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'"`E�,R oF r� CONSTRUCTION � � <br /> everett PERMIT PERMITNO. 15071 <br /> CITV HALL 25i�B7�S <br /> EVEREtt,WA9B201 � COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINO • <br /> � <br /> OWNER M�IL�UURESS , QTY ZIP . PNONE <br /> i <br /> DA�MIS PEt1TI'f 9051 - 35th AVtI SE 8 ' <br /> • NI T ON �ONE MAIL�DOHEBS CITY 21P iMONE <br /> ENER�L CANTMGfOR M�IL�UDRESS CITr 21P VNONE UCENSE/ , <br /> MECHI1N�Ma1 WNTMGiOR M�II ADDRE99 CITY ZIP PNONE UGENHE� <br /> ►lUMlINO CONiRACTOP M�IL 1.UDPESb ' GTY ZIP �NONE LICENSE� <br /> CU88 OF MqRN <br /> QNEW O 11DDITION O l�ll ENATION ❑NEPAIR O DEMOLITION O FENCE O SIQN � ❑ WO00 STOVFJFIREPUCE IN9ERT <br /> A <br /> V�lW1T10N OF M/ORK <br /> � 1W OVV��� . <br /> DEBCRIBE WORM <br /> �'l01�t ! <br /> MIOPOBEDU6EOFlUIlDINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Ap!lb11p11t �If�Id�7lA APPLICATIQN AND KNOW THE SAME TO BE TRUE AND <br /> 1E011lDEBCRIPiIONOf%MPERTt�9HOWBELOWORl1TT�GMFOURGOREB) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> w1 s�ocK oF - -. ..i GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �' — -�9 --r.�ccvi�.�+ WHETHER SPECIFIED HEHEIN OR NOT.THE GRANTIN(3 OF A <br /> PERMIT DOE�4 NOT PRESUME TO GIVE AUTHORITY TO V�OLATE <br /> OR CANCEL THE PROVISION OF ANY OTHER STPTE OR <br /> LOCAL LAW REG I;ATIN�CONSTRUCTION OR THE <br /> PERFORMANCE OF ONST CTION. <br /> JOB I100RE68 BION�TU9�dF CONTR�CT P AUTM IIED�OENT DAiE <br /> X � '� � <br /> PLUMlINO MECHAN�CAL <br /> NO. TYPE OF fIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WIITERClOBET�TOILET) AIR COND.UNITS— M.P.EA. <br /> • BAiMTUB REFRI�ERATION UNITS—H.P.EA. <br /> UVATORY�WABH BASIN) BOILERS—H.P.EA. <br /> BHOWEII OAS FINED A.C.UNIT9—TONNA�E EA. <br /> KItCHEN81Nl(6019P. FORCEUAIRSY6TEMS— B.T.U. MEA. <br /> DISHW�SHER WALI HEATERS— B.T.U. M . <br /> UUNDRY TRAY UNIT HEATERS—B.T.U. M � <br /> CLOTNEB WA9HER EV�PORATIVE COOLERS <br /> WATERNEATER ' CLOTHEBDRYERS ' <br /> URINAI VENTIUTION F�N <br /> ORINKINO FOUNTAIN RANOE H000 <br /> FLOOR DRAIN AIR HANDLINO UNIT— C.F.M. <br /> VACUUM BREAI(ERB SiOVE—WOOD <br /> ROOF ORAINB—RAINLEAOERB METAL FIREPLACE 6 CHIMNEY <br /> 81NIf(BERVICE—BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> sU�TOT�L t 6U!TOT�L 1 <br /> FERMIT f PERMIT t <br /> TOTl1l FEE f TOT�L FEE 1 <br /> BIDE YARD BETBIICK 8TREET SETBIICK HEAR YAHD 8 PUN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> �g LO VAC I FEE8 VALZU�TION FE�E <br /> ❑YES ❑NO <br /> TY CON , OCCU ANCY OROUP .OF UWELLINO UNIT6 <br /> BUILDINO = <br /> 812 BLDO. N0.0 RIES MAX. CC.LO�D � � <br /> PLUMBINO <br /> FI BAS ENT FI PRINKLERS MECHANICAL <br /> REOUiREO <br /> IlYE6 CINO . <br /> �PPIIOVAIb er 011TE O1HER <br /> 1.ENVIHONMENT�L CHECK LIST PENALTY ' U.B.C. <br /> SEC.90J U) <br /> 4.BUILDINO PUNS TOTAL <br /> J.FIRE NVOR�NT <br /> 1.FIRE PROTECTION SYBTEM PERMIT VAL�DATION � <br /> 6.OR�DIN4 WHEN PROPERLY VALIDATEO pN TH�B 6PACE)THI818:YOUR PERMIT _� <br /> . ; �, �� . i ; � <br /> E.�RAINA6E � Q ' <br /> 1.ENVIRONMENTALIMPACi6TATEMENT � <br /> B.HEALTHDISTRICt , p'� <br /> APPLICATION ACC.BY PUNS CHECI(ED BY APPR.FOR IBSUANCE BY <br /> eb laaa <br /> STATE AUDITOR <br /> t , <br /> . <br />