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rheEvc�veOF �� ,.. �ONSTRUCi�aR,., , _. <br />everett PERMIT PERMIT N0. 11H76 <br />CITY HA�L 259�8745 <br />EVERET7,WA50201 ❑ COMBINATION ❑ SUILDING C� MECHANICAL C� PLUPABING <br />OWNER MAILAOOFEiS CITY LIP PMONE <br />PHILLIP 1VARD 6508 Lombard Everett IYA 98203 353-7321 <br />APGNIiEGT OR DESIGNER MAIL ADDRE55 GITY ZIP PHOI:E <br />GENERPLGONTflACTOR MAILAU�RESS CIiY 21P PHONE LICENSEN <br />Everett Bldrs <br />MECHANICAL CONTRACTOR MAiI AODRE55 GITY 21P PHONE UCENSE 1I <br />Crafts Plumb 1503 Rucker Avenue Everett 98201 252-1276 <br />PLUMBING CONTflRGTOR MAIL AD�RE55 CIiY ZIP PMONE LICENSE X <br />CLA55 OF WORK <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE � SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S <br />'.RIBE WORK <br />Plumbing �, mechanical fixtures <br />Resi'ence <br />LOT__BLOCK_OF <br />6508 Lombard <br />PLUMBING <br />NO. � TYPE OF FIXTI <br />I WATERCLOSET�TOILEn <br />19ATHTUB <br />LAVAT^RY�WASHBA: <br />SHOWER <br />K!TCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RYTRAY <br />CLOTHLS WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAII <br />SINK (SERVICE — BA <br />ITEM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TG BE TRUE AND <br />ATTACHFOUqCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEfl 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 STATE OR <br />LOCAL I.AW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SICN U OF CONTRACjL�i OR AUT �ORI2ED AGENT ' `//'ATE�4 <br />' �/ t� <br />SU9 TOTAL <br />PEflMIT <br />TOTAL FEE <br />SIDE VARD SETBACK STREET SETBACK <br />USE Z�NE LOT AREA <br />TYPEOFCONST. OCCUPANCV GROUP <br />SIZE OF BLDG. NO. OF STORIES <br />FIRE ZONE 6ASEMENT <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � <br />3.FIREHYDRANT � <br />4. FIRE PROTECTION SVSTEM <br />4 <br />5. GRP.DINCr � <br />�6.DRAINAI.� - _ <br />V9.ENVIRO ME�1(�ALIMPqQ{�STATEMENT <br />.HEAL7H�BIS CT N <br />PPLICA ION' C. 8Y , PLANS CHECKED BV' <br />� -t n <br />"' p m <br />.� <br />A <br />i <br />S <br />f <br />SETBACK <br />i-.YES CNO <br />DATE <br />ISSUANCE BY <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT <br />AIR WND. UNITS - H.R FA. <br />REFRIGEPATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGF EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATEriS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLEPS <br />], CLO7MES DRYERS <br />]. VEN7ILATION FP.N � <br />RANGEHOOD <br />AIR MANDLING UNIT - C.F.M. <br />S70YE - WOOD <br />META� FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />1 hot water tank <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />TOTAL <br />SUB TOTAL 5 <br />PERMIT S <br />70TAL FEE 5 <br />PLAN G. <br />FEE <br />VALUATION <br />S <br />RECEIPT NO. <br />FEE <br />u <br />N'HEN PROPERLY VALIDATED (W THIS SPACE� THIS IS YOUR PERMIT LQ �, <br />5�9u 5005.00 -�3 <br />."i <br />Y�UR RECE{PT� <br />i HI�NK YO U <br />ADDRESS FILE <br />�� <br />