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rhe Errrcr�en <br />�' IY GF <br />everett <br />CITY HALL ."59�B7d5 <br />EVEHEtt. 1'aA 98207 <br />� �ONSTRUCTIO�' <br />PERIVIIT PERMIT NO. 12T�O <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ownea .""'. """..`_ Everett 981U4 <br />5025 Colby Ward Martin <br />ARGHITEGT OR DESiGNER <br />MAIL ADURESS CITY ZIP �l10NE <br />GENEPAL CONTRAGfOR <br />MAILADOPESS CITv 21P PMONE LCENSE� <br />MEGMRNIGAL GONTRALTOR <br />MAI�ApDflESS CITY 21P PMONE LIGENSEM <br />Natural Gas Equipment Co. Inc. 1625 East Marine View Drive 982�1 ZSBNo44 LtCEN5El1 <br />VWMBINGCONTRFGiDF M�ILAODRESS LiTY ZiP <br />CU55 OF WOR1t <br />❑ NEW ❑ ADDITION ❑ ALTEHATION O REPAIR ❑ DEMOLITION O FENC[ O SIGN ❑ WOOD STOYEIFIREPUICE INSER <br />YALUATION OF WORK <br />S <br />LOT__BLOCN_OF <br />IOB PDDFE55 <br />5025 Colby <br />PLUMBING <br />NO. TYPE OF I <br />WATER GLOSET (TC <br />SHOWEF <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DP.ItJKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM dREAHEflS <br />fi00F ORAINS — RAI <br />. e ,eeovirC _ RA <br />FIi7L <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LA1M1'S AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME 10 GIVE AUTHORIIY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CGNSTRUCTION Ofi THE <br />PERFORMANCE OF CON TRUCTION. <br />X NAtUR`OF sON1�1q{:TOR 0� !ORi2C� pGENT DAtE <br />F� �� (1 �� � � I 1� 11/2B/83 <br />/A l SI X�WV ��� <br />MECHANICAL \J <br />OR ITEM FEE N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE E. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATEPS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE GOOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />— RAIJGE HOOD <br />AIR HANDLING UNIT — <br />S70VE — WOOD <br />ERS METAL FIREPLACE 8 CMIMNEY <br />� FIREPLACE INSEfiT <br />HEAT PUMP _ <br />70TAL FEE <br />OF <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />J. PIRE HYDRANT <br />4. FIRE PROTEC110N SVSIEM <br />5. GNAOING <br />6 �RAINAGE <br />L ENVIHONIdENTAIIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPUCATION ACC. BY PLANS CHE <br />EA. <br />G.F.M. <br />; SUB TOTAL f <br />s PEHMIT s <br />s TOTALFEE s <br />9[qR VARD SET9ACK PLAN CHELK NUMBER PLAN C <br />FEE <br />VACANT SITE FEES VALUATION <br />I.YES NO <br />NO. OF OWELLINO UNITS <br />BUILDING s <br />MAX.00C.LOAD <br />PI.UMBING <br />FIRE SPRINKLERS MECHANICAL <br />REOUIRED <br />YES NO <br />BY DATE OTHER <br />— U.O.C. <br />_ PENALTY S[C.7031a) <br />APPP. <br />FEE <br />RECEIPT NO. <br />FEE <br />ZQ � S� <br />TOTAL � <br />PERMIT VALIDATION �,j�,��.�� � <br />WMENPflOPERLYVALIDATEDQNTHi��PAaE1TMl I��� iF-- <br />� <br />'i : �'J z2 RECEI�T � <br />a� �, ; �;�,raK YO U <br />ADDRE55 FILE <br />_/ 9 i�Y 8 3 <br />