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P <br />� <br />� <br />�he Errr�rren " <br />everett � �ONSTRU�TIO�' <br />CITYHALL25987.5 P�RMIT PERMIT NO. �-i9O1 <br />EVERETT, 1YA 982G1 � COMBINATION L BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILADDRE55 GrtY ZI� PMONE <br />Stan Jones 6138 Colby Everett 98203 347-2747 <br />ARLHRECT OR OESIGNEH MAR �DONESS LItT 11P PMONE <br />GENERiLGOHiR�QOR M�ILl.D�RE55 GITY ilP PMONE LICENSE� <br />Goode Construction 5832 119th Avenue N.E. Lake Stevens, (98258 334-9262 <br />MEGMqNIC�LCANTR�CiOR MML�ODRE59 CT' 21i PMONE IIGENSE� <br />GOO�EC208L4 <br />PLUMBING CANTN1CtOR MI11L AOUn�..0 CITY ZiV PXONE 4GFNSE � <br />❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN O WO00 STO4EIFIREPLACE INSEFlT <br />s $,000.00 <br />le Famil <br />l0T_OLOCN_OF <br />6 28N SE <br />6138 <br />PLUMBING <br />TYPE OF <br />WATEfl CLOSET �T <br />BATHTUB <br />LAVATORV(WASM <br />SHOWEq <br />NITCNENSINK80 <br />LAUNDPYTRAY <br />CLOTMES WASHEP <br />IkATER HEATEH <br />UPINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUTA BREANERS <br />ROOF DRAINS — RAINlEA0ER5 <br />SINN �SERVICE — BAR. ETCJ <br />6' <br />EZONE <br />R-1 <br />�E OF GONST. <br />V—N <br />E OF BLDG. <br />576 Sq. Ft <br />I HEflEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRGVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A <br />PERMIT DOES NOT PRE:,UME TO GIVE.�UTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT FEE <br />PIR GOND. l/NlTS — H.P. EA. <br />i1EFRIGERATION UNITS — H.P. EA. <br />OOILERS — N P. EA. <br />GA$ FIRED AA. UNITS — TONNAC�E EA. <br />POPCED AIP SVSTEMS — B.T.U. M EA. <br />WALL MEAIEPS — B.T.U. M <br />UNIT MEATERS — B T.LL M <br />SUB TOTAL S <br />FENMIT 3 <br />TOTAIFEE f <br />EETSETBACK PEAHYARD SETBACK <br />20' N A <br />AREA VACANT SITE <br />YES , X!R <br />RPPPOVAL5 <br />1. ENVIqONMENTAL CHECK LIST <br />7. Bllll.biur o� euc <br />d. FIRE PROTECTIrN SYSTEM <br />5. GRADING <br />8. DRAINAGE <br />L ENVIflONMENTAL IMPACi: <br />B. HEALTH DISTRICT <br />APPIICATION ACC. BV <br />EB <br />M <br />1 <br />PlANS CHE( <br />HWM <br />DRIIERS <br />RANGEHOOD <br />AIP HANOLING UNI7 — GF.M. <br />STOVE — WOOD <br />METAL FIR[P�ACE 8 CMIMNEV <br />FIREPLACE INSERT <br />MEA7 PUMP <br />SUBTOT4L f <br />VERMIT f <br />TOTAL FEE { <br />83/11901 FEE 32. g3 REGEIPT NO, <br />FEES VAWGTION �Z�R'�— <br />oui�oiNc s 5, 000. 50 50 <br />0 <br />PLUMBING <br />AS MECHANIGAL <br />0.TE OiHER <br />PENALTV U B C. <br />SEC.JOJ�e� <br />TOT�L S O S O <br />PEPMIT VA�IDATION <br />WHEN PpOPERLY VAIIDATED (IN TMIS SPACE) TMIS IS VOUfl PERMIT � <br />6041 f050.50-� <br />� <br />["� <br />IANCEBY YOUR RECEIPT'� <br />Lc THANK YOU <br />ADDRE55 FILE <br />25�83 <br />�il <br />� <br />� <br />� <br />