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d�c E��erArcCri <br />�verett I �o��TRUCTlO�� <br />PERMIT PERMIT NO. � 5�16 <br />CITY HALL 259�8745 <br />EVERE7T,WA98201 ❑ COM131NATION ❑ BUILDING � MECHANICAL ❑ PLUM�ING <br />OVINER MFIL AOORE55 CITV ZIP PMONE <br />ALFIES 6928 EVERGREEN IJAY EVERETT <br />AFCMITECT Ofl DESIGNER IdAIL AUOPESS CIIY ZIP PMONE <br />GENERALCONiRACTOR MBILAO�RESS CITY ZIP PMONE UGENSEN <br />T& T PLL'MDING 4319 - 180th SE DOTHELL 41A 98011 483-4581 TTPLU155D7 <br />MECHANICAL CONTPACTOR MAIL AD�RE55 CITY 2IP PHONE LICENSE x <br />PLUMOING WNTRAGTOR MAIL AOOflESS CITV ZIP PMONE LICENSE M <br />S <br />❑ NEW � ADDITIOtJ ❑ ALTERATION ❑ REPAIR ❑ �EMOLITION � FENCE ❑ SIGN ❑ WOOD S70VEIFIFEPLACE INSERT <br />Install gas space heater and vent <br />LOT __ OLOCK _OF <br />6928 Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTUFE OR ITEM <br />W ATER CLOSE7 (701 LET) <br />BATH7U8 <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, EfC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />NO. OF <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />1. BUILDING PLANS <br />3. FIRE HYORANT <br />4. F�RE PROTEC710N SYSTEM <br />5. G9AOING <br />u.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICAiION AGC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLI�ATION AND KNOW THE SAN�E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAVJS AND ORDINANCES <br />GOVEHNING THIS TYPt 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />OR AUTyORIjE� AGENT DATE <br />X <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FI <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIIERS — 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 />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — W000 <br />METAL FIREPLACE 8 CHIMMEY <br />FIREPLACE MSERT <br />HEAT FUM11P <br />1 as : ace fieater <br />1 vent <br />i <br />5 <br />S <br />REAR VAFD SETBACK PLAN CHECK NUA <br />VACANT SI i E <br />f'.YES :_.NO FEES <br />LOAD <br />REOUIFED <br />�..YES .:NO <br />BY UA7E <br />FORISSUANCE BY <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />PLAN CI <br />FEE <br />VALUA710N <br />S <br />U.B.C. <br />SEC.303 <br />RLCEIPT NO. <br />FEE <br />�Z <br />TOTAL I I � 2 �00 <br />PERMIT VALIUqTION <br />WHEN PROPERLY VALIDATED �IN THI � 5 AOC� THIS�S�(O�Fj�P:�i�(IT_ ({]� <br />Supi imental permit � � c. () � i f <br />� <br />� <br />�;r_��_;r; r;CCGIPT�-+ <br />?�'i;���'ll� ��Qu <br />ADDRESS FILC <br />io�EU�y <br />z <br />0 <br />� <br />� <br />m <br />�� <br />... -i <br />�n x <br />m <br />C 0 <br />m� <br />�� <br />om <br />s -Z-i <br />m <br />..-i <br />A 2 <br />C <br />D —{ <br />rx <br />.. .. <br />� N <br />� <br />'+l <br />O � <br />�l D <br />�m <br />2 <br />m� <br />� <br />O <br />�m <br />C f/� <br />3 N <br />m <br />z � <br />-i r <br />. m <br />D <br />A <br />—I <br />x <br />a <br />z <br />� <br />x <br />N <br />Z <br />O <br />—i <br />.r <br />n <br />m <br />� <br />