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the Erergreen <br />��T� oF <br />everett <br />CITV HALL 259�8745 <br />EVERETT, WA 90201 <br />�� �';ONSTRUCTIORc- <br />PERMIT <br />❑ COMBINATION ❑ BUILDING I� MECHANICAL <br />PERMIT N0. 1588� <br />❑ PLUMBING <br />OWNER MAILAODRE55 CITY ZIP PHONE <br />Community Dental Clinic 620 Everett Mall Way Everett <br />ARGNITECTOflOESIGNER fdAILA0�RE55 CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDflESS CITY ZIP PHONE LICENSE N <br />MECMANICALCONTRACTOR MAILAOURESS CITV ZIP PHONE �ICENSEM <br />Cross Roads Mechanical Inc. 2879 152nd Avenue Redmond 882-2043 98052 <br />PLUMBING LONTRACTOR MAIL AODRE55 CITY ZIP PHONE LICENSE 1I <br />. CROSSMI 158W <br />V VV V V O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ FENCE O SIGN O WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WOflN <br />f <br />Znstall Ductwork revisions <br />LOT <br />Everett Mall Way <br />PLUMBING <br />WATER CLOSE7�TOILEn <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATEfi <br />UPINAL <br />DRINKING FOl1NTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINI <br />SINK (SERVICE — BAR, <br />SIDE <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PP,OTECT101 <br />5. GRADING <br />6. DfiAINAGE <br />7.ENVIRONMENTALIMPACT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />OR ITEM I FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 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 DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LO�QL LAW REGULATING CONSTRUCTION OR THE <br />PEf�FbRMANGE OF'� NSTRUCTION. <br />SIGNA�y� ,OF c.b RAqTO flAUTMORIZE� AGENT DATE <br />Xv�-(.��"J _C.�,�-Y�\\(1,�_ 1/2/86 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION 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 E <br />WALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />i VENTILAiION FAN <br />TOTAL S <br />AIT S <br />\L FEE S <br />SETBACK REAR VAfiDSE78ACK PLAN <br />A VACANT SITE <br />�YES LNO <br />S70RIE5 <br />❑YES ❑NO <br />0� <br />APPR. FOR <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIiiEPLACE 8 CHIMNEY <br />FIREPL4CEINSEFT <br />HEAT PUMP <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />FEE <br />s <br />S <br />S <br />ret <br />4 I 50 <br />RECEIPT NO. <br />VALUATION I FEE <br />BUILDING 3 <br />PLUMBING <br />MECHANICAI. ].A SO <br />OTHER <br />PENALTY I SEC 303 <br />TOTAL � � 14 � 50 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI6 �IPAGE) THISOSII'OU� PEReIT � <br />J L � U I 1 <br />� <br />L1�1 <br />,,,.-.��.�{: '�[C:�li Ic-i <br />"",!!I: 1'Ull <br />AUDR[SS FIL[ <br />r <br />— % ��,ii� U O <br />o" <br />