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'�"`�`���1��`��� r ^ONSTRUCTIOf� <br />everett PERMIT PERMIT NO. 1��4b7 <br />GTY HALL 25987d5 <br />EVERETT, WA 9h101 � COMBINATION ❑ BUILDING X�7c MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADORE55 LITY IIP PMONE <br />E1siMae Haynes 3905 Federal Ave. Everett 252-1607 <br />ARGMITECT ON OESIGNER MAIL AOOPE55 QTV 211 PHONE <br />GENEPAL GONTRAGTOR iAAIL RDDRE55 CITY ZIP PMONE UGENSE � <br />D.L, Schandel 3405 102nd Place S,E, Everett 337-8981 DLSCHPH161K0 <br />MELHRNILAL CONT9AGTOP MAIL AOOPESS QTY ZIP PIIONE LIGENSE � <br />PWMBING CONTRACTOR MAIL A�ORESS ��TY 21P PHONE UCENSE � <br />❑ NEW ❑ A�OITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ K'OOD STOVEIFIP.EPLACE INSERT <br />f <br />Install �#ro- wnter oil fired boiler <br />family residence <br />LOT_BLOCK_OF <br />3905 Federal <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILEn <br />LAVATOPY ryYASH BASIN� <br />SHOWER _ <br />K�TCHEN SINK 8 DISP. <br />DISHWf^HER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIIJ <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK (SERVICE — BAR, E7C.1 <br />SUB TOTAL <br />TOTRLFEE <br />BLDG. <br />1. ENVIRONMENTAL CHECK LIST <br />2. PUILDING PLANS _ <br />3. FIRE HVDRANT <br />a. FIRE PROTECTION SVS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPAGTS7ATEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ARACNFOJRCOPIES� 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 THE PROVISION$ OF ANY OTHE STATE OR <br />LOCAL IJ�W REGUL91fRJ$ C�ISTRUCT� OR THE <br />FEE <br />S <br />S <br />S <br />REAR YARD SETBACK PLAN <br />VACANT SITE <br />:�,YES ..NO <br />MAX.00C.LOAD <br />BY <br />f:G7 <br />PLANS CHECKED BY I APPR. FOH <br />1 <br />AIR COND. UNIT$ — H.P. EA. <br />fiEFRIGERATION UNIT$ — M.P. EA. <br />BOILERS — H.P. EA. 185 BTU <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WA! L HEATERS — B.T.U. ti1 <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />BUILDING <br />PIUMBING <br />MECNANICAL <br />OTHER <br />SUB TOTAL <br />PEPMI7 <br />TOTAI FEE <br />f <br />FEE <br />VALUA710N <br />S <br />2/i��n5 <br />� <br />S <br />S 21 00 <br />CHECK FEE <br />RECEIP7 NO. <br />FEE <br />� <br />ii o0 <br />PENALTY SEC.�3091a) <br />TO7AL 21 00 <br />PEHMIT VALIDATION <br />WHEN PROPEFiLY VALIDATED �1N THIS SPACE) TH16 IS YO R PEPMIT_ 11- <br />�y.�u- �� <br />�' <br />�' <br />� � .I �--i <br />BY <br />,� <br />ADDRESS PILE <br />IJ „i <br />� <br />Z <br />0 <br />.. <br />� <br />m <br />.. ... <br />—I T <br />... � <br />u+ x <br />m <br />c v <br />m o <br />� <br />O 3 <br />m <br />-i z <br />m � <br />.O Z <br />D —f <br />r x <br />.--i o-.� <br />-�G N <br />O A <br />'�I � <br />-i m <br />2 <br />rTl N <br />or <br />c� m <br />C vi <br />m' v� <br />2 C'f <br />�r <br />• m <br />a <br />A <br />--I <br />2 <br />D <br />2 <br />--1 <br />2 <br />N <br />Z <br />O <br />� <br />�-. <br />("� <br />m <br />