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IhrEti•eCrKyPGn „ _ �, CONSTRUCTIC�I '-� <br />, �f. - <br />everett PERMIT PERMIT NO. � 48�a <br />CITV HALL 259�87d5 <br />EVERETT,WA9B201 ❑ COMBINATION x� BUILDING ❑ MECHANICAL ❑ PLl7NABING <br />OWNER MAILADORE55 CITY 21P PMONE <br />Hrnst 1325 S.E. Everett Mall Way EvErett 98204 <br />pFLM1TEGT OR pE51GNER MAIL ADDRE55 CITY 21P PMONE <br />GENERAL CONTRACTOP MAIL AODRE55 CITV ZIP PMONE LICE45E � <br />Heath N.W. Inc. J.1805 N.E. 116th Kirkland 98034 623-3100 <br />MEGHANICAL GJIlTRACiOR MAIL AO�RE55 GITY ZIP PHONE LICENSE k <br />HEATHN*330RJ <br />PWM8ING CONTRACTOR MAiI ADDRE55 CITY ZIP PHONE LICENSE N <br />❑ NE"/ ❑ AOr;:ION ❑ ALTERATION ❑ REPAIR ❑ OEMCLITION ❑ FENCE XS SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />= 5,000.00 <br />Install illuminated. <br />PRUPOSED USE OF <br />COPIES� <br />LOT <br />S.E. Everett Dfall Wzy <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />VlATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER � <br />KITCHEN SINK 8 DISF. <br />DIS:iWASHER <br />LAUNDRYTfiAY <br />CLOTHES WASHER <br />WATER HEATEfl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />YACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETQI <br />SUB TOTAL 5 <br />PEflM1T S <br />70TA1 FEE S <br />STREET SETBACK REAR YARD S <br />LOT AREA VACANT SITE <br />�..VES i:NO <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOA� <br />FIRE ZONE BFSEMENT FIRE SPRINKLERS <br />REOUIRED <br />.'.Y�S i:NO <br />APPROVALS BY DATE <br />1. ENVIRONMENTAL CHECI< LIST <br />2. BUILDING PLANS <br />3. FIHE HYDRANT <br />4. FIRE PF;OTECTION SYSTEM <br />5. GRADI NG � <br />6. DRAINAGE <br />7. ENVIFONM <br />B. HEALTH DI�. <br />ENTALIMPACTSTATEMEN7 <br />ACC.BY <br />. FOR ISSUANCE BY <br />NV/LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOIN THE SA�AE TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK �NILL BE COMPLIED W1TH <br />WHETHE9 SPECIFIED HEREIN OR NOT. THc GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLAiE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATI�VG CO�STRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SiGNA/TU��y OF CONTqqC/TOJg OR PJTH�pIZED AGENT DATE <br />x �Ae ✓ 7/ �.' �� /i I'_�w � Q <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEPAT'ON UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOFATIVE COOL[RS <br />CLOTHES DRVEFS <br />VENTILAT!ON FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT F'UMP <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />rLAN CHECKNUMBER <br />FEE <br />FEES VALUATION <br />S <br />5 <br />5 <br />FEE <br />RECEIPT NO. <br />FEE <br />BUILDING gS�OOO. ].H OO <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) <br />TOTAL 18 00 <br />PEHMI7 VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS v04R PERMIT _ (f) <br />�,_ �n <br />C`; _l <br />�d• <br />� , �r—� <br />P.DDRESS PILE <br />