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7/tP LtvPrFrffrt <br />�,-Y �:. <br />everett <br />CITV NALL 259-8745 <br />� �`ONSTRUCTION <br />PERMIT PERMIT NO. L�"�� <br />EVEP.ETT, V�A 9B201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OY:H[H 1,1AiLADDFE55 QTY Lv MONL <br />LELAND ARTHAUD 1802 hiadison Everett WA 98203 3:�3-2285 <br />AHGNITECT OF OESIGIIER MAIL AOOFE55 C�TY ZIP PMONE <br />GENERAL GONTRAGTOH IAAIL ApORE55 GiY ZIP PHONE LIGE!�SE • <br />Everett Bldrs 5606 Evergreen tJay Everett ldA 98203 353-7161 <br />MECHANICAL CONiRACTOfl M41L AODRE55 CITY ZIP PHONE I�CENSE a <br />PLUMBINGCi1TRAGTOR MAILADORE55 CITY ZIP PMONE IILENSE� <br />O NEVJ ❑ ADDIiION �I ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE � SIGN ❑ WOOD STOVEIFIHEPLACE INSERT <br />vALUATION OF WORN <br />s 6584.00 <br />UESGRI�E WORK <br />Y.itchen remodel - cabinets, floor <br />FROPOSED USE OF BUIL�ING <br />Residence <br />OR ARACN FOUFi COPIES� <br />LOT_BLOCK__OF_ <br />J ' S 5'� <br />��� / <br />�/ <br />iobdooaess <br />1802 Madison <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOI LEn <br />BATHTUB <br />LAVA70RY�WASM AASIN) <br />SHOWER <br />KIiCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKIFG FOJNTAIN <br />FLOOR DRA�4 <br />VACUUM BREAKERS <br />ROOF DRAINS — flAINLEADERS <br />SINK (SERVICE - � BAR, FTC.) <br />SUB TOTAI <br />PERMIT <br />70TAL FEE <br />OF <br />L ENVIRONIdENTAL CHECK LI57 <br />2. BUILOING PLANS <br />�. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. HEALTN DISTRICT <br />APPLICATION ACC.BV PLAI <br />FEE <br />� <br />5 <br />S <br />flEAR VARO SETE <br />VAC4NT SITE <br />I:YES NO <br />NO. OF DIVELLIN <br />MA%.00C.LOAD <br />FIRE SPRINKLER <br />RE�UIRED <br />BV IAPPR.FOR <br />� HEREBY C'EfiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIUN AND KNOW THE SAME TO BE 7RUE ANG <br />CORRECT. ALL PROVISIONS OF �AWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINC 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 RcGULATING CONSTRUCTION UP THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNpT}]PE OF CONiRA TOR Op qtl� OJiiZEn� ENt OATE <br />x/T /I1 a.-. •T L1 V 2/27/84 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATIO� UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEflS <br />VENTILATION FAN <br />PANGEHOOD <br />AIR HAN�LING UNI? — C.F.M. <br />STOVE — �YOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEAT <br />HEAT PU�dP <br />SUB 707AL S <br />PEflMIT S <br />TOTAL FEE 5 <br />;NUMBER PLAN C <br />I FEE I <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />�584.00 <br />SEC. <br />iy�a <br />RECEIPT NO. <br />FEE <br />TOTAL I I '�'- I `�v <br />PEflMIT VALIUATION <br />WHEN PROPERLY VALIDATED �1N THIS 1P71E� THIS`ISOVQU@ PfRn IT m <br />D 61 � �_� <br />� <br />m <br />' � RL=C�IPT � <br />� � �V lr. <br />� L:U <br />� <br />r <br />f <br />r: <br />H F <br />�. " <br />ri � <br />� .. <br />t <br />C <br />r� r <br />C7 � <br />r <br />N : <br />C7 � <br />�!' <br />� : <br />ri <br />.a <br />7 � <br />_1 , <br />h <br />�� � <br />