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rhe Ererxreen <br />cirv or <br />everett <br />CITV HALL 259�8745 <br />EVERETT, WA 90201 <br />��- --;arv�r�uc-rior�- <br />R�RMIT <br />❑ COMBINATION LXI BUILDfNG ❑ MECHANICAL <br />PERMIT N0. �639�. <br />� PLUMBING <br />OWNER MAILADDRESS CITY ZIP PHONE <br />LARRY IIILLIS 620 5E Everett t4a11 LVav <br />AP^.HITEGi0R0E51GNER MAILAOORESS CITV ZIP PHONE <br />4ENERFLCONTRNCTOR MAILADDPE55 GITY 21Y <br />LICENSE M <br />MELHANICAL CONTFqCiOB MAIL AODflE55 CITY ZIP CHONE LICENSE M <br />PLUMBING CONTflAGTOR MAIL AOOHESS CITY ZIP PHONE LICENSE X <br />Robinson Plumbing 607 SE Everett �i�ll l•!ay Everett WA 98204 355-6171 <br />CLASS OF WORK <br />C� NEW ❑ ADDITION ❑ ALTERATION� ❑ REPAIR ❑ DEMULILOIJ O FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALIIqTION OF WORH <br />E <br />�oT _e�ocK _oF <br />JOBAO�RESS <br />620 SE Everett Mall <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATLR CLOSET (TOILETj <br />enrHrua <br />LAVATORY (VJASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />91SHWASHER <br />LAUNDRY7RAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINLE, <br />SINK (SERVICE — BAR. E' <br />SUB <br />707AL FEE <br />� <br />1. ENVIRONMEh7AL CHECK LIST <br />1. BUILDING PL ANS <br />3. FIRC- HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLAI <br />�'', <br />rova coaies) <br />Suite 230 <br />BY <br />5 <br />E <br />❑YES ❑NO <br />❑YES CNO <br />B� <br />APPR.FORISSUANCE BY <br />I HEREBY CERTIFY TH�1T I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNQW THE SAME TO BE 1'RUE AND <br />COkRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GGVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />N�HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CAI�CEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OH THE <br />PFRFORMANCEOFCONSTRUCTION. <br />Slu'NATUPE�OF�CjO �TRACTOROR THORIZEDAGENT DATE <br />X �J"AS//�(� � �/1/�'L�L(/� 4/10/86 <br />[Jl—i7-�' <br />MECHANICAL �� <br />TYPE OF E�UIPMENT <br />AIR COND. UNI7S - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS Flt."eD A.C. UNI�S - TONNAGE EA. <br />FORG=D AIR SYSTEMS — B.T.U. M EA. <br />V:ALL HEATERS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DR'lERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — GF.Id. <br />JIVVC - WUUU <br />METAL FIflEPLAC[ & CHIMNFY <br />FIflEPLAGEINSERT <br />HEAT PUMP <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUBTOTAL S <br />PENM�T S <br />TO7AL FEE S <br />PLAN C <br />FEE <br />VALUATION <br />S <br />(al <br />K FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I A I OO <br />J <br />PERMIT VALIDATI6N <br />WHEN PROPERLY VALIDATED pN THI � SOP�C�) THIS�S��1F�I PF�iMIT_ � <br />�� � � �) <br />M <br />� <br />,.. � � ��;_��ri���-�'� : <br />' i �: 'r' _ ' 1 <br />ADDRESS FILE <br />� I) r"J'ii U u <br />; <br />z <br />0 <br />-i <br />n <br />m <br />�. .. <br />-i -n <br />�. -a <br />�n x <br />m <br />mo <br />n <br />O 3 <br />m <br />s -�i <br />m <br />a z <br />C <br />> � <br />rx <br />.-� �-. <br />� � <br />T <br />O .� <br />-n a <br />3 <br />-� m <br />2 <br />m �-+ <br />N <br />O <br />or <br />c� m <br />C �n <br />3 v� <br />m <br />z c� <br />-� r <br />. m <br />n <br />z <br />� <br />2 <br />� <br />Z <br />--I <br />2 <br />�--i <br />N <br />Z <br />0 <br />� <br />f'� <br />m <br />