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�i��� t„�.e,�,•,� <br />„� <br />e�erett <br />CONSTRUGZ .or� <br />PERMIT <br />PERMIT NO. 13964 <br />CiTY MALL 259�P745 <br />evrneTtwnvaza, [] COMBINATION � BUILDING �� MECHANICAL ❑ PLUMBING <br />J1VNfR <br />� Meq 4[lDRE55 Gilr .Jn PNONF. <br />David C. Sander 2215 Buzley Drive Everett 98204 337-92 _ <br />���CM�iECI O4 Of SiGNEA <br />-- M�i� RO[]11E55 LIlY LP PHONE <br />GLNER/ICON"N�GLOR <br />M�II AO�RE55 LrtY 21V PHONE LICEN�E � <br />MECH�NIUL U�NiR�CTOR M�II ��DRESS <br />CitY 2iP PNONE :IGENSE � <br />S8Iil0 '— PNONE LiCENSE � <br />PLUMBIAG GONTRRCiOP <br />M�R �O�RCSS GTY 2iP <br />CL�S$ OF�'JRM <br />L� NEW ❑ ADDITION ❑ ALTERATION <br />L <br />Inatall fireplace insert <br />�pT __ PLOCN __OF <br />JOB r100RE5S � <br />2215 Burley Drive <br />PLUMBINU <br />TYPE OF FI%TURE OR <br />WA7ER ClO5E11TOILEn <br />RATHTUB <br />�AVAiORV I`NASH BASIN� <br />SHOWER _ <br />NITCMEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTMES WASHEH <br />WATER NEFTER <br />URINAL <br />DR�NKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEAOERS <br />SINN �SERVICE — BAR. E7CJ <br />SUB TO7AL <br />PERMIT <br />TOTALFEE <br />NO <br />1. ENVIRONMENTAL CNECK LIST <br />2. BUILOING PLANS <br />7. FIHE MVDRANT <br />�. FIPE PROTECTION SYSTEM <br />5. GRA�ING <br />6. DR�INACE _ <br />LENVIRONMENTALIMPACTSTAiEMENT _ <br />B. MEALTM DISTFICT <br />eani icATION ACC. BY PLANS 6. �CNEI <br />f <br />f <br />f <br />❑ REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGh jQ� WOOD STOVEIFIREPLACE INSEPT <br />I HERE[3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />CORRECTI�ALL ROV SONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERM T DOES NOTIPRESUME TO GIVE AUTHORITY TO V OLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAI., LAW REGULATING_CONSTRUCTION OR THE <br />SI�NPI�R� OF COYiR�i9R OR /�((M01U2� �GENT <br />MECHANICAL ' <br />FEE NO. TYPE OF EOUIPMENT _ <br />AIR CON�. UNIT$ — f P. EA. <br />REFRIGERATION UNITS — MP. EA <br />BOILERS — H.P. EA. <br />GAS FIPED A.C. UNI75 — TONNAGE EA. <br />FOf10E0 AIF SVSTEMS — B.TL. M EA. <br />\VALL HEATERS — B.i.U. M <br />11NlT MEATEFS — B T.LL M <br />EVAPORATIVE COOLERS <br />CLOTMES DNYEFS <br />VENTI�ATION FAN <br />RANGEM000 <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WaOD <br />1 MFTAL FIREPLACE 8 CNIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />YES NO <br />SUB TOTAL <br />PENMIT <br />TOTAL FCE <br />FEE <br />FEES I VALUATION <br />BUILDING s <br />PLUMBIN(; <br />MECHhNICAL <br />OTMER <br />__—" —_ — U.B.C. <br />PENALIV SEG 9031a1 <br />o�Te <br />9/24/84 <br />f 7 <br />f 1� <br />f <br />LMECNFEE <br />RECEIP7 NO. <br />FEE <br />1% <br />— 1% 5� <br />TOTAL <br />PERMIT VALID�TION . �� <br />WHEN PROPERLV VALIDATE� pN iMl6 SPAdEI TMIS ISjY�U�I dEF(MIL— '� <br />�Jl <br />�IT� <br />BY , U <br />ADDRCSS fll.0 <br />