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r <br />i <br />Y <br />t_ <br />r_ <br />r`'e L`f ,Xr�e1' C O N ST R U CT I O 1 <br />\ <br />everett PERMIT PERMIT N0. 1Z652 <br />CITY HALL 259-8745 <br />EVERET7,WA98201 ,�] COMBINATION ❑ BUILDING $� MECHANICAL ❑ PLUMBING <br />OVINER MAIL AOORE55 CITY ZIP PHONE <br />JIM DOUGHERTY 716 EVERETT WAY EVERETT WA 9820 <br />ARCMITEGT OR DESIGNER MAIL AD�PE55 CITY IIP PHONE <br />GENERAL LONTRPCTOR MAIL AOORE55 CITY ZIP PHONE LIGENSE N <br />MECHANILAL CONTFACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />COALWELL PLUMBING & HEATING OA WPH194�N <br />PWMBING GONTRACTOR MAIL AOORE55 CITY plP PNONE LICENSE M <br />W NEW ❑ ADDITION ❑ AL7ERA710N O FEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />s <br />)ESCRIBE WOiK <br />Gas li�e <br />'ROPOSED USE OF BUILDING <br />Commercial <br />.EGAL �ESGqIPTION OF PROPERTY (SNOW <br />LOT__BLOCK__OF <br />iOB AODRE55 <br />716 Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />BATHTUB <br />LAVATO(iV (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHErI <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATEH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />ACC. <br />i <br />S <br />S <br />�CANT SITE <br />YES !,NO <br />DATE <br />BY IAPPR FORISSUANCEBY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIOP� AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANp 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRALTOR Op AUTHORIZE� AGENT DATE <br />X 1 f'l'.r�.�.c-�,l' 11 /3/83 <br />MECHANICAL <br />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 EA. <br />WAI.L HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPOPA7IVE COOLERS <br />CLOTHES DRYERS <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY • <br />FIREPLACEINSERT <br />HEAT PUMP <br />TOTAL S <br />�IT S <br />�L FEE S <br />FEE � RECEIPT NO. <br />VALUATION I FEE <br />BUILDING 5 <br />PLUMBING <br />MECHANIGAL � 4 <br />OTHER <br />PENALTY U.B.C. <br />rorn� � � 14 I50 <br />PEAMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN TH13S8P4 8 THIS f$�O�F� PF�iI�(IT—� (�j, <br />p �! � U r <br />C.O <br />111 <br />;'OUR RECEIPTt�� <br />'il-iA�SY, YOU <br />ADDRESS FILE <br />-3��y 83 <br />• � � <br />1 <br />1 <br />� <br />