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1 <br />7h.e CreiCrrrn <br />��,,�: <br />e�v�rett <br />CITY HALL 259�6745 <br />EVEtiE7T, VJA 9820i <br />CONSTRUCTIO�`' <br />PERMIT <br />❑ COMBINATION ❑ BUILDING G MECHANICAL <br />PERMIT NO. 15723 <br />��LUMBING <br />OWNER MAIL ADOPE55 CITV ZiP PYJNE <br />Lawrence Heigert 4930 Dogwood Drive Everett <br />AHCHITEGT OR OESIGNER MAIL ApDRE55 CITY ZIP PHpNE <br />GENERALCONTRFGiOR MAI�ADDRE55 diY 21P PMONE LICENSE� <br />MELHANICAL CONTRAGTOfl MAIL AODPESS dTY ZIP PMONE LICENSE • <br />PLUMBING CONTPACTOR MFIL AL`DRE55 CITY Zlp PMONE LIGENSE • <br />Natural Energy Systems, Inc. 15904 53rd Avenue South a'eattle 98188 431-1700 <br />CLASL OF 1YORK - g��r ]� <br />❑ NEW ❑ ADCiT10N O ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE N 1J SI�S Z79WOOD STOVFJFIPEPLACE INSERT <br />LOT_BLOCK___OF <br />JOfl AOORESS <br />4930 Gocwood Cr.�•� <br />PLU�IBING M.•...^�.-.�. <br />NU. TYPE OF <br />WATEH CLOSET(T <br />DATHTUB <br />1AVA70RY IWASN BASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHIhASHER <br />LAUNDRYTRAY <br />WATEN H°ATER <br />URINAL <br />DRIIIKING FOUN7AIN <br />FLOOR ORAIN <br />VACUUM BFEAKERS <br />ROOF DRNINS — RAINLEADF <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PFRMIT <br />TUTAL FEE <br />BL�G. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LI57 <br />2.8111LDING PLANS <br />3. FIRL HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />TI'. DISTRICT <br />ATION ACC. <br />S7ATEMENT <br />BY <br />S 2 00 <br />s 3 00 <br />s 5 00 <br />REAR YARD SETBACK <br />VACANT SITE <br />::VES ;�.NO <br />NO. OF ON'ELLING UNIT <br />MA%.00G LOAD <br />FIHE SPRINKLERS <br />REOUI9ED <br />�. �.YES : NO <br />BY DATE <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMIF'ED THIS <br />APPLICATIO� AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COA,IPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES �OT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATOFE OF CONTRALTOR OR AL'TMORRED AG[NT pqTE <br />%: Chack &Zcldq � � i.,.. i.,� <br />MECHANICAL <br />N�TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEHS — H.P. EA. <br />GAS FIRED A.C. UNI7S — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIHEPLACE 8 CMIMNEY <br />PIREPLACEINSEFT <br />HEAT PUMP <br />FEES <br />BUILDING <br />PLl1MBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTdL <br />QF.M. <br />FEE <br />SUB TOTAL 5 <br />PERMIT f <br />TOTAL FEE f <br />PLAN CMECK FEE <br />FEE RECEIPT N0. <br />VALUA710N FEE <br />5 <br />U.B.C. <br />SEC. J03 <br />� �� <br />PERMIi VqLIDATION <br />WHEN PROPERLY VALIDATED pN THjS$P,�1C�E) THI�I�VRI�i P�f�MIT ��� <br />���� �y a <br />;_. <br />li � <br />ISSUANCE BV . ., ;� F': C r I� � ' <br />��i� �ro u <br />noor.ess rue <br />� �� ;,�1 � � <br />z <br />0 <br />� <br />c� <br />m <br />... .. <br />-i �t <br />.. � <br />�m <br />O <br />co <br />mo <br />-� c <br />0 3 <br />_ -�-1 <br />m <br />O z <br />C <br />a -� <br />rx <br />ar �-. <br />-1 N <br />< <br />� <br />O 70 <br />'tl > <br />3 <br />—r m <br />2 <br />m +. <br />N <br />O r <br />�m <br />3 tyi� <br />i t� <br />-� r <br />• m <br />a <br />A <br />-�1 <br />S <br />D <br />2 <br />--1 <br />x <br />�.. <br />N <br />O <br />--I <br />� <br />m <br />