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the £rer�reeri <br />�,r� oF <br />everett <br />CITY HALL 259�8745 <br />�— rONSTRl�CT10N <br />PERMIT PERMIT NO. �-j-g� 3 <br />EVERETT,WA98201 Lj CONfBINATION ❑ BUILDING CJR MECHANICAL ❑ PLUM3ING <br />OIVNER IdAIL ADORE55 CRY ZIP PHONE <br />SEVERO P. GARCIA 2416 Cleveland Ave Everett 98201 258-1194 <br />ARCMREGi UF OESIGNER MAIL ADDREiS CITY 2�P PMONE <br />GENEF.IL GJNTRAGTOFl MAIL ADDRESS CITY 21P PMONE LiCENSE N <br />Owner <br />MECMANICAL CONiPACT09 MFIL ADORE55 CRY ZIP PMOHE UCENSE � <br />PWMBiNG CONTRALTOR MAIL ApDRESS CITY ZIP PHONE LILENSE � <br />C�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S <br />6ESCRIBE WOPK <br />Install iaood stove <br />PROPOSEO USE OF BUILDING <br />Residence <br />LEGAL DESCRIPTION OF PROPEFTY �SHOW BE <br />LOT_BLOCK_OF <br />6708 LomUard <br />PLUMBING <br />TYPE OF FIXTURE OR <br />W ATER CLOSET (701 L@n <br />BATHiUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP, <br />DISHWASHEF <br />LAl1NDFY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — FAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERM1IIT <br />707AL FEE <br />EA <br />OF BLDG. <br />APPPOVAL�' <br />1. ENVIRONMENTAL CHFGK LIST <br />2. dU�WMG FLPPIS <br />3. FIFE HVDRAN7 <br />a. FIRE PFOiEGT109 .°YSTEM <br />5 GRADING <br />6.DRAINAGE <br />7.ENVIFONMENTALIMPAGTSTATEMEiJT <br />8. HEALTH C4.iTRICT <br />APPLICATION ACC. BY PLANS CHE <br />� <br />5 <br />S <br />REAR VARD SETBACK <br />VACANT SITE <br />�..YES .:NO <br />NO. OF DWELLING UN <br />MA%.00O.LOAD <br />FIRE SPRINKLERS <br />RFOUIRED <br />VES NO <br />BY DATE <br />BY I�PPR <br />I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THiS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORGINANCES <br />uOVERNING THIS TYPE OF WORK WILL RE GOMPLIED VJITH <br />WHETHER SPEC�FIED HEREIN OR NOT. Thc ��.iHANTING OF A <br />PERMIT DOES NOT PRESUMETO GiVE AUTH:!i-:i�fY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF �NY OTHC:H 8?ATE OR <br />LOCAL LAW REGULP.TING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION <br />SIGNATJ) OF CpNiRAGTOP OR �A 'MORIZEO nptNT DA'E <br />X i�i�ar- i'� ..G/�cc<:• 4/ 21/ 8 3 <br />MECNANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIHFD A.C. "NITS — TONNAGE F.A. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ERS — 6.T.U. M <br />UNIT HEATERS — B.7 � �. M <br />EVAPORATIVE CJOLERS <br />CLOTHES DRY6�a <br />VENTILATION FAN <br />RANGEHOOD <br />Alq HANDLING UNIT — C.F.M. <br />STOVE — N'OOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEFT <br />HEAT PUMP <br />SUB TO7AL 5 <br />PERMIT S <br />70TAL FEE 5 <br />( NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLU�d01NG <br />MECHANICAL <br />OTFiER <br />PENALTY <br />S <br />FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I 1% I S O <br />PEHMI7 VALIOATION <br />WHEN PROPERLY VALIDAI'ED QN THIC �P� o � THIS�SOYQUB P�Rty71T (Y]. <br />J 7 �f V N� <br />�) <br />c-`� <br />YOUR RECEIPT�--� <br />i'HANK YOU <br />0 <br />� <br />� <br />