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r <br />� <br />rG�LicfYe�n �/ONSTRUCTIOI�' <br />e�erett PERMIT PERMIT NO. �.233H <br />CITY MALL 259�8745 <br />EVERETT, WA 98i01 ❑ COMBINATION ❑ BUILDING G[ MECHANICAL ❑ PLUMBING <br />OWNER MAIIFDDRESS CITV ZIP PHONE <br />G T E DIRECTORIFS <br />PRGMITECT Ofl DESIGNEH MAIL PD�RESS CIiY ZIP PMONE <br />GENERALCONTRAGTOF MAILADORE55 QTY ZIP PHONE LILENSEN <br />MECMANICAL CONTRFCiOP MFIL ADDFE55 CRY 21P PHONE LICENSE N <br />DATASPACE NORTHWEST. INC. P. O. BX. 1045 ISSAOUAH 392-2161 <br />PLUMBING CONTRACTOR MAIL ADOflE55 CITY ZIP PNONE UCENS° N <br />❑ NEW ❑ ADDITION <br />VALUATION OF WOflK <br />3ARCONDITIONG UNIT <br />L(1T <br />909 S <br />PLUMBING <br />NO. � Tv?E OF FIXTURE <br />WA7ER CLOSET �TOILEn <br />BATHTUB <br />ALTERATiON L� REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />EVERETT AMLL WA <br />BASIN) <br />SHO W ER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUN�RYTRAY <br />CLO7HES WASHER <br />WATER HEAI'ER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />VACUUM BREAKE^.S <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEflM1T <br />TOTAL FEE <br />OF STORIES <br />APPHOVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />a. FIRE HYDHANT <br />d. FIRE PRO7EC710N SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />stg <br />FEE <br />i <br />� <br />REAR YARD <br />:-'.YES C::NO <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 W�LL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERM�T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OF <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO MANCE OF C STRUCTION. <br />SIGNATU F CONTRACTOR AUTHOFIZED AGENT DATE <br />X �/YrLlQJ 8/17/83 <br />N0. TYPE OF EOUIPMENT _ <br />AIR COND. UNITS — H.P. EA. <br />flEFflIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS f-IRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. h7 EA. <br />� WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. Ni <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — tVOOD <br />ME7AL FIREPLACE & CHIMNEY <br />FIREPLACE INSEFT <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />FEES VALUATION <br />S <br />5 <br />S <br />FEE <br />10 <br />RECEIPT NO. <br />FEE <br />BUILDING S <br />MA%.00G LOAD <br />PLUMBING <br />FIRE SPRINI:LERS MECHANICAL <br />REOUIRED <br />�-:YES i�!NO <br />BY DATE O7HER <br />PENAL7Y U.B.C. <br />SEC. 303 (a� <br />TOTAL 16 G 0 <br />WH N' PFOPER YOVALIDATED (W THI�Sgl�I� THIS � BO�F��ry�T �� .�,4 � <br />BY I APPR. FOR <br />stg <br />ADDR'cSS FII.E <br />1'O!1 R RECEIPT; ; <br />�;-;�rs� You <br />I 7 nuc 8 3 <br />1 <br />� <br />� <br />r <br />