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�he Ecer,�reen C O N ST R U CT I O 1 • <br />c�1v oF � <br />everett PERMIT PERMIT NO. �4535 <br />CITY HALL 259�8745 <br />EVERETT,WA98201 ❑ COMBINATION � BUILL'ING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILAODFE55 CITY ZIP PMONE <br />W.M. Black 5820 Fleming Road Everett 3�5-2855 <br />ARCHITECT OF DESIGNEfl MPII ADOPESS CITY 21P PHONE <br />MECHANICAL CONTRACTOR MAIL AOORESS CITV ZIP MHONE LICENSE M <br />PLUMBING CONTHACTOR MAIL ADDRE55 CITY 21P PHONE LICENSE N <br />❑ NEW ❑ ADDITION �CALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />.UATION O�F (W�ORK <br />S 1./�WeO� <br />Construct wall in <br />35Tb}tn 36B�ocK ! oF <br />5820 Fleming <br />PLUMBING <br />NO. TYPE OF <br />residence <br />OR ITEM <br />LAVATORY(WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREAKEPS <br />ROOF �RAINS — RAINLEA�ERS <br />SINK(SERVICE — BAR,ETC.) <br />SUB TOTAL <br />70TAL FEE <br />BLDG. <br />ZON <br />APPHOYALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIFE PROTEC710N SYSTEM <br />6. DRAINAGE <br />7. ENVIRONMENTAL <br />� 8. HEALTH DIS?RICT <br />S7ATEMEN7 <br />r <br />>ort and install garage door <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Div. 4 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 PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION CR THE <br />PERFORMANCE OF CONSTRUCTION. <br />cir.uelu4iF OF f.ONTRACTOF OR AUTH➢RIZEO AGENT DATE <br />MECHANICAL <br />FEE N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. M EA. <br />WALL HEATEHS — B.T.U. M <br />UN�T HEATERS — e.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />i <br />5 <br />S <br />VACANT SITE <br />YES �NO <br />FIRE <br />BY <br />SUB TO7AL <br />PERMIT <br />TOTALFEE <br />� FEE <br />FEES VALUA710N <br />S <br />f <br />5 <br />RECEIP7 NO. <br />FEE <br />aui�oiNc 51 000 17 50 <br />r <br />OCC. LOAD <br />PLUMBING <br />SPR'-KLERS �,�ECHANICAL <br />IRED <br />!7N0 <br />OATE OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a1 <br />TOTAL 17 SO <br />PERMI7 VALIDATION <br />WHEN PROPERLY VALID4TED (IN 7NIS SPA,1E� THIS, IS Yi Up ��MIT � <br />� <br />APPR. FOR ISSl1ANCE BV <br />DAB <br />ADDRE55 FILE <br />� <br />z <br />0 <br />� <br />� <br />� <br />m <br />r-i �--� <br />� T <br />.� .--i <br />Nm <br />cc <br />m o <br />-� c <br />O 3 <br />-1 Z <br />2 --I <br />m <br />.O Z <br />D --I <br />r x <br />�--i �--i <br />-1 N <br />< <br />T <br />O y <br />3 <br />-� m <br />2 <br />i�t � <br />N <br />o r <br />nm <br />C N <br />3 v� <br />Z C) <br />-� r <br />• m <br />a <br />� <br />-� <br />x <br />a <br />Z <br />� <br />2 <br />� <br />Z <br />�--i <br />c"� <br />m <br />