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---�, <br /> _ __� <br /> �heEvergreen C .�NSTRUCTION � �� <br /> CITY OF <br /> everett PERMIT PERMI"f NO. �.�.OJ� <br /> CITV HALL 259�8745 <br /> EVERETT, WA ugp01 ❑ COMBINATION � BUIL.DING ❑ MECHANICAL ❑ PLUMBING <br /> O"JNEfl MAILAOORE55 CITV 21P PHJNE <br /> Hilda Jc,hnson 2008 24th Street Everett 96201 <br /> ARCMRECT OP DESIGNE9 MAIL ADDRESS dTY ZIP PHONE <br /> GENERALCANTqACTOR MAILADDPESS CITY ZIP PMONE LICENSE� <br /> Alderwood Custom Homes 15914 Larch Way Lynnwood 98036 666-4772 <br /> MECHANICALCONTRACiOP MAIIADDRE55 GRY ZIP PHONE LICENSEI <br /> AL DE RC H2O7Q6 <br /> PLlIM01NGCONTRACWR MAIIADURE55 QiY 21P PHONE LICENSrI <br /> GLA55 OF�"OPH � <br /> ❑NEW ❑FDDI710N ❑AL7ERATION gDIiEPAIR ❑DEMOLITIO?I ❑FENCE OSIGN ❑GARAGE <br /> VALUATION OF WORN <br /> g 4� ��� . �� <br /> DFSCRIBE WOFk <br /> Re-roof--Composition ___ <br /> PROPOSED USE OF BUI�OING <br /> single famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �e�r.�oescaiaiion oF Pr+oaeaTr�sr+ow ee�owon nrrncN Foua coaiesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 1-2 548a Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT oia c_ F TYPE OF YJORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFO� <br /> VISIOKd OF ANY OTHER STATE OR LOCAL LAW REGUL�TING <br /> CONST UCTION OR THE PERFORMANCE OF CONSTRUCTIGN. <br /> SIGNPtUR OF CONTRAC OA F ORRED Ar,p��i D4iE <br /> JOB nDDRE55 <br /> 200P 24th Street X � - (, ' 9/21/82 <br /> PLUN�9ING MECHANICAL <br /> ' NO. TYPE OF FI%TURE OR ITEM FEE NO. TYr'E OF EUUIPMENT FEE <br /> WATER CLOSEf(TOIL[:i) AIR COND.UNITS—HP.EA. <br /> �ATHTUB AEPRIGERATION UVITS—H.P.EA <br /> LAVATORY(W,�SH BASIN) �OILEflS—H.R EA <br /> SHOWER GAS FIRED A.C.UNI�S—TONNAGE EA. <br /> KITCNEN SIfJK 8 DISR FORCE�AI�7 SVSTEMS—97.U. M@A. <br /> DISHN'ASNER WALL NEATERS— 6.i.U. M <br /> LAUNDRV TRAY UNIT HEATEFS—�1.U. M <br /> CLO'�HES WASHER EVAPORATIVE COOLFRS <br /> WATER HEATEP. CLGTHLS DRYLRS _ <br /> URINAL VENTILATION FAN <br /> OflINKING FOUNTAW RANGE HOOD _ <br /> FLOOR OflAIN AIR HANDLING UNIT — GF.M. <br /> VACUUM BREHKERS STOVE <br /> ROOF DRAINS—RAINLEADERS MEIi.�FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR.ETC.� _ <br /> SUBTOTAL SUB TOTAL S <br /> PENMIT S PEHMIT S <br /> TOTAL FEE S 1��TAl FEE S � <br /> SIDE YAHD SETBACK STREEi SLT�ACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE �' <br /> FEE RECEIPT N0. . <br /> USE ZONE LOT APEA VACANT SITE — � <br /> IlY[S i:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPMICV GflOUP NO OF DWELLING UNITS <br /> BUILD'NG 5'•4 ,000. 44 50 <br /> SIZE OF�LDG. NO.OF STORIES 1dAX.OCC. LOAD � <br /> PLUMBING <br /> FIRE ZONE �ASEMENT FIRE SPRINKL[RS MECHANICAL <br /> REOUIRED <br /> f_!VES ❑�JO <br /> APPflOVALS BY DATE OTHER � <br /> 1. ENVIRONMENTAL CH[CK LIST PENALTV U B.0 <br /> SEC.303 1a) <br /> 2. BUILDING PLANS <br /> TOTAL 4 4 5 0 <br /> 3. FIRE HY�RAhf <br /> a. FIRE PROTECTIGN SYSiEM PERMIT VALI�ATION <br /> WHEN PROPERLY VALIDATED(IN THIS�P;E�'HIS IS VjJIjR°E�MIj Q —_ � <br /> 5. GRADING � ! G � O 4 5 - <br /> 6. DRAINAGE � M <br /> 7. ENVIRONAIENTAL IMPACT STATEMENT � <br /> 8. HEALTH DISTRICT YO t7 R REC E:lPT � <br /> APPLICATION ACC.BY PLANS CHECKFD BY APPR.FCR ISSUANCE BY . I4{1ANK Y��U <br /> � � �\ : . <br /> — 2 1 s� .8Z <br /> ADDRESS FILE - <br /> _� _ - <br />