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die fver�;reen <br />�,T� oF <br />ever�tt <br />CI7Y HALL 259�8745 <br />�' "�aNSTRUCTIOr�`� <br />PERMIT <br />PERMIT NG. 16246 <br />EVERETI', N!A 98207 � COMBINATION ❑X BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OW4Lfi MAILAO�FESS CI7Y ZIP PHO!�E <br />::asinc Exxon 8402 Everareen 47ar Everett <br />�ARCMITECT OR DESIGNEF MAIL ADDRESS CITY ZIP PHONE <br />GENEfiALCONTPACTOR MFILAU�RE55 CITY ZIP PHONE LICENSFN <br />Berrv Neon Inc. P O. Box 5269 Lvnr,wood j8n4f; 776-8835 N*247r.n <br />MECMANICII CONiRAffOR MAIL A��RESS fqTY 21P PMONE UC[NSE M <br />FLUMBINf CON''dACTOR MNL AOORE55 CI7Y ZIP PHONE LICENSE M <br />CLA55 OF WORN <br />Q NEW ❑ AD�ITION ❑ ALTERATION O REPAIF ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOJD STOVEIFIHEPLAGE INSERT <br />V4�,UATION OF WORK <br />S�.... <br />LOT <br />PLUMBING <br />TYPE OF FIXTUFE OR <br />WATERCLOSETITOILEp <br />BATHTUB <br />IAVATORY �W�CH BAS1111 <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISMWA` '9R <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATEFi <br />URINAL <br />�RINICING FOl1NTAIN <br />FLOOP ORAIN <br />VACUUM OREAKERS <br />RUOF �f1AIN5 — RAINLEADERS <br />SINK (SER`/ICE — BAR, ETQ) <br />SUB TOTAL <br />PEHMIT <br />70TAL FEE <br />SIDE YARD SE78ACK S7REET SETBA <br />USE ZONf: LOT AP.EA <br />T�^E OF CONST. OCCUPANCY G <br />�IZE OF BLOG. NO. OF STOf11E <br />FIRE ZONF. BASEMENT <br />APPBOVALS <br />1. EMVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIREHYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6 DRAINAGE <br />7. ENVIRONM <br />6. HEALTH �I', <br />STATEMENT <br />�ypi <br />I HEREBY CERTIFY THAT I HAVE READ AND EX�MINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE f.iJD <br />CORRECT. ALL PRO�/ISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF W�RK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN G'9 NOT. THE GRANTIPJG OF A <br />PERMIT DOES NOT PRESUME TO G�VE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS O� ANY OTHER STPTE OR <br />LOCAL LAN1 RECULATING COI�STRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIOM� <br />SIGNATUPE CF CONT(IACTOR OR AUTHORIZEU AGEtl7\ �ATE <br />MECHANICAL <br />FEE N0. 'YPE OF EOUIPMENT <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UI�ITS —'ONNAGE EA. <br />FORCED AIR SYSTEInS — �.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UIJIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLO7HES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M1!. <br />STOVE — WOCD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />5 <br />:-:YES ;�.NO <br />n�o <br />BY <br />pPPR.FORISSUANCEBY <br />Elec. NV <br />LC 3/18/86 <br />SUB TOTAL S <br />PEfiM1T 5 <br />TOTAL FEE 5 <br />(NUMBER PLAN C <br />FEE � <br />FEES VALUATIO� <br />eui�oiNc <br />PLUMBING <br />AIECHANICAL <br />OTHER <br />S 600 <br />FEE <br />1 <br />.� <br />K FEE <br />RECEIPT NO. <br />FEE <br />5 0 <br />PENALTY SECy3031a� <br />TOTAL S 00 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALI�ATED pN THIS(SPqA3E�THIS 1�,1(0�77E�lA�7 _;:._,i <br />U ,UU U <br />i , <br />'� r ' <br />�. .. �..ii I• • <br />'!. '1 <br />Sign to be all on private property. <br />ADDRESS FIIE <br />� . : �' � ( <br />�. �� � � <br />