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j H�e Euergreen <br />��TM�F '� C�NSTRUCTION -� <br />�� everett ' <br />��, <br />' �.-��Q� PERMIT PERMIT NO. <br />��09� <br />� � <br />i ❑ DEMOIITION ❑ COM8INATION C;} BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />, OWNER MAILADDRESS CITY 21P Pr10NE <br />Fine Ilomes Dy Fiugh Mci:ennzie P.O. P,ox 12053 Dlill Creel: 9�501'l 742-3906 <br />I APCMITEGT ON OESIGNER MAIL �DDRESS GITY 21P PHONE <br />(L�sign Serivice P.O. i�c�x 152 Kenuwre 98028 672-7559 <br />GENERRL CONTflACTOR MAII. ADDRE55 QTY 21P prypNE LICENSE • <br />� Fine Fiomes IIy liugh ;,ck:er.�izie EI1dEHIII•1136CT' <br />� MECHFNICALCONTRACTOR MAILADDfiESS GITY ZIP PHONE LICENSEM <br />PL!IMBING CONTHACTOR MAIL NDORESS CITY 21P PMONE LICENSE M <br />CLASS OF WORK <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ HEPA�fl ❑ DEMOLITION ❑ BUILDING HELOCATION <br />VAIUAT10N OF WORH <br />' es,eoo.00 <br />DESCFIBE'NOFK � <br />New Signle Eami.ly Residence <br />HEATSOUFCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PqOPOSEO USE Oi BUILOING <br />�o. 9 e�oc�c 1 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />2 WATER CLOSET (TOILET) <br />1 BATHTUB <br />3 LAVATOR�(WASH BASIN) <br />1 SHOWER <br />1 KITCHEN SINK 8 OISP. <br />1 DISHK'ASHER <br />1 LAUNDRVTRAV <br />1 CLOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SV. �,�in� — <br />P. . . — <br />TOTALFEE <br />FqONTSETBACN REARSET9PCN <br />25 25 <br />USE ZONE ��T AREA <br />R-S 12,500 <br />TYPE OF CONST OCCUPANCY GflOU� <br />V-I�i '_:-3 <br />SIZE OF BLDG. NO OF STONIES <br />2691 1 <br />FIRE SPRINKLERS REOUIRED ❑ �ES ❑ NO <br />APPLICATION ACC. 9Y PLANS CHGCKED DV <br />S.F;. <br />;3E. . <br />FEE <br />SET�ACK <br />7 1/2 <br />VACPNT SITE <br />Q;IES ❑NO <br />N0. OF OWELLING UNITS <br />1 <br />MFX OCC. LOAD <br />II/A <br />er <br />I HEREBY CERTIFY THAT I H,4VE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T4E SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEF�FORMANCE OF CONSTRUCTION. <br />SIGNATUg�OF CONTR�CTOR. AUTMOBI2ED 9G�,l4T, OR OWNEf} D9iE ��� <br />AiC — A/HNCLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./HP. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSFRT <br />HEAT PUMP <br />GAS PIPING <br />EXF'AUST FAN <br />PLAN CHECK NUMBE <br />87/18090 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUB70TAL S - r <br />PERMIT 5 <br />TOTALFEE S c <br />FEE RECEIPT NO. <br />D`';�12ISS".,."F�� �,���`�''F= �,;� <br />,VAI.0 ?ION FEE <br />- r�wi� .. <br />�:�e�a,000:,00;:;.�r� ses so <br />�'L�L+ ,��7.�1� <br />16..1 ._' _' <br />�i si ru az �.riv 37 50 <br />INVESTIGATION FEE p1�777 ('i�' �C.304(e) � :.�iL <br />G _�1"�.. S 1.1,1�� <br />STATEBUILDWGSURCHARGE �.,,;�,�,;. ;•��.i�i� <br />STATEENERGVSURCHARGE SuOU:1':�+1� <br />DRIVEWAY f'ERMIT <br />L.C. �TOTAL � :=���;ci? i'�3.��i1 <br />PENMITVALIDATION '.l:t-._ %:l;.iJV <br />WHEN PROPERLV VAUDATED QN THIS SPAQE�,THIS IS VOU7 PERMIT <br />� _ ._. . __. L�.i • <br />`i,',,� �'; _'`,:, _ <br />; �F��ieaurr. �o,�r <br />�� <br />H 50 <br />752I52 <br />CJ <br />� <br />J <br />C�"J <br />� <br />