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!hc EccrcrrPn �, d O N Si R U�T � O d_ <br />, � , �:: <br />everet� P����T PERMIT NO. 1���� � <br />CITV HALL 259�8745 <br />EVERETT, \'JA 98201 Li COMBINATION Q[ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />• <br />OWNER MAII AOORESS CItY ZIP PMONE <br />David Pox 7202 7th Drive t9est Everett 98203 397-9867 <br />ARCHITECT OR OESIGNER MFIL AODRE55 CIiY ZIP PHONE <br />GENEflAL CONiRAG OR ��A�l ADORESS CRY 21P PHONE UGtu�o n <br />i3me <br />tECHANIClLCONTFACTOR M1IAiIACDRE55 CIiY 21P PHONE LICENSEx <br />PWMBING CONTFACTON IAALL A09RESS QTY ZIP PNONE LICENSE N <br />❑ NEW ❑ A�JITION ❑ AL?ERATION ❑ REPAIP ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />.UATION OF WORK <br />s 40,000.00 <br />Add to Permit #14545 <br />Single Family REsidence <br />�or 2z e�ocn_oF_ Maple Heights <br />J00 RDDPESS <br />1402 Q�tt�{p�q�. Avenue <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOIIEn <br />BATHTUB <br />LAVATOR� �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />UISHVlASHER <br />LAUNORVTRAY <br />CLOTHES WASHER <br />WATEH HEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAI 5 — �'AINLEADERD <br />SINK (SERVICE — BAR. ETC.) <br />SIDE VARD <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />LOT <br />APPROVALS <br />t. EN�94iONMEk1'FL CHECK LIST <br />2. �UILDItJG PLANS <br />3. FIRE HYDRANT <br />•7. FIRE PROTECTION SVSTEh1 <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIflONMLNTALIMPACTSTATEMENT <br />8. HEALTH OISTRICT <br />APPLICATION ACC. BY � PLANS CHE <br />S <br />5 <br />5 <br />:'.YES �-�.NO <br />MA%. <br />BY <br />FOR ISSUANCE BY <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AFPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. AL'_ PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OFl NOT. THE GAANTING OF A <br />PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLA7E <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE 09 <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAN�E OF CONSTRUCTION. <br />SIC�V/+TURE OF fqHTRACTOR OR AUTMORIZED AGkNT �ATE <br />MECHANICAL i ' /� <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATiON UNIiS - H.P. EA. <br />BOILERS - 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. 1d <br />UNIT HEATERS - B.T.U. ht <br />EVAPORATIVE COOLERS _ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE400D <br />AIR HANDLING UNIT - GF.M. <br />STOVE - WOOD <br />ME7Al FIRLPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB 70TAL S <br />PEFMIT S <br />TOTAL FEE S <br />PIAN GHt[:K Ftt <br />FEE � RECEIPT NO. <br />FEES � VALUATION I FEE <br />OUILOWG S 90�0 <br />PW�dBING <br />MECHANICAL <br />OTHEfi <br />PENALTV U.6.C. <br />� SEC.303 <br />TOTAL I I Z38 I �O <br />PERMIT VAUDATION _ , . �. a <br />WMEN PFOPEPLV VALIDATED (IN THIS SPACEi THIS IS YOUF PERMIT' ��" ('�5 <br />�1 <br />n� <br />;��DDRc�ti I'ILL' <br />z <br />0 <br />-i <br />� <br />m <br />... .. <br />-i T <br />�-• -i <br />N 2 <br />m <br />co <br />mo <br />c� <br />O 3 <br />—i z <br />m~ <br />�. <br />C Z <br />r S <br />�-+ .-� <br />—I v <br />< <br />'� <br />O S <br />-n a <br />3 <br />—I m <br />2 <br />m .� <br />� <br />O <br />om <br />C N <br />3 � <br />z c-� <br />-i r <br />. m <br />D <br />A <br />� <br />2 <br />N <br />Z <br />C <br />-i <br />(� <br />m <br />