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dic E�'er.erecn <br />a�v oF � � <br />everett <br />CITV HALL 259�6745 <br />EV�RETT. WA 98201 ❑ COMBINATION <br />John Martin <br />ONSTRUCTIO�' <br />PERMIT <br />❑ BUILDING � �dECHANICAL <br />S.E. <br />PERMIT N0. 15474 <br />❑ PLUMBING <br />� <br />MEGMANICAI CONTRACTOR MAIL ADDRESS <br />South County Plumbing 18627 BOth West Edmonds 98020 776Ho E� �ICENSEI <br />GITY Z�P <br />PLUMBING CONTRAGTOR MAIL AODFE55 SOUTHCP19302 <br />❑ NEW O ADDITION ❑ ALiERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE O SIGN � WOOD STOVEIFIREPLACE INSERT <br />f <br />LOT_BLOCK___OF <br />5021 Dover <br />PLUMBING <br />TYPE OF FIXTI <br />W ATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASH=R <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />F100R DRAIN <br />ROOF ORAINS — RAINLEADERS <br />SINK (SEPVICE — BAR, ETQ1 <br />TOTAL <br />TOTAIFEE <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HYDRANT <br />6. FIRE PRO7ECTION SYSTEM <br />5. GHADING <br />6. DRAINAGE <br />7.ENVIRONMENTAIIMPACTSTA' <br />B.HEALTMDISTRICT __ <br />BV <br />� <br />S <br />S <br />iEAR YARD SI <br />VACANT SITE <br />�.,YES f7N0 <br />MA%. <br />LOAD <br />FOR <br />I HEREBY CERTIFY THAT I HAVE REP.D AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />P RMIT DOES NOITIPR SUME TO GIVE AUTHORITY TO V OLATE <br />L�OCAL LAW HREGULATINGSCONSTR �CTION SOR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRAGTOR OR AUTMORI2ED AGENT OATE__ <br />MECHANICAL _ <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EF. <br />REFRIGERATION 11NI7S — M.P. EA. <br />BOILERS — H.P.EA. _ <br />GAS FIRED A.C. UNIrS — TONNAGE EA. <br />FORCED AIR SYS7EmS — B.T.U. M[A. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS _ <br />CLOTHES �RYERS <br />VEN7ILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL f 3 <br />PERMIT = <br />TOTALFEE s <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING <br />MECMANICAI <br />13 50 <br />OTHER — <br />u.o.c. <br />PENALTY SEC.3031a) . — <br />13 50 <br />iOTAL <br />PERMITVALIDATION ���� ���� �,�I <br />WHEN PROPERLY VALIDATED (IN iHl 1 THiS <br />P IUT__ � <br />Permit for fixtures #14970 � <br />l-4? <br />;''`I_;. � (:�C(:IPI<-{ <br />a" ,;-',ANf; YUU <br />t�DDRE55 PILE <br />) � �LP Y� 7 <br />z <br />0 <br />� <br />n <br />m <br />... .� <br />-a � <br />.., -� <br />�' m <br />cv <br />mo <br />-i c <br />O 3 <br />-� z <br />s� <br />m <br />.. <br />o z <br />a� <br />rx <br />r+ �.. <br />� N <br />� <br />�'I <br />on <br />3 <br />-� m <br />m .-. <br />N <br />o r <br />n m <br />C tn <br />3 (n <br />Z (� <br />-� r <br />m <br />➢ <br />A <br />--1 <br />S <br />a <br />z <br />--� <br />x <br />N <br />2 <br />O <br />--I <br />n <br />m <br />