUN�RYTRAY <br />CLOTHESWASHER _ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />VA�UUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK 15ERVICE — BAR. E7C.1_ <br />� <br />R-1 <br />TYPE OF CONSI. <br />V-N <br />SIZE OF BIDG. <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />20' <br />Addn R-3 <br />OF STOHIES <br />pppp09ALS _ <br />1. ENVIRONMENTNI_ CHECK LIST <br />2. BUILDING PLAN° <br />3.FIFEHYDFA�:i <br />4. FIRE PROTECTION S�STEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />e. HEALTH OISTRIC7 <br />saPi ICATION ACC. BY PLANS CHE <br />STG <br />Hwrs <br />eY <br />ApPLICATONRTANDTKNOW THENSAME TOEBErTIRUE ANID <br />CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W�TH <br />P RMIT DOES NOT PR SUME TO GIVE AUTHORITY TO V OL�ATE <br />�R CANCE! THE PROVISIONS OF ANY OTHtR STPTE OR <br />LnCAL LAW REGULATING CONSTRUCTION OR THE <br />Ft �FORMANCE OF CONSTRUCTION. oare.�����% <br />5�f,.�A]UiIE OF CONTflACjOij�bR AUTHOFI2ED �GENT <br />X -r1 �%i. <br />MECHANICAL <br />FEE N0. TYPE OF E�UIPMENT <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. _ <br />BOILERS — H.P. EA. <br />GAS f-IRED A.C. UNITS — TONNAGE EA. <br />FOHCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEFiS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COULERS _ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLAGE 8 CH�MNEY <br />FIREPLACEINSERT <br />HEA7 PUMP <br />� <br />S <br />5 <br />aEAR YARD SETI <br />20' <br />VACANT SITE <br />YLS �� <br />NO. OF DWELLIP <br />1 <br />Mnx. oca �o�[ <br />FIRE SPRINKLEF <br />REOUIREn <br />YES ��� <br />I,C <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />84/13140 FEE 25.03 <br />FEES YALUATION <br />BUIL�ING 52%15.�� <br />PLUMBING <br />MECHANICAL <br />OTHER <br />5 <br />S <br />S <br />RECEIPT NO. <br />m <br />PENALTY SEC.903�a� ,__ <br />38 50 <br />TOTAL <br />PEFlMIT VALIDATION <br />4VHEN PROPERLY VALIDATED (IN THI�S $PAC�E) THi�IS�YQU� P�RpAIT � <br />(� 5 � � <br />ti � <br />M <br />� . . .� � i' 1 � <br />I . . . _ U <br />P,ppR[SS FIIE <br />, . , i i, .`; <br />� <br />Fr <br />C� <br />H F <br />y �; <br />H � <br />� �: <br />C�J �. <br />C <br />F <br />�� <br />r <br />i0 ; <br />�N: <br />H � <br />O� <br />� r' <br />F <br />�' <br />[ <br />(G] r <br />C7 <br />Z r <br />•, <br />