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rhe CcerAreen � C O N ST R U CT I O� . <br />everett � � <br />PERMlT PERMIT NO. 15Z7�+ <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 � COMBINATION ;LY� sUILDING ❑ MECHA;�ICAL ❑ PLUMBING <br />OWNER MAILADDRESS GITI ZIP PHONE <br />DALE CHINN 1521 Madison Everett 14A 98203 355-6938 <br />ARCMREGf OR DESIGNER MAIL ADORESS pTY 21P PHONE <br />GENEFAL CONTliACiOR MAIL ACORESS CITY ZIP PHONE IICENSE � <br />Same <br />MECHANICAL GONTflACTOR MAIL AD�RESS CITV ZIP PMONE LICENSE N <br />PLUMBING CONTRACTOR MAIL AOORESS CITY ZIP PHONE LICENSE x <br />CLASS OF WORN <br />❑ NEW ❑ ADDI710N ❑ ALTERA710N ,Q� REPAIr. <br />VALUATION OF YJOFK <br />S 5��.�� <br />OESCRIDE WOflK <br />Reroof <br />PROPOSED USE O� DU!LOING <br />Residence <br />LOT _ 6LOCN _OF <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />W ATER CLOSET (TOI LEn <br />BATHTUB <br />LAVATORY (NJASH LiASIN) <br />SIiJWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETQ) <br />SUB TOTAL <br />PEHMtT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIflE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAIIJAGE <br />7.ENVIflONMENTALIMPACTSTATEMENT <br />8. HEALTH DIS7RICT <br />APPLICATION ACC. BY PLANS CHE <br />� <br />S <br />5 <br />REAR VARD SETBACK <br />VACANT SITE <br />::NES �C:NO <br />NO. OF DWELLING UN <br />MA%.00Q LOAD <br />FIRE SPPINKLERS <br />REOUIRED <br />-��.YES �:-:NO - <br />8Y I DATE <br />O DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVJFIREPLACE II�SER7 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIfVANCES <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 UIV[ AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM�NCE OF CONSTRUCTION. <br />AGENTti OATE <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />COILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />RANGEHGOD <br />AIR HANOLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />C.F.M. <br />SUB TOTAL S <br />PERMIT S <br />TO7AL FEE 5 <br />C NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES I �A�UATION� FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />1� <br />TOTAL ZO O <br />PEfiM1T VALIDA710N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PEFMIT � <br />I ( __ � <br />� <br />_ � <br />� <br />ISSUANCE BV ., i <br />ADDRE55 PILE <br />