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rh� <br />��u ' --�ONSTRIJCTlO� <br />CITY HALL 259�87�5 <br />EVERETT, WA 9d201 ❑ COMBINATION <br />PERMIT <br />❑ BUILDING ❑ MECHANICAL <br />PERMIT N0. 1�i41� <br />� PLUMBING <br />OWNER MALL AD6RE55 CITY Zip pqONE <br />Norman Heimdahl 6102 E Drive Everett WA 98203 <br />ARpHITECTORUE51GNfiR MAILAOORE55 CITY 21p PH �NE <br />CENERAL CONTR�CT09 MAIL AD�RE55 CITY ZIP PMONE UCENSE I <br />MECMANICALCONTRACTOP M�ILAD�RESS CIiV zIP PNONE LICENSEI <br />PLUMBING CqNTR�CTOR MAIL ADDRESS GTY Z�p PNONE IICENSE / <br />Jeff Hackett Plwnbing 1615 W Smith D-202 Kent. WA 85 -SOB9 Jx:FFrra757N� <br />Ci+�55 OF WORK <br />❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ D[MOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />�1700.00 <br />DESCRIBE V70RK <br />Break up floor replace waste and watr_r install new fixtures <br />aingle�family home <br />LO7_BLpCN__OF <br />P�ureiNo <br />TYPE OF FIKTURE OR ITE61 <br />W ATEq CLOSET (TOIIEn <br />LAVATORV(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISi <br />LAUNORYTRAY <br />CLOTHESN�4SHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM 9REAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLOG. NO. OF STOR <br />FIRE ZONE BASEMENT <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />d. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAItJAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. MEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />L.C. <br />FEE <br />s 1z oc <br />s 3 O( <br />S <br />REAR YARD SETBACK <br />❑VES ,:NO <br />MA%.00C.LOAD <br />REOUIFED <br />;;VES ;�.NO <br />L.C. <br />I HEREBY CERTIFY THAT I HAV[ READ ANO EXAMINED THIS <br />APPLICATION AND KNOl"� THE SAME TO BE TRUE AND <br />CORRECT. ALI. PROYISIONS OF LAWS AND ORDINANCES <br />GOVERNING THtS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A <br />PERMtT DOES NOT PRESUME TO GIVE AUTHORITY TO 410LATE <br />Ofi CANCEL THE PFOVISIOIJS OF ANY OTHER STATE nR <br />LO^4L LAW FtE2?tfIATING CONSI"RUCTION OR THE <br />��� <br />N0. <br />AGENT 05TE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — II.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVS71iMS — B.T.U. M EA. <br />WALL HEATEPS — B.T.U. M <br />UNIT HEATE'aS -• B.T.U. M <br />EVAPDRATi;G COOLERS <br />CLOTHeS �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PLAN CHECK NUMBER <br />FEES <br />BUILDING <br />PLUMBING <br />MECHAN�CAL <br />O7HER <br />PENALTY <br />TOTAL <br />SUB TOTAL S <br />PEfIM1T f <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S <br />1$ 0 <br />U.B.C. <br />SEC. J03 (a� <br />1$ 00 <br />PERMIT VALIDA710N <br />WHEN PROPERIY VALIDA7ED pN 7HIL �PZ 3 � THIS�ISOY�UB P�Rp11T— � <br />� 5 u <br />�' <br />(.f � <br />BY . � .. . .�i���l ��'i <br />ADDRESS FILE <br />. . '� <br />