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!Ar£Mer�re�tn <br /> everelt � �ONSTRUCTIOF`�� ^ 1s3s2 � <br /> CITVMALL25P87r5 PERMIT PERMIT NO. <br /> EVERETT,WA9B701 � COMBINATION ❑ BUILDINO XSI MECHANICAL ❑ PLUMBIN(i <br /> 0� MAIL�DORE55 CITY � ZIP PNONE <br /> �IUES GAFENEY i��XX 4005 Colbv Everett WA <br /> u�cNntCT Oq DESiONEN M�IL AOORESS CITY 21P PNONE <br /> AL CONTM R MAIL ADDRE55 LITV ZIP PNONE LICENSE� <br /> MECNANICAL C011T1111GTOR M�IL ADORE:S CITY ZIP PHONE LICENSE/ <br /> ver reen State Sheet Metal 3411 Haves Everett WA 98201 252-3114 <br /> RUY�IIq CpNiMCTpp M�IL�DORESS GIiY 21P PHONE LICENSE� <br /> cuss os wvmc — <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑REPAIfl ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPUCE INSERT <br /> VALUATION OF WpqK <br /> f <br /> OE6CflISE VIORk <br /> Mechanical <br /> PROWSED USE OF BUIIDING <br /> I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEa�lDESCPoPf10NOfPROPERTY�SMOWBELOWOHATTf.CNFOURGOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND OHDINANCES <br /> LOT_BtOCK_OF GOVERNING THIS TYPE 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 L REGULATING CONSTRUCTION OR THE <br /> PERFOR N CONSTRUCTION. <br /> JOB�ODXE85 SIGNATUPE OR A IZED AGENT DATE <br /> -�499�8o1b X 4/2/86 <br /> PLUMlINO MECHANICAL <br /> N0. TYPE OF PIXTUHE OR ITEM FEE N0. TYP�OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILEn AIR COND.UNITS— H.P.EA. <br /> BATHTUB REFRIGERATION UNITS— H.P.EA. <br /> UVATORY(WASHBASIN) EOILERS—H.P. EA. <br /> SHOWER GAS F�RED A.C.UNITS—TONNAGE EA. <br /> KITCMEN SINK 6 DISP. 2 FORCED AIR SYSTEMS— B.T.U. M EA. �Z OO <br /> DISMWASHER WALL HEATEflS— B.T.U. M <br /> LAUNORYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES W�SHER EVAPORATIVE COOIERS <br /> WATER HEATER CIOTHES DRVERS <br /> URIN�L VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE H000 <br /> FlOON ORAIN AIR HAN�LING UNIT-- C.F.M. <br /> YACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— HAINLEADERS METAL FIflEPLACE d CHIMNEY <br /> SINK(SENVICE— OAR, ETG) FlHEPLACE INSERT <br /> HEAT PUMP <br /> SU!TOTAL 3 SUB TOTRL S Z OO <br /> PERMIT f PF.RMIT i D OO <br /> TOTALFEE f TOTAL FEE S Z OO <br /> SI�E YARD SETBACK S7REETSETBACK REAR VARO SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT P.R[A VACANT SIiE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCl1PANCY GROUP NO.OF bWELLIN�IINITS <br /> BUILDING S <br /> SiZE OF BLDG. NO.OF STORIES MA%.OCC.IQAD <br /> PLUM9ING <br /> FIREZCNE BASEMENT R1EOUSRED NLERS MECHANICAL 22 OO <br /> i]YES GNO <br /> APPHOVALS BY DATE OTHER <br /> t.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2 BUILDING PUNS OO <br /> 7.FIHEHVDRANT TOTAL <br /> 1.FIRE PROTECTION SYS7EM PERMIT VALIDATION <br /> S.GHADING WHEN PROPERLY VALIDATED(IN THI i��CO THIS�S YOS1qPF�iMoIT— <�:.! <br /> ll 11 U ; <br /> 8.DR�INAGE m <br /> 7.ENVIRONIAENTALIMPACTSTATEMENT ��� <br /> B.HEALTM DISTRICT <br /> APPLICATION ACC. BY PLANS CHECKEO BY APFR.FUR ISSUANCE BY - � �• �r � � <br /> �:�.�.�: � � <br /> ' ' 1'.� `I'�•f' I.� <br /> _ ./ . i "' / <br /> n�.� JU <br /> ADDRESS FILE <br />