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S <br />� <br />Ihe Lccrrri•rn <br />everet�t r �ONSTRUCT�OI� <br />PERMIT PERMIT NO. 22Ob3 <br />CITY MALL 259�87d5 <br />EVERETT,WA98201 � COMBINATION � BUILDING �tX MECHAI�ICAL ❑ PI:UMBINC <br />OWNER MAILA�OFE55 CITY ZIP PHONE <br />Carl Johansson 7515 Lower Ridge Ruad Eve�ett 98203 <br />AflCHIiECT OR vE51GNER MAIL ApDRE55 CITY ZIP PHONE <br />GENEFFLGONiPRCiOq MAILAODPESS CIiY 21P PMONE LICENSEN <br />uECnRNICAL C01RPnQOR MAIL AOORE55 �RV IIP PHONE LICENSE x <br />Natural Gas Equipment 1625 East Marine�Niew Drive 982C1 258-244� <br />PLUMBING COiRPFCTOR MAIL ApORESS • ��TY ZIP PMONE LICENSE 1I <br />❑ NEW ❑ AOOITION ❑ ALTERATICN ❑ REPAIp ❑ DEMOLITION ❑ f-ENCE ❑ SIGN D WOOD STOVFJFIREPLACE INSERT <br />VFLUAiqN OF WOfiN <br />S <br />LEGPL DESCflIPTION OF PqOPEqTV �SHOIY OEL019 OF ATlAGH FOUR GOPIES� <br />LOT_pLOCK�_OF <br />15 Lower Ridge Road <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORY(WqSH BA; <br />SHOWER <br />KITCMEN SINKA DISP. <br />DISHWASMER <br />LAUNDRYTRAY <br />WATER HEATER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF ORAINS - RAINI <br />SINK (SERVICE - BAR, <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />4. FIflE PROTEGTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATI <br />e. HEALTH OISTRICT <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 UF LAWS AND ORDINANCES <br />uOVERNING THIS TYPE OF WpAK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN CR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIULATE <br />OR CANCEL TH� PRGVISIONS OF ANY O?HER STATE OR <br />LOCAL LAW ?EGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF COP!STRUCTION. <br />SIGNAT`f �q OFGONTRAGTOROHAU'il1ORREDAGENT DATE <br />X R Chi�, � ��y,�,fiM�,'1 . 6/8/83 <br />FEE NO. TYPE OF EOUIPMENT <br />AIq COND. UNITS - H.P. [A. <br />REFRIGERATION UNITS - H.P. EA. <br />601LER5 - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIH SVSTEMS - B.T.U. M EA. <br />WALL MEpTERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />TOTAL 5 <br />NI* S <br />11 FEE S <br />SETBACK REAR VARO S <br />A VAf,ANT SITE <br />CVES i_iN0 <br />DRYERS <br />RANGEHOO� <br />AIR HANDLING UNIT - <br />STOVE - WOOD <br />METAL FIREPLACE R CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />FEES <br />BUILDIN6 <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />C.F.M. <br />SUBTOTAL 5 <br />PEflM1T S 10 �� <br />TOTAL FEE S 14 5C <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VAL!�nTION FEE <br />4 <br />14 50 <br />U.B.C. <br />SEC. 307 �a� <br />14 50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS�$q.�f'FJ THIS �6((OyFj,PF�qryyT�^� � <br />/bb4 �pV I 4 JIl <br />0 <br />n� <br />FOR ISSUANCE BY YO U it REC [ I PTri <br />7h{ANK YOU <br />- 8 �'sa 8 3 <br />AODRESS FIIE <br />1 <br />.� <br />� <br />� <br />