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, � Ihe fverQreen � <br />everett �ONSTRUCTION <br />qTVHALL259�B7a5 PERM�T PERMIT ���J. 1306� <br />� EVERETT. WA 98201 � COMBINA710N ❑ BUILDING �XI MECHANICAL ❑: LUMBING <br />OWNER - MAIL ApDRE55 <br />�auo�e� nn�n�n ....��..�_____ ." _ CITY 21p PNONE <br />S <br />GENERR� CONTflRCTOR Mrlll ApORE.',S <br />CITY GASA[3f371 NT PNONE LICENSE t <br />r_nc noei rnurrc ,,..� .� ..... -• - - -- - <br />PWMBING CONTRACiOR MAIL pDDqESS CITY <br />Z�P PHONE LICENSF / <br />❑ NEW ❑ ADDITION %(b q�7EflAT10N ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br />nc� - <br />S <br />DESCRIBE WOHK <br />Replace oil furnace with gas <br />PHOPOSED USE OF BUILDING <br />Restdence <br />�or_e�ocK_oF <br />5501 Fleming <br />PLUA.191N0 <br />1_O: TYPE OF <br />WATER CLOSET (T <br />9A7F;TUB <br />SHOWER <br />NITCIIEN SINK d DISP. <br />DISMWASMER <br />LAUNDRVTRAy <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL � <br />)RINKING FOUNTAIN <br />'LOOR DRAIN <br />/ACUUM BREAKERS <br />700F DRAINS — RAINLEADERS <br />oINK (SERVICE — BAR, ETC.) <br />SUBTOTAL s <br />1. ENVIflONI <br />2. BUILDING <br />3. FIRE HVOI <br />5. <br />8. <br />TOTAL FEE <br />S <br />"YES ❑NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 3E 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 PRESUM E TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTH[R STATE OR <br />LOCAL LA UL NG CONSTRUCTION OR THE <br />..�„�,......�'�� _ � <br />� <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILEHS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FOqCED AIR SYSTFMS — B.T.U. OQ.1 E <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVApORATIVECOOLERS <br />AIR MANDLING UNIT — C.F.M <br />STOVE — WOOD <br />METAL FIREPLACE & CFIIMNEY <br />PUMP <br />SUB TOTAL s <br />PERMIT f <br />TOTAL FEE s <br />FEE I RECEIPT NO. <br />VALUATION FEE <br />BUILDING S <br />LOAD <br />PLUM9ING — <br />KLERS MECHANICAL <br />p �8 0� <br />ORTE OTMER <br />PENALTV U.B.C. <br />SEC. 303 (a� <br />TOTAL � 8 00 <br />PERMIT VALIDATION <br />WHENPflOPERLYVALIDATED(INTHI$,$PqGpTHIS�j(O�FaP9p1�yT�(Sy � <br />tSJ7Y U 0 UV �Ul <br />O <br />ssunNce er Y�_ � J R R E C E I PT,M—o <br />�.-fF;?vK YGll <br />ADDRE55 FILE <br />—261dR$4 <br />� <br />� . <br />� <br />