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lIIP El'PC/RYeP�F �.--_ --c;0 N ST R U CT I O M`� � <br />everett PERMIT PERMIT N0. 1a134 <br />CITV HALL 259-8� 5 <br />EVERET7,WA9B"Ol ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEfl MAILAODRESS CITY ZIP PHONE <br />Valley Propane 519 SE Everett Mall Way Everett, WA _ <br />ARCMITECT Ofl OESIGNER MAIL ACDRESS LITY ZIP YMONE <br />GENERAL GONTRAGTOR MAIL AO�RE55 CITY _IP FNONE LIGENSE I <br />Jim Man:ing & Associates 22314 70th xW Mountlake Terrace, WA 98043 774-196� JIMMAA208MS <br />MECH�NIGAL CONTIIAGTOF MAIL AODPESS CITY ZIP PHONE LIGENSE � <br />PLUMBING LONTNAGTOR M�IL ADDR'_SS dTY ZIP PNONE UCENSE � <br />{� NEW ❑ ADDITION D ALTERATION O REPAIR U DEMOLITION ❑ FENCE D SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />f2000.00 <br />LOT _ BLOCK _OF <br />Si9 SE Everett Mall Way <br />PLUMBING <br />NO. TYPE OF PIXTURE OR <br />WATERCIOSET�TOILE� <br />BATHTUB <br />LAVA70RV1WASH BASIN) <br />SHOWEF <br />KIYCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRl.Y <br />CI.OTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAItILEAOERS <br />SINK ISERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOiAL FEE <br />7. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />9. FIREHYDRANT <br />4. FIRE PRO7ECTION SVSTEM <br />5. GRADING <br />8. DRAINAuE <br />7.ENVIRONMENTALIMPACTSTA7 <br />B. HF.ALTH DISTRICT <br />APPLICATION ACC. BY PLAI <br />FEE <br />� <br />S <br />S <br />REAR YARD SETE <br />VACANT SITE <br />i;VES CNO <br />NO. (1F OWELLIN <br />MAX.00Q L04D <br />FIRE SPRINKLER <br />REOUIRED <br />YES ❑NO <br />BY UA' <br />BY I APPR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFiUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERtJING 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 AUTHORITY TO VIOLATE <br />OH CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUNEGF COhTRACTOP 06AUTHORIZED AGENT DATE <br />MECHANICAL <br />NO. TYPE OF EUUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGE HOOD <br />AIR HANOLING UNIT — QF.M. <br />STOVE — WOO� <br />METAL FIREPLAGE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT Pl1MP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />SUB TOTAL <br />PERMIT <br />TOTAL PEE <br />FEE <br />rtt <br />� <br />i <br />S <br />CHECK FEE <br />RECEIPT NO. <br />VALUAT:ON � FEE <br />$200�.�� <br />U.B.C. <br />SEC.303 <br />TOTAL I I 9I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED pN THIS SPACE) THI�,IS,YqU P I7 <br />Signs to be all on privat���'prop'ei�t�� �' ��eck � <br />with local utilities ltelephone, Snohomish � <br />Co. P.U.D.) as to distance required:.;froc� <br />er lines. . •.;.�..1_ � ��I `� <br />-. . ' .• `r ('; i I <br />L.N. Callahan <br />3/3/86 <br />ADDRFSS FILE <br />� � .�.�,;� u G <br />