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U�e £vergreea -- <br />everett r �ONSTRUCTIOP' <br />CITYHALL259�B745 PERMIT PERMIT NO. 12055 <br />EVERETT,WA9B201 '-�] COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />�tH MAILADDflESS CITY 21P PHONE <br />Bisgetti"s 607 S.E. Everett Mall Way Everett 98204 <br />ARCMITEGiOR�E5IGNEP �1AILq00FESS CITY ZIP PMONE <br />GENERALCONTRACiOR MAILADDPE55 CIiY ZIP PNONE �ICENSEN <br />MECHANICAL CONTf!ACTOR MAIL AD�flE55 CITY ZIP PMONE LICENSE N <br />Natural Gas Equipment. 1625 £ast Marine View Drive Everett 258-2441 <br />PLUM9ING GONTRAGIOR MAIL AOOP.ESS CRY ZIP PHONE l.IGENSE X <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION O FENCE ❑ SIGN ❑ WUOD STOVE/FIREPLACE ItISERT <br />S <br />I lOT__BLOCK_OF <br />607 S.E. Everett Mall <br />PLUMBING <br />NO. TVPP OF FIYTIIiiF f1G ITFA <br />BATMTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADEHS <br />SINK ISSRVICE — BAR ETC.� <br />TOTAL <br />TOTAL FEE <br />APPflOVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRAC�ING <br />B. HEALTH DISTRICT <br />APPLICATION ACC. <br />� <br />5 <br />5 <br />REAR <br />GYES ❑NO <br />BY IAPPR.FORISSUANCE BY <br />I HEREBY CERTIFY TFIAT I HAVE REP.D AND �XAMINED THIS <br />APPLICATION AND fCNOW THE SAME TO BE TRUE 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 />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIG AT pE OIF� CONiR^ �O,R,�O_Fr UiMOP12E� AGENT pATE <br />%�.. (I�U�.V LLl�/il�'lAR . 6/8/83 <br />TYPE OF EOUIPMF.NT FEE <br />AIfl COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — M.P, EA. <br />GAS FIRED A.C. UNITS — TOnr..pGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CI <br />FfREPLACEINSERT <br />SUBTOTAL S <br />PEHMIT f <br />TOiALFEE o <br />FEE I RECEIPT NO. <br />VALUATION FEE <br />BUILDING g <br />PLUMBING <br />MECHANICAL 14 SO <br />OTHER <br />PENALTY U.B.C. <br />SEC. 307 (a) <br />TOTAL 14 $ 0 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED (W THIi CPA�) THI�3IYOUP PERIMIL �� <br />/Oa U 1 9 JU <br />O <br />YOUR RECEIPT,.N..� <br />Tr-S�NK You <br />ADDRESS FILE <br />- g du� 8 3 <br />1 <br />� <br />� <br />'l <br />