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ldcE�'Pilrren ,� � CONSTRUCTI� • <br />CTv C� <br />everett PERMIT' PFRMIT NO. 1�J4�� <br />GTY HALL 259�B7<5 <br />EVERETT, WA 98201 [� COMBINATION C�X C BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MaIL AD�PE55 UTY 21P PNONE <br />Rick C. Pulliam 2116 228th Street S.E. Bothel 98021 481-9292 <br />AFCNIIEGT OR DCSIGNEH �1AIL ApDRE55 GIiY ZiP PMONE <br />GENEf1A� LONTPACiOp htAiL P�ORE55 GIiV 21P PNONE LICENSE � <br />wP�,-A � p ;f; „nG 2116 228th Street S.E. Hothell 98021 481-9292 <br />r�c c__C t <br />MEf.MRNICAL GONTFAGTOR MAIL AODRE55 CITY ZIP PHONE LICENS[ x <br />PWMBING GONTRAGiOR MAII AODRE55 C17T ZIP PHONE LIGENSE � <br />C iJtW <br />VAWATION OF Y:ORR <br />s 6�5��.�� <br />❑ ADDITION ❑ ALTERATION .�.REPAIR ❑ DEMOUTION ❑ PENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />Interior repair <br />�oi23 BLOCN488 oF <br />2318� Hoyt <br />MOW BEIOW OR <br />Everett <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER GLOSET (TOILEIj <br />BATHTUB <br />�AVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHIVASMER <br />LAUNDRVTRAY <br />CLO7 HES WASHFR <br />WATEfl HEATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACl1UM BREAKERS <br />ROOF DPAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TO7AL <br />PERMIT <br />TOTAL FEE <br />SIZE Of BLDG. N0. OF <br />FIflE ZONE BASEN <br />APPROVAlS <br />1. ENVIf±ONMENTAL CHECK LIST <br />2 �UILDINGPLANS _, <br />3.FIREHVDRANT �n <br />4. FIRE PROTECTION SYSTEA� <br />5.GRADING <br />6. DRAINAGE <br />7�TlVIRONMENTAL IMPAC <br />6AEALiH DISTRICF <br />_� <br />�` o <br />�- i <br />FEE <br />s g <br />E <br />S 8 <br />REAR VAR� SETB� <br />VACANT SITE <br />YES NO <br />NO. OF DWELLINC <br />MA%.OGC.LOAD <br />FIRE 51 aINKLERS <br />REOUIRED <br />YES 1:0 <br />BV DAT <br />BY IAPPR.FOR <br />I HEREBY CEPTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GGVERIJING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />\VHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT FRESUME TO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION. <br />516NATt1PE Of CONTRp TOH OR AUiNORIZED /GFNT OAIE �/ <br />X�-�-�r'! � _ �--, - i /-$S <br />MECHANICAL <br />N0. TYPE OF E�UIPM'cNT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.Q UNITS — TONNAGE EA. <br />FOflCED AIR SYSTEMS — B.T.U. M EA. <br />WALL NEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILAiION FAN <br />2 RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLAGE 8 CHIMNEY <br />FIFEP�ACE INSERT <br />HEAT PUMP <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />rtt <br />;NUMBER � r�qrv �necnree <br />� FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING s 6,500 62 50 <br />PLUMBING 8 OO <br />MECHANICAL LB OO <br />OTHER <br />PENALTY U.B.0 <br />SEC. 303 (a) <br />TOTAL 88 50 <br />PERMIT VALIUATION <br />WHE�PjiQP JRLIY YALIDATED�j(J TH�S�I��E� THi�l81Y�UP �EHNIT � <br />U(I � U •j U L J U <br />� <br />� <br />_ i'. RC:CFiPT � �- � n f:� ,:,Ef'rT .-� <br />.. 1 �'�� ��'`���. ( �1 <br />' � %� ' <br />'., � � 22�P o) <br />