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r,".`_,`,�`�`'.,: �ONSTRUCTIQy <br />�Va.I��l,�l. P6RMIT PERMIT Np. 1�`: Go <br />arr n:,� � 2s�-a�<s <br />eveaeTr, v�a �eroi [j COMBINATION ❑ BUILDING X3 MECHANICAL ❑ PLUMBlNG <br />Ol!':EH MAIL RpORE55 CITY ZIP PHONE <br />Richard Thorp 2322 Hoyt Everett 98201 <br />AaCHRECT OR UESiGNEF MN�L RDDPE55 CITY Z�P PyONE <br />GENERRL CONTRACTOR MAIL ADORE55 LITV ZIP PMONE LICENSE � <br />IAEGH^L•LALCONiRACTOR MAII. P9pRE55 CITY ZIP �NONE LICENSE • <br />'Aatural Gas Equipment 1611 East Grand Everett 9820J. 258-2441 <br />PWlABING GONTRACiOR MRIL RDUflE55 GIIY ZIP PMONE LICENSE � <br />❑ NEW <br />VCWATION OF WORK <br />S <br />OESCRIBE 1VORK <br />❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEIAOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIPEPLACE INSERT <br />�Ot _ OLOCN _OF <br />JO� FDD�VE55 <br />PLUMBING <br />NO. � TYPE OF FI%TURE 9R ITEM <br />1NATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY �WASH BASIN� <br />SHOWEfi <br />KITCMEN SINK 8 DISP. <br />DISHWASMER <br />LAUNDP.Y TfiA'i <br />CLOTHES WASHER <br />WATEF HEArER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �flAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETQ) <br />SUBiOTAL <br />PERMIT <br />TOTAL FEE <br />FIRE ZONE <br />APPflOVALS <br />L ENV:RONMENTAL CHECK LIST <br />2. 6UILDING PLANS <br />:1. FIRE HYDRANT <br />4. FIRE PROTGCTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />LENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH OISTRICT <br />CHECKED BY <br />�I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOLRCOPIES� CORRECT. ALL PPOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />�ERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />C`R CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTNUCTION. <br />SIGNAiURE OF GOt:TRACTOH OR �TMONi2ED HGB�t � OAj �- <br />-- X ' ) l� `���%/F�(� <br />IdECHANICAL i <br />FEE N0. ! TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />t—_ <br />RCFHIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCEU AIR SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — B.T.U. M <br />UNIT HEATERS — �.T.U. M <br />EVAPORATNE COOLEFS <br />CLO?HLS DRYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAi PUMP <br />f <br />S <br />EAR VAR7 SETBACK PLAN CHECK NU� <br />ACANT SITE <br />.YES . NO F`�5 <br />MA%.00C.lOAO <br />BUIIDING <br />PLUM9ING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />PLAN C <br />FEE <br />VALUA710N <br />E <br />U.B.C. <br />SEC. 30J �a� <br />FEE <br />RECEIPT NO. <br />FEE <br />14 � 50 <br />TOTa� I I i9 I 50 <br />PERMIT VALIDpTION <br />WHEN Pr70PERLY VALI�ATED �IN THI$�P,Ai � THI����P��T—�� �� <br />I 79•� �Jll <br />9Y <br />,.ol;r,-:., ': u t <br />^f i � t h-� �:_*A-�► C+`iT <br />ei. <br />,`�'<�J I <br />i � i'<;:'i'�i�;) <br />