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� - k, <br />k� �'..� <br />�j k <br />N <br />� A N Y . <br />`��;.� , r <br />tu kv s . <br />I � � � <br />r ���`��" �' <br />�he E�•erRreen „O N ST R U CT i O�_ <br />��T� oF r- ^ <br />everett PERMIT PFRMIT NO. 1Z4HZ <br />GITY HALL 259�87d5 <br />EVERETT, WA 98201 ❑ COMBINATION �c BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRE55 LITY 21G PHONE <br />HelenHopkins 810 Colby Everett <br />APCMITECT OR DESIGNER MAIL ADDRE55 CITY 21P PNONE <br />GENEflRL GONTMGTOR MAR /.DDRE55 LITY ZIP PNDNE UCENSE M <br />Mel Forre 7532 Lower Rid e Road 353-4659 <br />MECMANICALGONiRNGTON MAIL APDflE55 CITY 21P PMONE LIGENSE � <br />PLUMBIN6CONiRACTOR MAIL�DDRE55 GTY ZIP PNONE LICENSEM <br />❑ NEW <br />.UATION OF WORK <br />f 250�.00 <br />❑ ADDITION �CALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />Install two garden windows <br />PNOPOSEO USE OF BUILDING <br />LEGAL OESGNIPTION OF PROPERiY (SMOW BELOW OR <br />iol-� e�ocn 168 oF �Qion Park <br />JOB ADDRESS <br />810 Colby <br />PLUMBIN6 <br />N0. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />BATMTUB <br />LAVATORY (WASH BASIN) <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTMESVJASHER <br />WATER MEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />DRAINS — <br />SERVICE — <br />OF <br />PERMIT <br />TOTALFEE <br />OF <br />APPPOVALS <br />1. ENVIflONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVOFAWT <br />d. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENtAL IMPAGT STAT <br />8. HEALTH DISTRIGT <br />APPUCATION ACC. BV PLAI <br />CH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AN� KIJOW THE SAME TO B� TRUE AND <br />CORRECT. ALl PROVISIONS OF LAWS 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 TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THF PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />vNM:I�REO�F�lTPAGT OR' AU� OA�EDAGENT DATE <br />n %/1 �[�� v �•�i 9/29/83 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPti1ENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNIiS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATtflS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILAiION FAN <br />RANGEHCOD <br />Alfl HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />MEtAL PIREPLACE S CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />t <br />S <br />f <br />;-.YES ��:NO <br />FOR <br />SUB TOTAL S <br />PERMiT f <br />TOTALFEE f <br />FEE � HECEIPT NO. <br />BUILDING S2S00. 38 S� <br />PLUMBING <br />MECHANICAI <br />OTNER <br />PENALTY U.B.C. <br />SEC.3031a) _ <br />TOTAL I � I <br />PEHM�T VALIDATION <br />WMEN PROPERLY VALIDAtED �IN TFUSiS!/�E) TMIgl�lfp�{R ��MI7 �,;�J <br />� > > l J t; cb <br />�" <br />N <br />'r'OUR RECElPT � <br />�r��r!: You <br />ADDRESS FILE <br />29�'83 <br />