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!6c E��ergreen � C(�N S����R U CT I O N • � <br /> CITV OF <br /> everett PERR�iT pER�dIT N0. 06340 <br /> CITY HALL 259�87A5 <br /> eveatrr,wn 9ezo� � COMBINATION � BUILDING � MECHANICAL �] pLUMBING <br /> owNen rana nuuaess ur� zia aHnr�E <br /> GJ.enn Burpee 8631 lOth Ave . South 98204 355-5353 <br /> nacnrt,=.c,r oe oe;icr,�r� rnni�nooaess ar, za� r���ou� <br /> GC��LRAICONTRACTOH A1��ILADDPE55 �ITY Z�P PMONE LICEt15[� <br /> Summer/Fall 1329 4th Street Darys � lle gg27p <br /> z� —o �U1 � ��,�. . <br /> Idi.(,��:y1CAL CONiRACTOP � � �—u� MAR 4D0{iE�� CITV 21P PNONE UCENSE� <br /> °LUfdpING WNiaACiOR h1AIL ADDFESS CRY ZIF PMONE LICENSL r <br /> CLA55 OF WORN <br /> ❑NLW fXADDITION ❑ALTERATION ❑pEPAIR ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUFiiON OF WOiiH — <br /> 5 Zgr .J. �� <br /> DESCRIBE VlORN <br /> Add rec room, bedroom, deck, and remodel bath <br /> PqOPOCED USE OF BJILDING <br /> single family residence I HEREBY CERTIFI' THAT I HAVE READ AND EXAMINED THIS AP- <br /> �ecnioescHiarior+ocaroPean�sNo�vee�owor�nrrnc��cuecoai�s� PLICATION AND KNOW THE SAME TO BE TRUE P.ND CORRECT. <br /> Ptn 5859 Cascade Mountain Trac �LLPROVISIONSOFLAWSAhUORDINANCESGOVERNINGTHIS <br /> '�or aiocK_oF YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEFEIN OR NOT. THE GRANTING OF A PEFMIT DOES NOT <br /> _ PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBfDDliE55 — SiHIU.t�qEO�CG'�i�1AC1090RRi�p�pr;IZO�AGE4t DniE <br /> 8631 lOth Avea �^_ South X % - � - � 7 11 79 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE � NO. TYPE OF EOUIPMENT FEE <br /> 1 1VA�EF CLOSET(TOILCT) 2 � dIR COIJD.UPIITS-H P. CA. <br /> 1 BATHTUB REFRIGERATION UNITS-� H.R EA <br /> ], LAVATORV IWASH BASIN� 60LLERS-HP EA. <br /> SHOWER GAS RRED A.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 6 DISP. FOFiCED AIR SYSTEldS-�?.Ll M EA. <br /> 1 DISHWASHER 2 0 WALL HEATERS-P.T.U. M <br /> LAUNDRV TRAY UNIT HEATERo-B.T.U. M <br /> 1 CLOTHES IVASHFR EVAPOF7ATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS 3 OO <br /> URINAL 2 VENTILATION FAN <br /> DRINKING FOUNIAIN qANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT- (;.F.M. <br /> VACUUM BaEAKERS STOVE <br /> ROOF ORAINS-RAINLEADERS METAL FlREPLACE 8 CNIAINE/ 3 O O <br /> —� SINK�SERVICE-BAR,ETC� Z OO <br /> SUB TOTAL SUB TOTAL 5 10 0 0 <br /> PERMI7 5 PEFMIT S <br /> TOTAL FEE E 14 00 TOTAL FEE b 1 O <br /> SID'e Y71RD SET�ACH $TPEET SETBACK REAR YA4iD SETC7ACK PLAN CHECK NU1d�[R PLAN CHECK PEE <br /> 6 ' 20 ' 20 ' 79/960 Fee 60 SOa``ceic��c�77 <br /> l'SF l.ONE LOT AREA VACAkT SITE <br /> R^1 � �YES :�iJO FEES VALUR.TION FEE <br /> 1 Yi'E OF CONST. OCCUPANCY GROUP NQ CF DWELLING UNITS <br /> V—N R-3 1 BUtLDING 5 �g , 000 121 00 <br /> SIZE OF BLOG. NO.OF STORI@S MAK OCC.LOAD <br /> 1 PLUMBING <br /> 19 00 <br /> f IiiE ZONE �nSEh!ENT FIRE SPRINKIERS <br /> 3 none REOUIRED AIECHANICAL 1� QQ <br /> I�.VES '. '.NO <br /> APPROVALS BY DATE O7HER <br /> 1. ENVIRONMEN'AL CHECK LIST <br /> PENALTY U.�.C. <br /> ?. BUILDING PLANS `Q SEC 303(a� <br /> VC 7 1p 7 <br /> 3. FIR[h1YDRANT TOTAL 1�I S O O <br /> a. FIRE PROTECTION�SVSTEM PERMIT VALIDATION <br /> V.('H�EN PROPERLY VALIDATED(IN TMIS SPACE�THIS 15 YOUR PERMIT <br />' S. GRADING �- �. 1 �J I �. O O �� J U <br /> 6�AINAGE�i� �--, o <br /> 7. VIRONM�I�jA!.IMPACT STAiEMENT � <br /> 9 31 i �� 1 r �. � � •'���� <br /> e Hen�TH oisrr�ic�,� �� � I � REC�IPT � <br /> AP� ATION A�E.�Y� PL�CHECKED BY APPR FOR ISSUANCE,B}' t„� , � `- �.. � <br /> C? m � � ,.. ,'.;AJK YOU � �.� v z 1� �G�lFT <br />� __ -II V. C. L. C. �� :�t`� 'S'C�U <br /> _ ; �',. '�,14 r-. <br /> � ADDRES� FILE� � � � � � <br />