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�hc Ll�drArcrn <br />��,� �� <br />e�erett <br />CITY NALL 259�8745 <br />'_ ^,�����l�v�l�;�a, <br />pERlVlIT PERMIT N0. 132H$ <br />EVERETT,WA9B207 ❑ COMBINATION X�X BUILDING ❑ MECHANICAL ❑ PLUMBING <br />�. OWNER MAILA��RE55 CITY ZIP PHONE �, <br />AMERICAN FIRST BANK 6928 Evergreen 4lay Everett WA 98203 <br />ARGMITEGT OR OESIGNEII IdAIL ADORESS CITY ZIP PNONE <br />GENEflFL GONTFAGTOfi MAIL AOORE55 CITY 21P PMONE UCENSE N <br />Cobra Construction PO Box 1299 Everett WA 98206 258-3667 COBRACC24062 <br />MEGMANICAL WNTRAGTOR MAIL ADDRESS CITY ZIP PHONE LIGENSE M <br />PLUMBING CONTflACTOR MAIL A�ORESS dTY ZIP PMONE LICENSE M <br />S <br />O NEW ❑ AO�ITION ❑ ALTERATION ❑ AEFAIR � OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />WORN <br />molish N 20 ft of existing building at 6928 Evergreen 4lay <br />ATTACH <br />LOT_BLOCK_OF <br />Attached - North 20 ft of said building <br />Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIXTU <br />W ATER CLOSET �TOI LEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOl1NTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK ISERVICE — BAR, ETC.) <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />eL�G. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIS7 <br />2. BUILDING PLANS _ <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. EPiVIRON MENTAL IMPACT STAT <br />8. HEALTH DIS7RICT <br />APPLICATION ACC. BV PLAI <br />S <br />S <br />REAR YARD S <br />VACANT SITE <br />;:YES JNO <br />NO. OF DWEL <br />MAX. OCG. L( <br />FIFE SPRINKI <br />FEQUIRED <br />YES NO <br />BY <br />APPR.FOR <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 LAWS AND ORDIYANCES <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 THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR TI1E <br />vESEQRMANCE OF CONST UCTION. <br />sioHATUa�OF�40NT�iAC 10 U PIZEDAGENT q�Z4/84 <br />I J // B <br />MECHANICAL <br />N0. TYPE OF E�UIPi�7ENT <br />AIR COND. UNITS — H.P. C-A. <br />REFRIGERATION UNITS — H.P. FA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOPCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. ti1 <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYC-RS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIPANEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE S <br />FEE I RECEIPT NO. <br />FEES � VALUATION I FEE <br />BUILDING 5 OO OO <br />PLUM8ING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TO7AL <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS�S�OU�PFj(itLlT_ «� <br />� �� �' U v � �) <br />,-.� <br />�� <br />. . ,. �1'I `. . <br />BY <br />i v ( .� <br />. I . <br />ADDRESS FILE <br />� <br />Jt <br />0 <br />