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dreL'rer,�reen - - . � /ONSTRUCTIO �`� .. <br /> CIiV OP � � <br /> everett p��� o-� PERMIT N0. 16� � J <br /> CITV MALL 259�8745 <br /> EVERE77,WA 98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAILAODRESS CITY ZIP PMONE <br /> Lesslev Construction <br /> ARGMIiEGT OR OESIGNEfl MAIL ADORESS CITY ZIP PHONE <br /> GENERAI C011TflAQOR MAIL AO(�RE55 CITY 21P PHONE LICENSE M <br /> M :HANICAL CONTRACTOR MAIL AODPESS CIiY ZIP PMONE LICENSE N <br /> Reliable Sheet Metal <br /> PWfd01NG CONTRACTOR IdAIL AODRESS CiTY ZIP PMONE LICENSE r <br /> GLA55 CF WORK <br /> }F.�NcW ❑ ADDITION ❑ ALTEFATION ❑REPAIR ❑ DEMOLI710N O FENCE ❑ SiGN ❑ WOOG STOVE/FIREPLACE INSERT <br /> VAIUATION OF WORK <br /> 5 <br /> �ESGHIBE WOflK <br /> as urnace <br /> PRCPOSEO USE OF BUILOINI: <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sir�gle L'amil�� Residence APpLICATION AND KNOW 7HE SAME TO BE TRUE AND <br /> LEGAL DESGRIPTION OF PNOPEPTY�SMOY!BELOW Ofl ATTAGH FGUF COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_s�ocrc_oF GOVERNING THIS l'YPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIEC HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHO��I"fY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIOP7. <br /> JOB AOpRESS S�GNATURE OF CONTRACTOR Ofl AUTMOPIZED FGENT D4TE <br /> 12023 - 14th Dr. S.E. X Check No. 1475�1 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. T1'PE OF E4UIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) 004ERS -- H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS —TONNAGE EA. <br /> KITCHEN SINK&DISP. FORCED AIR SYSTEMS— B.T.U. M EA. �} SO <br /> DISHWASHER W.4LL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS— d.T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> 11RINAL VENTILATION FAN <br /> ORINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLWG UNIT— QF.M. <br /> VACl1l1M BREAI:ERS STOVE—WOOD <br /> ROOF ORAINS— RAINLE.4DER5 METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE — BAR, ETC.) FIREPLAGE INSERT <br /> HEAT PUMP <br /> SUOTOiAL S SUB TOTAL S <br /> PEHMIT E PERMIT E <br /> 70TA1 FEE E 70TAL FEE S 19 50 <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE R[CEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> . YES . NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br /> BUILDI(JG S <br /> SI.?E OF BLDG. N0.OF STORIES h1A%.OCG LOAD <br /> PLUMBING <br /> FIREZONE PASEMENT FIRE SPRINKLERS MECHANICAL IQ SO <br /> REOUIRED <br /> YES NO <br /> AP�flOVALS BY DATE OTHEH <br /> 1.ENVIRONMENTAL CHECR LIST PENALTY U.B C. <br /> SEC.309�al <br /> 2.BUILOING PLANS <br /> 3.FIREHYDRANT TOTAL I�I SO <br /> 4.FIRE PRO7ECTION SYS7EM PERMI7 VALIDA710N <br /> 5.GRADING WMEIJ PROPERLY VALIOATED pN THIS SPACE)THIS IS VOUR PERMIT �_; <br /> � �f <br /> 6.ORFINAGE ( , � -� � .� � �i. ) � —' ��'{ <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� .� <br /> e.HEALTH DISTPIC' �� <br /> APPLICATION ACC. BY PLANS CHECKED 8Y APPR. FOR ISSUANCE BY � �. � � � � <br /> ' <br /> ADDRESS FILE <br />