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dteGrer,�reen COfVSTRUC�lQ 1 <br />GRv OF � <br />eve�ett pEF{MIT PERMIT N0. 1�2g1 <br />CITY HALL 259�8745 <br />EVERETT,WA98201 ❑ COMBINAI'ION ❑ BUILDING C�tit MECHANICAL ❑ PLUMBING <br />OWNER MqIL q�OFE55 CRY ZIP PHONE <br />Alfies Pizza 6928�t �vergreen Way 353-3838 <br />ARGMITECT OR �ESIGIIER MAIL AOOFESS CiTY ZIP PHONE <br />GENERAL CONTRAGTOR MAIL ApOHESS UTV 21P PMONE LIGENSE M <br />MEGMANICALGONTqACTOF MAILAD�RE55 CITY ZIP PHONE UCENSEY <br />T& T Plumbing 9319 180th S.E. Bothell 98021 983-358 <br />PLUMBING CONTPACTOR MFIL AU�RESS ��TY 21P PMONE LICENSE x <br />TTPLU155)7 <br />❑ NEW ❑ ADDI710N ❑ ALTERA710N ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOfi STOVEIFIREPLACE INSER7 <br />VALIINTION OF WORK <br />f <br />DESCRIBE WORK <br />PROPOSED USE OF BIIILDING <br />LEGAL DESGRIPTION OF PRJPEf <br />LOT_tlLOCK_OF <br />JOB ADORESS <br />6928� Evet <br />PLUMBING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />OflATfACHFOURCOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERf-ORMANCE OF CONSTRUCTION. <br />S�GNATI1pE OF CONTRACiOR QRj1UTHOR�2E0 AGENT DATE <br />TYPE OF FIXTURE OR IT[M <br />WA; ER CLOSET �TOI LEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATEF <br />URINAL <br />DfiINKING FOUN7AIN <br />FLOOR ORAIN <br />VACUUM BHEAKERS <br />ROOF DRAINS — AAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />70TAL FEE <br />LOT <br />STORIES <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. fIRE HV�RANT <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />MECHANICAL <br />FEE N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TO�NAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. h1 EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEA7 PUMP <br />�f <br />REAR YAR� SETE <br />VACANT SITE <br />�_:YES :.�.NO <br />NO. OF DWELLIN <br />MAX.00C.LOAD <br />FIRE SP(iINKLER: <br />REQUIRED <br />��.YES ..NO <br />BY DA1 <br />BV IAPPR.FOR <br />SU9 70TAL S <br />PERMIT S <br />TOTAL FEE 5 <br />F'3 I AECEIPTNO. <br />VALU�TION � FEE <br />BUIL�WG 5 <br />PLUMBING <br />MECHANICAL 16 50 <br />OTHER <br />PENALI'Y SECV303�a) <br />rora� 16 50 <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THI� �P�GEI THI�$�Y�Uji.�Fj/�117 ` A <br />9 ll b Il �j <br />lV <br />� .-� <br />YC�UR RECEiP7• _ <br />i t-I;�Nn YOU <br />�DDI?GSS � ILF <br />30nuc85 <br />z <br />0 <br />� <br />n <br />m <br />.. .. <br />-i � <br />., -a <br />cn x <br />m <br />C O <br />mo <br />n <br />�c <br />�m <br />s -Z-I <br />m <br />�. <br />A Z <br />C <br />a -i <br />r x <br />.-� <br />� N <br />< � <br />O D <br />3 <br />-t m <br />x <br />m � <br />N <br />O <br />or <br />nm <br />3 tn <br />m <br />z c� <br />�r <br />• m <br />a <br />A <br />�--I <br />S <br />D <br />Z <br />-�-I <br />S <br />N <br />z <br />O <br />.-�. <br />('> <br />m <br />� <br />