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7hr LirerArccn <br />��,� �F <br />everett <br />CITY HaLL 259�8745 <br />[VERE77, WA 98291 <br />� "CONSTRUCTIO�' <br />PERMII' <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT NO. �.3472 <br />❑ PLUMBING <br />OWNER MAI� ApDRESS CITY ZIP PMONE <br />RHY DORBOLO 1827 Dull St. Everett WA 355-0730 <br />FRCH17ELT OR DESIGNEfl MAIL ApOFE55 GiY 2�P PMONE <br />� GENERALCONTRACTOR MAILADPRE55 GIiY ZIP PMONE LICENSEI <br />Johnson Construction 617 - 156th NE Arlington WA 98223 652-72q0 <br />MECMANICAL CONTRACTOR MAIL ADDRE55 piY ZIP PMONE LICENSE M <br />JOHNSC277KC <br />PLUMBING CONTNACTOR MAIL ADDRESS dTY 21P PMONE LIGENSE Y <br />❑ NEW XB ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSER7 <br />VALUATION OF WORK <br />_ %%0�, <br />1.1 � X 12 � dC]d1t10R <br />L0T 4 BLOCK__OF <br />W 79 ft of S 100 ft <br />J09 ADORESS <br />1827 Dull Street <br />PLUMBING <br />NO. <br />FIRE <br />TYPE UF FIXTUflE 01 <br />WATEP r,LOSET �TOILEn <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SNOWF.R <br />K17CMEN SINK t: DISP. <br />DISHWASHER <br />LAUNDRY 7R�>Y <br />CLOTHES WASIIER <br />WATER HEATER <br />11flINAL <br />DRINKING FOUNTAIN <br />FLOOR DRhIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAP, ETC.) <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />OF <br />• APPROVALS <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />9. FIRE MVDRANT <br />4. FlRE PROTECTION SYSTEM <br />5. G(7ADING <br />6.DRAINAGE <br />Z ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. 9Y PLANS CNccucn a� <br />stg � hwm <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Fouacowes APPLICATION AND KNOW THE SAME TO BE TFUE 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 />�t 4 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF R ANCE OF CONSTRU�TION. <br />SIGN NTRACT/OAOqR AU IORI �D GENT OATE <br />_ Xr�. � ��� l� Y,���� � �� �/14/84 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — h:.P. EA. <br />GAS FIRED A.C. UNI7S — 70NNAGE EA. <br />FORCED AIR SVS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNI7 — G.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEFT <br />HEA7 PUMP <br />S <br />S <br />S <br />�� YES �. INO <br />MA%.00C.LOAD <br />lc <br />OATE <br />BV <br />SUB TOTAL f <br />PERMI7 : <br />70TAL FEE : <br />:K NUMBER PLAN CHECK FEE <br />47z FEE 44.53 6986pEiPr No. <br />FEES VALI�ATION FEE <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENA�TY <br />U.B.C. <br />SEC.J03 <br />TOTAL I I 68 I50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACFJ,THIS I$1�UR �E�M�' ---�; ,', I <br />� L S' <br />,9DDRESS 11LC <br />�'y <br />. f.i:�..l:�� t <br />� II.;� . . <br />:� <br />� <br />� — <br />