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everett -- P E P M I T r 5 n� <br />PERMIT N0. �- � � � <br />� CITY HALL 259�8745 <br />EVERETf. WN 90201 � GOMBINATION ❑ BUILDINii %� MECNAIJICAL ❑ PLUA561NG <br />OIYNER MAIL ApDRE55 CITV ZiP PMONE <br />HAuhfON & ASSOCIATES 9725 - 3rd Ave NE Suite 500 Seattle WA 98115 527-2085 <br />_._.. -r�n LXl1NF <br />GENEF'ALCONTPAGTOR MlILFD'JPE55 CITY ZIP PNONE LiGENSEY <br />MEGM�NIGAL CONiRAC70R MAIL ADDPESS CRY ZIP PMONE LILENSE N <br />EVERGRREN STATE SHEET METAL PO BOX 1508 �erett WA 93206 252-3114 <br />PLUMBIIJG CONTRPG�OF IdAIL ADOHE55 CITti ZIP FHONE 4[ENSE X <br />C1A55 OF WORK <br />rl uLW ❑ ADDITION <br />-}{' <br />S <br />HVAC <br />PPOPOSED USE OF BIIILOING <br />LOT_I.::CK_._OF <br />PLUMBING <br />FIRE <br />❑ FLTERATION ❑ F7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN <br />5'YPE OF FIXTURE OR ITEM <br />WATER :LOSET(TOILE� <br />BATHTUB <br />SHOWER <br />KITCHEN SINKB DISP. <br />DISHWASHER <br />LAUNDRYT'AY <br />CLOTHES WA';HER <br />WATER HEA'i ER <br />URINPL _ <br />DRINKII.G FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREHKERS <br />ROOF DRAINS - RAINLCADERS <br />cu�v icco�neG _ RAF FTC 1 <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />NO. <br />1. ENVIflONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIHE HYDRANT <br />4. FIRE PflOTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAIIMPPCT5TA1 <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLA <br />CHECKE� BY <br />O WOOD STOVFJPIREPLACE INSEFT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIPlED THIS <br />APPLICATION AND KNOW THE SAME TO EF THUE AND <br />COPIES� (;ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED WITH <br />WHE'fHER SPECIFIED HEREIN OR NOT. THL GRANTIf1G OF A <br />PERh41T DOES NOT PRESUME TO GIVE,aJTI10RITY TO VIOLATE <br />OP. CANCEL THE PROVISIONS OF ANY CTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR MANCE OF CONS RUCTICV. <br />SIGNATIIq\E��O,P, CO/p/� iA�CT�OpR�O�R"AUT OP2ED AGENT DATE <br />X .7C`C lp �v...�++�� �j 11 /1 /RS <br />� <br />5 <br />S <br />IEAR YARD S <br />�ACANT SITE <br />YES '.NO <br />dO.OF DWEL <br />dA%. OCC. L( <br />FOR <br />NO. TYPE OF EOUIPMENT <br />AIR ^OYD. UNIT� - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIREJ A.C. UNITS - TONNAGE EA. <br />hORCED AIR SYSTFMS - B.T.U. M EA. <br />WALL HEATERS - e.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORP.TIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />R�NGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHItdNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUBTO7AL <br />PEHMiT <br />707AL FEE <br />NUMBEH F <br />FEE <br />FEES VALUATION <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAITY <br />S <br />SEC. 309 la1 <br />FEE <br />5 <br />S l � <br />5 c <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />23 50 <br />� TOTAL Z3 $� <br />PERMIT VALIUATION I�e & a 8�� �� ,� <br />WHEN PROPERLY VALIDATED (IN TH S �F E) THI J I li_ <br />i <br />�' " " `'_�I'� .., <br />, � .. i.'. ... . . <br />BV ..,, . .����,�� <br />�� .. , --, i � <br />ADDkE55 FRF <br />- I !�!� i; � <br />z <br />O <br />-i <br />c� <br />m <br />� T <br />N 2 <br />m <br />C O <br />mo <br />� <br />�c <br />c'� 3 <br />m <br />_ -Z-I <br />m <br />A Z <br />C <br />D -i <br />� <br />--I � <br />< <br />� <br />O 'A <br />'�1 D <br />3 <br />-i m <br />2 <br />m N <br />cr <br />c� fn <br />C N <br />3 � <br />m <br />z c� <br />�m <br />A <br />A <br />--i <br />2 <br />a <br />Z <br />-�-I <br />S <br />N <br />z <br />O <br />..-i. <br />n <br />m <br />