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U!e E�'erkre,-n -� � O N ST R U CT I O� • <br />CG'� OF � <br />everett PERII�IIT PERMIT NO. �-55�3 <br />GTY HALL 259-8745 <br />EVERETT.WA98201 ❑ COMBINATION XX�I BUILDING .�J MECHANICAL ❑ PLUMBING <br />OWNER MAILADOPE55 CITV ^'ZIP PHONE <br />._ _"_' .. -ircn <br />MAIL AO�RESS CITY ZIP PHONE LICENSE N <br />GENERAICONTRACTOR "_ __„__ „�„ �� �� '-��rnrooll l 4 <br />CITY ZIP PMONE LICENSE M <br />PLUMBING GONTRACTOR <br />MAIL ADDRESS CITY Z�,P PHONE UCENSE x <br />❑ NEW ❑ ADDITION O ALTERATION XXREPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S%��.0� <br />DESGRIBE WORN <br />�oT� OLOCK�OF David Marine <br />4174-000-001-0001 <br />IOB AODRESS <br />5621 Lowell Road <br />PLUMBING <br />NO. � TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY(WASH BASIN) _ <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WAShIER _ <br />WATER HcATER <br />URIWF,L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEPS <br />i SINK (SERVIGE — BAR, ETC.) <br />SUB TO <br />PERMIT <br />TOTALI <br />rlH. <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIflONMENTALIMPACTSTATEMENI <br />d. HEALTH OISTRICT <br />APFLICATION ACC. BY PLANS CHI <br />eb <br />�S <br />9EAR VARD SETBA( <br />VACANT SITE <br />;;YES GNO <br />NO. OF DWELLING i <br />MAY.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />-.'YES --�NO <br />gy DATE <br />FOR <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 ORDINAtJCES <br />GOVcRNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITI'TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOC�\L LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. oATE <br />SIGNFTU F GONT CFOR OP AUTHONIZ AGENT <br />., i 7��'. � �". . , , �,�� 1Q/2/85 <br />MECHANICAL // <br />NO. TYPE OF E�UIPMENT <br />AIR CJND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS -- H.P. cA. <br />GAS FIRED F.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />AIH HAN�LING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIflEPLACEINSER7 <br />�� HEAT PUMP __ <br />SUB TOTAL <br />PERMI7 <br />TOTALFEE <br />FEE <br />FEES � VALUATION <br />BUILDING ��O.00 <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />� <br />S <br />S <br />�HECK FEE <br />RECEIPT NO. <br />FEE <br />13 <br />PENALTY SEC.9031a) <br />TOTAL 13 �� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN � H�3 5P5 9� TH�s IS�YiUR PE�R�M�T � <br />�; 3 <br />�r'� <br />I r � <br />,:.,, �� n i�rCC�PT ` ' <br />� �, ��.! t: Y o u <br />�;,, <br />F�DDRESS FIL[ <br />- � G:; ( u �J <br />