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� <br />1 <br />/hc Ll•rrAreen � O N STi R U CT I O N <br />��rY oF r _- n <br />everett PERMIT P� nMIT N0. 1-2�1�- <br />CITY HAL1.259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING xC�c MECHANICAL ❑ PLUME3ING <br />OWNER MAILADDRESS CITY 21p PHONE <br />I D McComb 5406 Fleming Everett <br />ARCMITECT OR DESIGNI:R MAIL ADORESS CITY ZIP PHONE <br />GENERAL CONTRACTOP MAIL ADORESS CITY 21P PHONE LICENSE M <br />MECHANICALCONTRACTOR MAILP�DRE55 CIiY ZIP PHONE LICENSE� <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br />PLUMBING CONTflACTOfl MAII ADOPESS CITY 21P PY.ONE UCENSE M <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUAf10N OF WOHK <br />f <br />DESCRIBE WORK <br />LOT_BLOCK_OF <br />JOB ADORE55 <br />640o Fleming <br />PLUMBING <br />TYPE OF FIXTURE OR 17EM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FO�JNTAIN <br />FLOOH DRAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS - PAINLEADERS <br />SINK�SERVICE - BAR,ETCJ <br />PEqM1T <br />TOTAL FEE <br />FEE <br />� <br />S <br />S <br />REAR YARD S <br />VACAN7 SI7E <br />SVES CNO <br />NO. OF DWEL <br />MAX. OCG LC <br />FIRE SPRINKL <br />REOUIRED <br />❑YES _.NO <br />APPHOVALS BY OATE <br />1. ENVIRONMENTAL CHCGK LIST <br />2.6UILDING PL1NS <br />3. FIRE HYDRANT <br />4. FIREPROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. AI.L PROVISION5 OF LAWS AWD ORDINANCES <br />GOVERNING THlS TYPE OF WORK WILL BE COMPLIED WITH <br />VJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES �JOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OF: CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LO�;AL LAJ! REGULATING CONSTRUCTInN OR THE <br />PE�irURMAMCE OF CONSTflUCTION. <br />''.:.J4qE OF )NTRA TO OR AUTMO AGENT � DATE <br />x � ti �� � 12/14/83 <br />MECNANICA� <br />NO. TYPE OF EQUIPMENT FEE <br />AIF COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FOflCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS -- B.T U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />flANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PENMIT S <br />TOTALFEE f <br />FEE I RECEIPi NO. <br />FEES I �A�UATION I FEE <br />BUILDING I � <br />PLUMBING <br />MECHANICAL I I 14 <br />OTHER <br />PENAL7Y U.B.C. <br />SEC.303 <br />TOTAL I I 14 I 50 <br />PERMIT VALIDATION <br />WHEN PqOPERLY VALIDATED (M THIg �as,r�� rr.iS41$Yf��R PCRItl1T � <br />,D ll 4 ) U <br />OC� <br />N <br />`,'`"'JR �:�CEIPT�"� <br />i � <br />i.' i.�1�\!� i �. U <br />ADDRESS FILE <br />I 3 �tc b 3 <br />yl <br />� <br />a <br />� <br />