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r. <br />L <br />'""' " .#SUNSTRUCTIOV <br />everett PERMIT PERMIT NO. 11990 <br />CITY HALL 2598145 g [X C 'IMRING <br />EVERETT. WA98201 �KJ COMBINATION BUILDING _] MECHANICAL I <br />CITY 1il' 114ONE <br />OWNER MAIL AODPE55 6 5 9- 6 B 4 7 <br />ARKen Borg 17928 43rd Avenue N.E. ArlinLrtY gton 98223 ._ PHONE <br />CHIEGr OR OESIONEP <br />MML AGGRESS <br />Glrx 21P PHONE LICENSE E <br />GENERAL CONTRACTOR MAIL AGGRESS KEN B EC 18 7 RC <br />Same PHONE LICENSEE <br />CLASS of WORM <br />QgIjIEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />E 58,320.00 <br />.:onstruct Si <br />(POSED USE OF PHILDIND <br />Single Family <br />LOT 46 <br />esidence <br />MOW BELOW OR ATEACHFOU <br />Valley View 8 <br />u 8 28 5 <br />JOB ADDRESS <br />2503 gist Place S.E. <br />PLUMBING <br />WATER <br />FLOOR <br />ROOF DRAINS — <br />S <br />TOTAL FEE s <br />SETBACK STREET SETBACK REAR YARD 61 <br />61 20' 20' <br />LOi AREA VACANT SITE <br />R- 1 jyx5_NO <br />V-N <br />SIZE OF BLDG. <br />1560 Sq. Ft <br />FIRE ZONE <br />1. ENVIRONMEN <br />2. BUILDING PU <br />3. FIRE HYDRAN <br />A. FIRE PROTEC <br />L S.DSADING - <br />6 DB(IINAGE . <br />R-3 <br />None <br />T. LWIRONMENTArIMPACT51AILARC., <br />B. WALTH DISTRICV0 <br />A1IINCATION AFC. 5 CHECKED BY <br />46r1 E® M o HWM <br />C= -n I I <br />I'! <br />I HEREBY CERTIFY THAT 1 HAVE RLAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER ED HEREIN OF NOT. THE GRANTING OF A <br />PERMIT DOESNOTIPRESUMETOGIVEAUTHORITYTOVIOLATE <br />OR THELLOCALNCEL LAW REGULLAITINGSCONSTRUCOF ANYTTION HER OTATE R <br />THE <br />PERFOjiMANCE OFANSTRUCTION. DAre <br />MECHANICAL <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS — N.P. EA, <br />REFRIGERATION UNITS — X.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 <br />CLOTHES DRYERS —_ <br />2 <br />VENTILATION FAN <br />1 <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />— <br />HEAT PUMP <br />SUB TOTAL S <br />15 <br />PERMIT IS <br />TOTAL FEE f <br />15 <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />83/11990 FEE201.50 <br />RECEIPT NO. <br />.... .....nu <br />FEE <br />1 <br />1 BUILDING i58,320. 310 00 <br />OAD 18 00 <br />6 PLUMBING <br />'LERS ME .+ANICAL l5 00 <br />DATE <br />OTHER <br />U.B.C. <br />PENALTY SEC. 3031E1 <br />" 343 00 <br />TOTAL <br />PERMIT VALIDATION HIS fg4CEI TMI 3 -- #; I 14 IT <br />WHEN PROPERLY VALIDATED RN T I3Yfif.11 <br />$018.00- 3 <br />YOUR RECEIPT —4 <br />ISSUANOE@Y UR RECEIPT THANK YOU <br />LC • Ii1MY. YOU <br />ADDRE,16 [HRY 83 <br />,IuAY83 <br />"1 <br />J <br />L <br />.J <br />