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!hr Fcrrtvrrr <br />ev�rett <br />CITY HAl l 253-A7ni <br />�ONSTRUCTIOt- <br />PER�NIIT PERMIT N0. 1��4'� <br />ever�erT wa �eaoi L� COMBINATION �Il� BUIWING ❑ MECHANICAL l� PLUMBING <br />OPINER Mnll �ODRE55 CILY IIP PNONE <br />_�TRICK_p}�T(ERSON 315 BEECH ST E�(FRETT WA 4820]___��3�736 <br />.�cMir[c� un rrsuv,.i Mei� nuoaess r,nr ziv cHor+E <br />GIINEPAI GONTR�C.iOR MPIL AO�PE55 CILY ?IP PMONE LICENSE Y <br />EVERETT BLDRS 5606��green Wav EveretS WA 98203 35'�-7161 _ <br />MEGNANiC�LCONiRALLOR MRiL�Of.RE'S Liiv ZIF pp�_Ol '�'9pREe*30`i4�H5E" <br />PWMBING GONTP�CTOR M�R �DONE55 Cil i ZiP PNGNE �JCENSE • <br />__'.__ _. _._.... <br />❑ NEW O ADDITIUN IXJ ALTERATION ❑ HEPAIR ❑ DEMOLITION O FFNCE ❑ SIGN ❑ WOOD S�OVEIFIREPLACE INSEPT <br />VAI.U�TION OF WORIc <br />, 4235.00 <br />UESCFIBE WORh <br />Reroof <br />ence <br />LOl _BLOGN _OF <br />048-0009 <br />JOtl RDDRE55 <br />315 Beech <br />PLUMBINO <br />TYPE OF FI%TUPE OH <br />WATEF CLOSET �TOILET) <br />BATHTUB <br />LAVATORY�WASMBASIN� <br />SMOWER <br />NITCMEIJ SINK 8 DISP. <br />DISMWASNER <br />LAUN�RYTHAY <br />CLOTMES WASMER <br />WATEF HEATEfl <br />URINAI. <br />ORINKING FOUNTAIN <br />FLOOR OFAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — HAINLEAO..HS <br />SINK �SERVICE — BAR, ETC.� <br />SUB TOTAL <br />VERMIT <br />TOTAL FF.E <br />NO OF <br />FIRE 20NE <br />L ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />9. FIRE HVDPANT <br />1. FIRE FROTECTION SYSTEM _ <br />5. GNADING <br />6. DRAINAGE <br />ZENVIPONMENTALIMPACTSTATEMENT <br />8. MEALTM DIE <br />APPUCATION <br />I HEREBY CERTIFY THAT I HAVE REP� AND CXAMINED 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 SPECIFIED HEREIN OF �T. THE GFANTING OF A <br />PERMIT DOES NOT PRESUME TO Gi. t AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF AYY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTflUCTION �R THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUH6QF LONiRACiOPL:�AUTMORIZEO AGENT UALE <br />—�.wa <br />MECHA�ICAL <br />FEE NO. TVPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRI�iERATION UNITS — �I.P. EA <br />BOILERS — H.P. E4 <br />GAS FIRED A.L UIl175 — TONNAGE EA <br />F09CED AIR SYSTiSMS — B.T.U. M EA. <br />WALL HEATERS — B.T.LL M <br />UNIT MEATERS — 9.T.0 M <br />EVAPORATIVE COOLEFS <br />CLOTHES DRYERS <br />VENiILATION FAN <br />RANGEHOOD <br />AIR MAN�LING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL rIREPLACE 8 CHIMNEY <br />FIflEPLACE INSERT <br />NEA7 PUMP <br />f <br />f <br />f <br />YES NO <br />NO <br />OATE <br />CMECNEO BV IAPPR.FORISSUANCE 9Y <br />SUB TOTAL <br />PERMIT _ <br />TOTAL FEE <br />PLAN CMECK NUMBER � <br />FEE <br />FEES VRLUR710N <br />9UILDING 34Z35.�� <br />PLUMBING <br />IAECHANICAL � <br />OTHFR <br />PENALTV ---�— � B Cina m� <br />� <br />f <br />f <br />7HECNFEE <br />flECEIPT NO. <br />FEE <br />50 50 <br />*oT�� I � 50 I50 <br />PEAMIT V�LIDIITION <br />WHEN PROPERLY VALIDATEO (IN TMIS ( Pf C�ELI MIS ISYpI�P �Ef�Mlj __ , � <br />I 1 � <br />ADDR(SS FILf. <br />i, . <br />'�'� . <br />•i <br />� <br />