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dtr(irer'vi�ori � ./o���R��T���, <br />everett PERMIT PERMIT N0. �3�1'� <br />CITY HALL 259-N745 <br />EVERET7, NJA 90201 � COMBINATION � BUILDING ❑ MECH,'!NICAL ❑ PLUMBING <br />OCINEP AIAILADDRE55 CITY ZIP PHONE <br />THP WRIG[1T ONES 509 SE Everett Mall Wav Everett WA <br />ABCHITEGT OH OESIGNEH MAIL AO�RESS CITY 21P PHONE <br />GENEIiAL CONTRACTOfi IAAIL ADDRE55 CITY ZIP PNONE LIGENSE M <br />Image Construction 8113 NE 115th Wav Kirkland WA 823 6t2'� r,r 36�-»�0 <br />MEGHANIGAL GONTRALTOR MAIL A�ORESS CITY 21P PHONE LICENSE N <br />PLUMBING GO4TRACTOR MAIL AOOflESS CITV ZIP PHONE L�CENSE e <br />❑ NEW ❑ ADDITION �,}(ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD S70VEI=IREPLACE INSEFT <br />S 6000.00 <br />DESCRIBE WORN <br />L07__BLOCK_OF <br />PLUMBING <br />1 <br />SIDE <br />SIZE <br />TYPE OF FI%TURE OR ITEM <br />`NATER CLOSET (TOILE'� <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEA7EF <br />URINAL <br />DRINKING FOUNTAIN _ <br />FLOOF DRAIN <br />VACUUM BREAKF!iS <br />ROOF DR:WS — RAINLEA�ERS <br />5!NK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDINGPLANS ^ <br />— :� <br />J. FIRE i1YDRPNT <br />4. FIRE PROTEC710N SYSTEbh <br />5. GRADING <br />-B�DRAINAGE ._.�. <br />-� 7: ENVIRONMENTALIMPAGT.STAT <br />-B.HEALTHDISTFiIGT `� <br />'APPLICATION ACG. FlY <br />- - <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORFECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING 7HIS TYPE OF WORK VJIL� BE COMPLiED N/ITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STaTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO�JCE OF CONSTRUCTION. <br />cir.ueni r.numncioAl]R AlYHB91ZE0 AGENT �ATE <br />M°CHANICAL <br />FEE NO. TYPE OF EQUIPMENT __ <br />Z OO A�R COND. UNITS — H.P. EA. <br />REFRIGERA710N UNI i 5—!�.r. EA. <br />2 00 BOILERS — H.P. EA _ <br />GAS FIRED A.C. 11N1T5 — TONNAGE EA. <br />FOR�:I AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. �+1 <br />EVAPORATIVE COOLERS <br />i.LOTHES DNVEFS <br />VENTILITION FAN __ <br />RANGEHOOD <br />AIR H4N�LING UNIT — QF.IA. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />s 4 00 <br />5 <br />s 4 00 <br />IEAR YARD SETBACK PLAN <br />'ACANT SITE <br />-.YES ::�.NO <br />!O. OF DWELLING UNITS <br />MA%. <br />NU <br />BY <br />.'-PLANS CHECKED BY APPR. FOR <br />c�JEF LNC <br />� <br />i <br />�-�) <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTIIER <br />PENALTY <br />SUB TOTAL S <br />PERMIi 5 <br />70TAL FEE 5 <br />PLAN CI <br />FEE <br />VALUATION <br />$�...,.. .... <br />SEC. 303 (a) <br />FEE <br />FECEIP- "� <br />FEE <br />5 <br />S �� <br />TOTAL 60 50 <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THI �SPAI ) THIS � XOy1ROP�AI�T—( (� <br />5 �� ti u r; <br />N <br />C� <br />aY ':�, R;:i;� IPi� <br />� . !.!! • � `I <br />C <br />' '.i i2 _ , <br />ACDIi[55 f ILE <br />