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(hr £rrr�;rcen <br />c��. cF <br />everett <br />CITY HALL 259�Bia5 <br />EVERE7T, VJA 98201 <br />' dONSTRUCTlOf�' <br />PERMIT <br />❑ COMBINATION ❑ BUILDING XI�X MECHANICAL <br />PERMIT NO. �-287�. <br />L� PLUMBING <br />OWNER MAILAD�RE55 CI:Y ZIP PMONE <br />Itobert MacMurray 4931 Dogwood Drive Everett 96203 <br />ARCMITEGT OR UESIGNER MAI� AODRE55 CITY 21P PMONE <br />GENERALCONTRAGTOR MAILAODRESS �IfY ZIP PHONE LICENSE� <br />MECMnNICAL CONTPACTOfl MIIL AD�RE55 pTY 21P PHONF LICENSE M <br />Natural Gas Equipment 1625 East hfarine View Drive Everett 96201 258-2941 <br />PLUMOING GONTRACIOR MAIL AD�RE55 CITY ZIP PMONE LICENSE N <br />❑ NEW <br />VALUATION OF WORK <br />S <br />LOT <br />❑ AODITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />4931 Dogwood Drive <br />PLUMBING <br />NO. <br />SIOE <br />TYPE O�' FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATEF HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAI�LEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />APPROVALS <br />1. ENVIRONMENTAL CHLCK �IST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROiECflO�; SYSTEM <br />DISTRIC7 <br />ON ACC. BY <br />S <br />S <br />VACANf SITE <br />7YES I;NO <br />OCC.LOAD <br />DATE <br />APPF. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN'cD THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LA1NS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOFK 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 OTH��R STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THF <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF, �CQ`� TPAC O OR AUT 12FD AGF�NT DATE <br />X � Y10��/� J/% � 1/b/84 <br />MECHANICAL <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P, EA. <br />R'_FRIGERATION UNITS — H.P. EA. <br />GO�LEFiS — H.P. EA. <br />GAi FIRED A.C. UNITS — TONNAGE EA. <br />FORCEI) AIR SVSTEMS — B.7.U. M EA. <br />WALL NEATERS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORA7IVE COOLEFS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F,M. <br />S70VE — WOOD <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE S <br />I NUMBER PLAN CI <br />FEE I <br />FEES VAIUATION ! <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />a <br />�a� <br />FEE <br />RECEIP7 NO. <br />FEE <br />19 I50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED �1N 71145,$P,(�GE) THI�I�Y�y.R P�f�.11T _� <br />b[y7 4 U <br />� <br />N <br />; �. R��CEIPT � <br />,°��;; ti•c�u <br />-9�;�� 3k <br />ADDRESS FILE <br />