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�.- <br />u <br />dir Eri•r.rrrn <br />� ;orvs�r�uc-rior� <br />everei� p�RMIT PERMITNO. l��g� <br />CITY HPLL 259�B7a5 <br />eveaerT. c�a sazai V COMBINATION ❑ BUILDING XX MEGHANICAL '.� PLUiJIBIP�G <br />OC.11ER MFIL FpLRE55 CIiY ZIP FM01:E <br />Gwen Justice 2328 Hoyt Everett 98201 <br />FRCHrtECi OR �ESiGNEfl MAIL ApDRE55 LITY ZIP PMONE <br />GENEFAL GONiRAGiOR MAI� ADORE55 GITY I�P PMONE LIGENSL • <br />MECMANICnL CONTRACTOF IAAiL FDDRE55 GRY ]IP PHONE LICENSE x <br />;latural Gas Equipment 1625 East Mnrine Viewl XY9!!iX Drive Everett 98201 258-2441 <br />PLUM&NG GONiFACiOR MAIL ROOAF.55 CITV ZIP PMO'i[ LICENSE � <br />C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIF ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOO� STOVEIFIREPLACE INSERT <br />YALURT!JN OF <br />S <br />l07_BLOCN_OF <br />2326 Hoyt <br />P�UMBING <br />NO. TYPE OF FIXTURE OR <br />WATERCLOSET�TOILE7) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTR:.V <br />CLOTHES WASHER <br />WATER HEATER <br />OF <br />FI <br />URINAL <br />OFINKING FOUNTAIN <br />FLOOR DAAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETQ) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDflANT <br />d. FIRE vROTECTION SYSTEM <br />5. dRADING <br />7. DRAINAGE <br />L FNVIRONMENTAL IMPACT STAT <br />E MEALTHDISTRICT <br />APPLICATION ACG. BV PLAI <br />COPIES� <br />FEE <br />3 <br />S <br />S <br />YES NO <br />MA%.00Q LOAU <br />9Y <br />FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS NND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUM[ TO GIVE AUTHORITY ?0 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATe OR <br />LOCAL LAW HEGULATING CONSTRUCTION UR THE <br />PERFOR�.1 NCE OF CONSTRUCTION. <br />5�,]NATURE �C?bFOHAU1110�1'if.4GO�T D4TE <br />X s .�1^�,/��� 10/2/84 _ <br />�. v <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — N.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNIiS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEflS — B.T.U. M <br />UNIT IIEATERS — 6.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — WOO� <br />METAL FIREPLACE 8 GHIMNEV <br />PIREPLACEINSERT <br />HEAT PUMP <br />1 Water Heater <br />SUB TOTAL f 4 50 <br />PENN�IT S IO �� <br />TOTAL FEE 5 14 SO <br />PLAN CHECK NUM�ER � PLAN <br />FEE � RECEIPT NG. <br />FEES � VALUATION I FEE <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHER <br />PENALTV <br />5 <br />SEC.303 <br />14 I sc <br />TOTAL I I 14 I SO <br />PERMIT VHLIOATION <br />iYHEN PHOPERLY VALIDATED pN TMIS SPACE� TMIS IS;YO�If� PERMR f� <br />i Qi <br />� <br />M <br />. . � � i � <br />AI1DfE:':� FI�!: <br />•. <br />