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�hc L�rr�,ereen <br />��,��F <br />everett <br />CITV MALL 259�9745 <br />� �ONSTRUCTION' <br />PERMIT <br />PERMIT N0. 15357 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING Ia�c MECHANICAL ❑ PLUMBING <br />OWNER KAILADDRE55 GITY 21P PMO•iE <br />Robert B. Southard 7025 Colby Evezett 98203 353-9588 <br />ARGHITECt OP DESIGNEP MAIL AODRE55 GiY ZiP PHONE <br />GENERAI COHTRACTON MAII AODBE55 LITY ZIP PMONE LIGENSE � <br />MEGNANICn�CONTRnGTOH MAILAODflE55 CITY 21P PHONE UCENSE� <br />Same <br />PLUMBING CONTRAGTOR MFIL ADDRESS CITY ZIP PMONE LIGENSE � <br />�J NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOlI71�N O fENCE ❑ SIGN � WOOD STOVEIFIFEPLACE INSERT <br />i <br />DESCRIeE WORK <br />install wood stove <br />vnovosEo use oF ouaoiNc <br />LEGAL pESCRIPT10N OF PROVERTY �: <br />LOT__BLOGK_OF_ <br />eoe nooaess <br />7025 Colby <br />PLUMBIN6 <br />NC. TYPE OF FIXT <br />WATER CLOSET �TOILFT, <br />BATHTUB <br />LAVATORI� (WASN BASIP <br />SMOWER <br />M.ITCHEN SINK 8 DISP. <br />IAUNORYTRAV <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEfiS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAH, ETQ) <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />FIRE <br />1. ENVIRONMENTAL LHECK LIST <br />2. BUIIDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />B.HEALTH DISTRICT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TfiUE AND <br />ATTACHFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEftEIN OR NOT. TH[ GFANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUAE OF CONTRACTORqR AU7NORREO AGENT DATE <br />� <br />S <br />f <br />REAR YARD SETF <br />VACANT SI1E <br />� .YE3 �._NO <br />NO. OF DWELLIN <br />MA%.00G LOAD <br />FIRE SFFINKLER: <br />REOUIR:D <br />X � e <br />MECHANICAL <br />TYPE OP E�UIPMENT <br />Alq COND. UNITS — N.P. FA. <br />REPH'�. ,ERATION UNITS — H.P. EA. <br />BOILERS — N.P. EA. <br />GAS FIRED A.C. UNITS — TCNNAGE EA. <br />FOFiCED AIR SYSTEMS — �.T.U. M EA. <br />WALL MEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATIOH PAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB 70TAL S <br />PERMIT S <br />TOTAI. FEE S <br />PLPN CNIECK NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILUING S <br />PWIdPING <br />MECHArtlCAL <br />BY OATE OTHER <br />PENALTV <br />8/26/85 <br />RECEIPT NO. <br />FEE <br />hb7Fi�] <br />TOTAL I I li I SO <br />PERMIT VALIDATION <br />WHEN PROFERLY VALIDATED �IN THI� 9PAQE) TMI�911'4U�•�F�IIL M <br />!b[ U �� <br />�` :� <br />Yo�r, RGCEIPT; ; <br />i HANY, YO U <br />NDDRESS FILE <br />2ba�85 <br />z <br />0 <br />-� <br />c� <br />m <br />.. .. <br />-� � <br />..� <br />N m <br />v <br />co <br />mo <br />� <br />O 3 <br />—I z <br />x —� <br />m <br />Q 2 <br />a -i <br />rx <br />--I V� <br />< <br />�'I <br />O A <br />�a <br />3 <br />--� m <br />2 <br />m �-+ <br />N <br />O <br />or <br />�m <br />C N <br />3 vf <br />m <br />z c� <br />-� r <br />• m <br />a <br />A <br />--I <br />2 <br />D <br />Z <br />� <br />2 <br />n <br />2 <br />O <br />� <br />r <br />m <br />r <br />