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Nk fverarern <br />�,TYo� '� �ONSTRUCTIOI4iii � <br />everett PERMIT PERMIT N0. 16460 <br />atr H��� zsae��s <br />EVERETT,WA9E201 ❑ COMBINATION ❑ BUILDINQ � MECHANICAL ❑ PLUMBINO <br />OMMER M�IL ��DRESS CITY ZIP PNONE <br />�is Sutton Mukilteo 347-1067 <br />� NI- TRZ�S� I N MAIL ADDRE55 CITY IIP PNONE <br />TEN 1LL CONTR�C MAII AUORE55 CITY zlP PHONE UCENSE I <br />Authn_ntic Colonial Homee P.O. Box 127 Coupville 98329 <br />MECHIINICAL CONTRIICTOR MAIL 40DRE55 CITY 21P PMONE LICENSE � <br />Energy Tranafer Systems 152 3rd Ave S Edmonds 4Q 98020 770-1355 ENERGTS170RA <br />PLUMBING GONTRACTOR MAIL �D�RE55 CITY ZIP PHONE UCENSE / <br />� NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />V�LUATION OF WORK <br />f <br />furnace <br />Sinqle family residence <br />lOT_BLOCN,_OF <br />a�uMeiNa <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />SMOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEhTER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />SIZE OF BLDG. NO. OF STORI <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK IIST <br />2. BUILDING PLANS <br />9. FIRE HY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />M.M. <br />FEE <br />� <br />f <br />S <br />REAR YARD SETBA� <br />VACANT SITE <br />::YES �_.NO <br />NO. OF DWELLING <br />MA%.00Q LOAD <br />FIRE SPRINKLERS <br />HEOUIRE� <br />YES ':NO <br />B� <br />FORISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE RF.AD 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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTHUCTION. <br />SIGNAT}�RE OF CONTRACTOR OR AUTHORIZE� �GENT DATC <br />MECHANICAL <br />AIR COND. UNITS — M.P. EA. <br />REFfiIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED A�R SVS7EMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFiS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />FEES <br />BUILDING <br />PLUMBING <br />M[CHANICAL <br />OTHER <br />PF.NALTY <br />SUB TOTAL S 2 00 <br />PERMIT f 10 00 <br />TOTAL FEE S 12 OO <br />PLAN CHECK FEE <br />FE[ RECEIP7 NO. <br />VALUATION FEE <br />5 <br />12 00 <br />U.B.C. <br />SEC. 303 (a) <br />TOTAL I I 12100 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON TMIS SPACE) THIS�S V IUFj PERMIT— � <br />L(2° U L OU <br />V' <br />(� : <br />i � : <br />. �,i <br />� <br />� � � L J <br />ADDRESS FILE � <br />