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� <br />,,'c`"�T�e�F r - �ONSTRUCTIOP' _ <br />everett PERMI'T PERMIT NO. 13gO2 <br />CITY HALL 259�8745 <br />EVERETf,WA98201 ❑ COMBINATION ❑ BUILDI�G ❑ MECHANICAL C;� PLUMBING <br />OWNER MAILA��i.ESS CITY ZIP PMONE <br />Union 76 1502 South East Everett Mall Way Everett 98204 353-3939 <br />_._ e�„u� <br />� <br />GENEHAL CONTRACTOR <br />MAIL AD�flE55 GTY ZIP PMONE LICENSE N <br />MECHANICAL WNTflAGTOR <br />MAIL AOORE55 CITY ZIP PMONE LICENSE M <br />PLUMBING GONiRACTOfl <br />MAILA��RESS CITY ZIP PMONE LICENSEX <br />T& T Plumbing 4319 180th S.E. Bothell 483-3581 <br />GLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ A�TERATION O REPAIR ❑ OEMOUTION ❑ FENCE O SIGN ❑ W�OD STOVF7FIREPLACE IN <br />S <br />�pT�BLOCK__OF <br />JOB AODPESS <br />1502 S.E. Everett Ma.11 Way <br />PLUMBING <br />TYPE OF PIXTURE OR ITEM <br />W PTEF CLOSET (TOILEn <br />BATHTUB <br />LAVATORYIWASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINHING FOUNTAIN <br />FLOOR �RAIN <br />VA�UUM BREAKERS <br />R�`OF DRAINS — RAINIEADERS <br />SINK ISERVICE — BAR, ETG) <br />TOTAL <br />FEE <br />SIZE OF BLDG. <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE fiYDRANT <br />a. FIRE PROTECTION SVSTEM <br />5. GFA��NG <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />�ISTRICT <br />ON ACG. BY PLANS <br />FEE <br />5 2 00 <br />5 QQ <br />5 5 <br />iEAR YARD SETBACK <br />VACANT SITE <br />f:YES CNO <br />occ. <br />BY <br />APPR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />CORRECTIO LL PROV SI�ONS OF LANS ANDBO DRNANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIM OR NOT. THE Gi?ANTING OF A <br />FERMIT DOES NOT I'RESUME TO GIVE AUTHORITY TO VIOLATE <br />�OCALN LAW HREGU�AITINGSCONSTRU�CTTION SOR T�E <br />PERFORMANCE OF CO STRUCCIUN. <br />SIGNAT/U(gg'OF CONTRACTOR R UjHORIZED AGENT OATE <br />X +C..J.�/.G��e � � i� 9/12/84 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. 11NITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. AS EA. _ <br />WAIL HEATERS — B.T.U. M _ <br />UNIT HEATEFS — 2.7.U. M <br />EVAPORA7IVE GOOLERS _ <br />CLOTHES DRVERS <br />VENTILATION fAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIFEPLACE INSERT <br />HEAT PUMP — <br />SUBTOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />FEE � RECEIPT NO. <br />VALUA710N FEC <br />BUIL�ING S <br />OAD 5 00 <br />PLUM8ING <br />;LERS MECHANICAL <br />) <br />�ATE OTHER <br />U.B.C. <br />PENALTY SEC. 303 (al <br />5 00 <br />TOTAL <br />PERMIT VALIDATION � <br />WHEN PROPERLY VALIDATED QN THIS �PAC�E) THIS�ISIY �UA PURMIT � <br />1 ) <br />� <br />M <br />� . . . .. . . �, I I � � T'i <br />ISSl1ANCE BY . , , , , 1, i � <br />�� �i :,'_�� �� :j <br />i <br />� <br />..e <br />� <br />ADDRESS f-ILE <br />_,1 <br />L� <br />