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I I hC !i verl'rCrq <br />� � ���� � �O�STRUCTI�O�'' <br />' everett ✓ p�R���' PERMIT NO. �51f�H <br />CITV MALL 259�B7d5 <br />' EVEPETT,WA9B201 � COMBINATION ❑ BUILDING C: MECHANICAL ❑ PLUM9ING <br />OWNEN MAIL ApDRE55 CrtY Y ZiP P110NE <br />, Frank W. Otteni 8206 Beverly Boulevard Everett 9820G ?53-3627 _ <br />ARGMITEGT OR OESIuNER MAIL RUORESS GtY ZIP PNONE <br />GEHERRL CONLflRGTO� MAIL AD�HE55 LIiY ZiP PMONE LiCENSE � <br />Valley Natural Gas Co. 519 S.E. Everett Mall t::y Everett 98204 355-7730 VALLENG153LI <br />MEGNRNICAL GONTRRGTON MAIL RD�RE55 CIiY ZiP PHONE L�LENSE / <br />PLUMBING CONTRACTGR MAIL AOORE55 GIiY ZIP PMONE LiGENSE I <br />❑ NEW ❑ ADD�TION ❑ ACfERATIGN ❑ REPAIR ❑ �EMOLITION O FENCE ❑ SI3N ❑ WOOD STOVEIFIREPLACE INSERT <br />� ...__...._.. _. .._.... <br />s465.00 + 10.92 + 91.00 excess <br />�ESGflIBE WOPN <br />Install A.O. Smiti� FSG40 and Williams 65,000 BTU wall furnace and pi�ing <br />PROPoSED US[ OP IIUILPING <br />I htEREBY CERTIFY THAT f HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRU[ AND <br />LEGRL OESCPIFTION Of PROPEPTV �SNOW BELOW OR ATTRCH FOI/R COPIES� CORRECT. ALL PROV!SIONS OF LAWS AND ORDINANCES <br />LUT_BIOCK_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES IlOT PRESUME 70 GIVE AUTHORITY TO VIOLATE <br />� OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />� LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCEOF CONSTRUCTION. <br />JOB AODRESS SIGNA IIRE OF f.pNiRRCTOR OR A NOFJ2ED AGENT Or1TE <br />8206 Beverly Boulevacd X �� C. '�� <br />PLUMBING MEC ANICAL <br />tl <br />TYPE OF FIXTURE OR <br />CLOSET (TOILEn <br />SHOWEF <br />KI�CMEN iINK 8 <br />LAUN�RVTRAY <br />CLOTHES WASHER <br />WA7ER HE�ITER <br />�HINKING FOUNTAIN <br />FLOOR ORAIf7 <br />VACUUM BREAKERS <br />ROOF DRAINS -- flAIN <br />SINK (SEfiVICE — BAR <br />PEHMIT <br />SIZE <br />APPROVALS <br />1. ENYIRONMENTAL CHECN LIST <br />2. BUIL�ING PlANS <br />J. FIflE HY�RANT <br />A. FIRE PROTECTION SYSTEM <br />5. GRADING <br />e. DRAINAGE <br />�.ENVIHONMENTPLIMPACTSTATEMENT <br />�3.HEALTH DISTRIGT <br />N M.M. <br />0 <br />PEE NO. I TYPE OF EOUIPMENT FEe <br />—f AIP COND. UNITS — H.P. EA. __ <br />REFRIGERATION UNITS — H.P. EA. __ <br />BOILERS — H.P. EA <br />GAS FIRED A.C. JNITS — TVN4AGE EA. <br />FORCED AIR SYSTEI/5 — B.T.0 �d Ef. <br />1 WALL MEAiERS — BS.U. _ M __ <br />UNIT MEATERS — BSL. N _ <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD _ <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEHT <br />IHEAtPUMP <br />S <br />S <br />YES NO <br />MA%. OCQ LOAD <br />YES NO <br />3� DAiE <br />CHECNED BY APPR.FORI; <br />B.W. <br />PLAN CMECN <br />4 <br />4 <br />SUB TOTAL S ZS <br />PERMIr f 10 <br />TOTAL FEE S 25 <br />PLAN CHECK FEE <br />FEE flECEIPi NO, <br />VALUATION FEE <br />9UILDING _I 3 _ <br />�-- <br />F'LUMBING <br />MECMANICAL ZI <br />O'fHER <br />PENALTV—_--- UBC <br />SEG 90J �a) <br />TOTAL Z S <br />PENMIT VALIDATION <br />WHEN PPOPERLV \'Ai.IDATED pN TMIS SPACE� THIS IS YOUR PERMIT <br />ADDRESS NLF <br />Ii <br />z <br />0 <br />-� <br />n <br />m <br />-a � <br />... -� <br />Nm <br />C C <br />m o <br />r• <br />-� c: <br />o �i <br />s -�i <br />m <br />!J Z <br />C <br />�> --1 <br />rx <br />..-i .r <br />� N <br />T <br />O � <br />� <br />--� m <br />x <br />m .-� <br />N <br />O <br />or <br />c� m <br />3 I�n <br />2 ('� <br />-i r <br />m <br />A <br />� <br />S <br />D <br />z <br />-� <br />x <br />.. <br />N <br />Z <br />O <br />.�-� <br />fl <br />m <br />