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rhe Evergn�en <br />��T�,oF r� ,�O�V�TRUCTI01�l� � <br />everett ���nn�T � PERM�T No. 14774 <br />CITY HALI 259�B7�5 <br />EVERETT, WA98201 ❑ COMBINATION ❑ BUILDINCv ❑ MECliANICAL xI� PLUMBING <br />OWNEP MAIL ADD�E55 CITY 21P PMONE <br />Harmon & Aeeouiates 9725 3rd Avenue A�.E. Seattle 98115 522-2085 <br />ARCHRECT OR DESIGNER MRIL AUDRESS CITY 21P PMONE <br />GENENAL GONTFAGIOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />MECNANICAI GONTR�CTOR MAI� ADDRESS QTY ZIP PHONE LICENSE / <br />T& Pi Mechanical 18916 13th Place South Seattle 98188 <br />PLUMBIN6 GONTflACTOfl MAIL ADORESS CITY ZIP PNONE LICENSE 1 <br />❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br />VAWATION OF WORN � <br />S <br />Install plumbing in restrooms <br />�or <br />IOB ADDRE55 <br />Zi�rJ $. <br />PLUMBING <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />BATH7UB <br />6 LAVA70RY(WASHBASIN) <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDHVTRAY <br />CLOTHES WASHER <br />( WATER MEATEP <br />UHIN4L <br />DRINKING FOUNTAIN <br />3 FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS - RAINLEADERS <br />1 SINK (SERVICE - BAR, ETC.) <br />I. iCold Water rouah-in <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF <br />FIREZONE BASEMI <br />APPflOVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS � � <br />3. FIRE HYDRANT ' � <br />4. FIRE PROTLCTION SYSTEM <br />.�, �-5.GRADING � <br />'.! i6. DFAINAGE ' <br />COPIES) <br />FEE <br />S <br />s 49 <br />REAR YARD SETBA <br />VACANT SITE <br />❑YES ❑NO <br />N0. Of DWELLING <br />MAX. OCC. LOAD <br />FIRE SPFIINKLERS <br />REOUIaED <br />❑YES r7�J <br />BY UATE <br />?-. ; 7. ENVIRONMENTAL IMP�C� STATEMENT <br />'v tl. HEALTH��ISTAICT co <br />�="APPLICATION ACC. BY �. � PLANS CHECKED BY APPR. FOR <br />L: i � . <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA'fION AND KNOW THE SAME TO BE 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 TfiE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOp�/��•��ANCE OF CONS7'RUCTION. � <br />SIGNATUP/JO�NTPApJOFi OR AUTMOaZED AGENT �%� DATE � <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIR[D A.C. UNI75 - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATEFS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />( VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WpOD <br />METAL FIFiEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />TOTAL FEE <br />S <br />S <br />S <br />PLAN C <br />FEE <br />FEES VALUA710N <br />ret <br />RECEIPT NO. <br />FEE <br />BUILDING 5 <br />PLUM8ING 49 00 <br />MECHANICAL 28 00 <br />OTHER <br />U.6.G. <br />PENALTY SEC.3�i31a) <br />TOTAL 77 00 <br />PEHMIT VALIDATION <br />WHEN PROPEFLV VALIDATEU pN THIS�SPAC� THIS IS YOOR PERMI7 *;4 <br />- - . . `: i. �: �,; '�'f <br />�� <br />� <br />. � �Pi ri <br />. . ,J <br />AGJRESS FILE <br />