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� <br />�he Ever�;recn <br />arv o= <br />everett <br />CITY HA1 L 259�8745 <br />� �ONSTRUCTIOI�.'� <br />PERMIT <br />� <br />PrRMir n�o. 1Ci598 <br />EVERETT,WA98201 ❑ COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUAABING <br />owNLARRY HILLIS 6920 FiS���2ES�tD EDMON`b� l+lA 98020 Z��/43-6297 PHON� <br />ARGHITECT OR OESIGNER MAIL AOOFE55 CITY ZIP PHONE <br />GENERAL CONTRACTOR 61AIL ADDRE55 CITY 21P PHONE LICENSE N <br />Same <br />MEGHhNICPL LONTRACTOR MAIL ADDRESS CITY ZIP PMONE LICENSE M <br />PLUMBINGCONTRACTOR MAILAOOflESS CITY ZIP PHONE LI:�ENSEM <br />❑ NEW <br />VAIUATION OF WORK <br />$ .30�0.�0 <br />C� ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />Tenant Improvement <br />Office <br />LOi_BLOCK_OP <br />620 SE Everett Mall 4Jay �Suite 220 <br />PLUMBING <br />_N0. TYPE <br />'NATEFi CLOSET �TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />B-2 <br />G. .. OF ST <br />sf 1 <br />1. ENVIRONMENTAL CHPCK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7ECTION SYSTEM <br />5. GR.4DING <br />6. DRAINAGE � <br />7. ENVIRONMENTAL <br />B. HEALTH DISTRIGT <br />APPLICATION ACC. <br />mm <br />STATEMENT <br />� e <br />S <br />S <br />REAR YARD SETBA <br />VACANT SITE <br />❑YES X:NO <br />NO. OF DWELLING <br />MAX.000. L/OAD <br />FIRE SPAINKLEFiS <br />REOUIRED <br />❑YES GNO <br />BV OATE <br />BY � APPR. FOR ISSUANCE BY <br />1C <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINC� THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COFlNECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />COVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'(ING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCiION OR THE <br />PERFO NCE OF CONSTRUCTION. <br />51 URE 0 CONTRACTOR OP AUTH RIZED AGENT DATE <br />x �,�_� �%,���. /� � �Y� <br />MECHANICAL <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 EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />FEE <br />� <br />S <br />S <br />CHECK FEE <br />RECEIPT NO. <br />VALUATION I �EE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />� <br />orHegtate Bldg Surcljar�_�_ 1 <br />J.B.C, <br />?ENALTY �p$�i� 1; 9PH OOORN031T <br />TOTAL � 40 <br />PEflMiT VALIDATION �Y1t11LGQ� <br />WHEN PROPERLY VALIDATED (IN'ITrtO'OPMfry THIS IS YOl1F PERMIT <br />BL.DG R38.51: <br />B SR(�1 51.50 <br />�.� 5�..� <br />E SRpI l:.50 <br />.�� {�.� <br />ADDRESS FILE <br />