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�FrE��erAreen - �pNSTRUCTION <br />pTrG� � <br />everett PERMIT PERMIT NO. 12296 <br />CITV HALL 259�87C5 <br />EVERE7T.YJh98201 [� COMBINATION �C BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWM1ER <br />MRII AD�RESS CITY ZI. PMDHE <br />Ole Olson P. O. Box L Lynnwood 9b036 745-126 <br />. _ .___ rrtv LP VHONE <br />fiENERAI CANIRRGTOX <br />M�IL �DOpE55 GT' 21P PMONE UCENSE I <br />Riverside Roo£ Co. 2916 State Street Everect 98201 258�4�64 "c��. <br />MEGMRNiCAL GONTRACTOR MAIL AODRESS <br />RI VE RR *302T0 <br />iLUMBING CANTHACiOfl <br />MAIL ADONESS CITY ZiP PMONE 4G[NSE � <br />❑ NEW ❑ ADDITION O ALTERATIDN ❑ AEPAIR O DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WONK <br />s �.5,e�io.00 <br />DESCRIBE WORI: <br />Apartment Build <br />�er 10 BLOCN_OF Baker McLau <br />�oe r.Por+ess <br />S1Z0 Colby <br />PLUI�IBING <br />NO. TYPE OF FIXTUHt �n <br />W A1ER GLOSET QOIIET) <br />�ATIITUB <br />LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 6 OISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />:LOTHES WASHER <br />WATER HEA7ER <br />URINAL <br />CRINKING FOUNTAIN <br />FLOOH DFAIN <br />VACUUM BREAKERS <br />ROOF DFAINS — RAINLEADERS <br />SiVK ISEqVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />OF <br />1. ENVIRONMENTAL CMECK 115T <br />2. BUILDING PLAMS <br />7. FIRE NYDRAHT <br />4. FIRE PROTECTION SVSTEM <br />5. GFADING <br />G. ORAINAGE <br />HEAL <br />BV <br />FEE <br />i <br />f <br />S <br />YES . NO <br />OCC. <br />IJO <br />OATE <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AIJD KNOW THE SAME TO OE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNIIvG THIS TYPE OF WORK VJILL BE COMPLIED WITH <br />PERMITDOESNOTIPR� UMETOGIVEAUTHORITYTOVOLATE <br />OR CANCEL THE PRUVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. oaTE <br />SIGIUTURE OF d'f.iRACTOR OR At/l NONi2E0 AGENT <br />., .-r i �. i, i., ., ✓„-- - 8/4 / S 3 <br />MECMANICAL <br />NO. TYPE OF E�UIPMENT <br />qIR COND. UNIT$ — N.P. EA. <br />REfRIGF.RA7IVN 11NI1S — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEFS — B.T.U. M _ <br />UNIT HEATERS — B.T.U. M <br />EVAPORAI'IVE COOLERS <br />CLOTHES DRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />Alfl HANGLING UNIT — C.F.M. <br />STOVE — VlOOD <br />METAL FIREPLACE 6 CNIMNEY <br />FIREP;.ACE INSERT <br />HEAT PU1AP <br />SUB TOTAL <br />PERMIT <br />TOTALF[E <br />: NUld9EF <br />FEE <br />FEES �p�� <br />BUILDING <br />PLUM91N0 <br />MECHAN�LAL <br />OTMER <br />E15,fl40.0 <br />FEE <br />� <br />S <br />f <br />�NECKPEE <br />RECEIPT NO. <br />FEE <br />116 50 <br />PENAITY SEC.3031a) <br />rora� 116 50 <br />PERMIT VALIDATION <br />WMEN PROPERLY VALIDATED IIN TNIaS�5P8AiE) TH����� Yl 6 S O IT � <br />N <br />er YC?UP. RECEIPT `� <br />-r►-,�►vK You <br />ADDRESS FILE <br />-qwc83 <br />e <br />