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1he f:cerAreen <br />everett � �'ONSTR�1CT101� <br />CITY HALL 259�8745 <br />PERMIT PERMIT NO. 1426g <br />EVEqETT,Wq9g201 � CCMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER ::AIL pD�RE55 CITY 21P PHONE <br />Mike Templeman 5803 Lowell Road Everett 98204 <br />/RGtl��i pR DESIGNEH Mqll ADORE55 CITY ZiP PMONE <br />GENEPRLGONTRqLTOR Mq1�qDDRE55 CITY ZIP PNONE LILENSE� <br />MECH�NICAL LONTqACTOR MAIL A�PRESS CITV 21P PHONE LIGENSE � <br />Natural Gas Equipment 1625 East Marine View Drive Ev��rett 98201 258-2441 <br />PWMBING CONTRRCTOR MRIL ApORE55 CITY <br />• Z�P PHONE LICENSE ♦ <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI710N O FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />f <br />LOT_BL� CN_OF <br />803 Lowell Road <br />PLUMBIkO <br />NO. TYPE OF <br />WATER CLOSET (T <br />BATMTUB <br />SMOWER <br />d DISP. <br />OH <br />LAUNDRVTRAY <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREANERS <br />ROOF DRAINS — FAINLEADERS <br />S�NK �SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECtION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENiALIMPACTSTATEMENT <br />ACC.BY <br />� <br />S <br />S <br />REAR YAHD SETI <br />VACANT SITE <br />YES .NO <br />NO. OF JWELLIN <br />MAa.pCC.LOAD <br />APPR.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 ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER 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 LAW REGULATING CONSTRUCTION OR THE <br />PERFORMA OF C NSTRUCTION. <br />SIGNATl1FE pF ONiR A�THpqIZEp pGEN7 DATE <br />X A '�.<<�; 12/19/8 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFFIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GA$ FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEqS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE CCOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F,M. <br />STOVE — WOOD <br />MEiAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />OUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTaL <br />SUB TOTAL S 4 S( <br />PERM�T S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S <br />19 5a <br />U.B.C. <br />SEC. 3031a) <br />14 50 <br />WHEN PROPERLY VALIDATE� QN THIS 6PAC�) THIS�ISYOUfi PERMIL d"J <br />� <br />N <br />_ �t' <br />, i �--1 <br />z <br />O <br />-i <br />.. <br />n <br />m <br />rti �r <br />-� �t <br />N S <br />v "' <br />cg <br />m <br />n <br />O 3 <br />m <br />--i z <br />2 -� <br />m <br />.--� <br />�C Z <br />D —1 <br />rx <br />-i N <br />< <br />T <br />O ��'I <br />�m <br />m .�. <br />� <br />O <br />o r <br />� m <br />C Vf <br />� N <br />2 fl <br />-i r <br />• m <br />a <br />z <br />--I <br />2 <br />n <br />z <br />1 <br />� <br />N <br />Z <br />O <br />--1 <br />f'f <br />m <br />-�, <br />