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d;r L�rr:; rrl <br />everett CJ��iRUCTIQ��� <br />PERMIT peannir n;o. 1371� <br />CITY HALL 259�87a5 <br />eveWerT, v:n 9yzo+ [ COMBINATIO�J _ BUILDING ltx MECHANICAL !J PLUMBSNG <br />OY:iJER r.-._:..�.���55 GITY LP PN9AE <br />Archie Carmichael 3805 Hoyt Everett 9P,201 <br />:.RCHIiEGT OR OESIGNER IAA!L ADORE55 CRY LIP PFONE <br />GENE9A� CONiFAGTOR �dRl: AODRE55 CITY LP PHONE L�LENSE r <br />IAEGHnNIGAL CONiRALTOR MAIL ADORC55 CITV ZIP PNONE UCENSE Y <br />Natural Gas Equipment 1625 East Dfarin;: View Drive Everett 93201 258-2441 <br />PLUMOING CONiflACTOR IARIL AD�RE55 GiY ZIP FMONE �IGENSE • <br />O NEYJ O AODITION ❑ ALTERATION ❑ REPAIR O DEMOLI�ION ❑ FENCE ❑ SIGN O WOUD STOYEIFIREPLACE INSERT <br />vn�unriaN oF woaK <br />S <br />DESCRIBE WOAK <br />instal Water Heater <br />PROPO.`.E� USE OF BUILDIIIG <br />LEGAL CESGRIPTION QF PNJPERTY �SHOW BELOW OR <br />! pl __bIOCR _OF _ <br />JOD AODaE55 <br />3305 Hoyt <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />W ATEfl CLOSET �TOI LET! <br />8/THTUB <br />LAVATORY�WASH BASIN) <br />SHUVJER <br />KITCHEN SINK 8 DIS°. <br />DISNINHSHLF <br />I�UNURYTRAV <br />� CLOTHES WASHER <br />VJATER MEATER <br />URINAL <br />ORINKING FCUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEflS <br />ROCF DRAINS — RAINLEA�ERS <br />SINK (SERVICE — 9AR, ETC.) <br />SUB TOTAL <br />�ERMI7 <br />70TAL FEE <br />U.:f:. CONE '- <br />i�'Pf�. OF CONST. <br />,,..:i: oF BLDG. <br />�' ! ZONE <br />I NEAE3Y CERTIF� THAT I HAVE READ ANG EXAMWED THIS <br />APPLiCA'ION AP.D KNOW THE SAME TO BE TRUE AND <br />COPIES� CORRECT. ALL ''ROVISIONS OF LAWS AiJO ORDINANCES <br />GOVERNING TH,S TYPE OF WORH WILL BE CCMPLIED WITH <br />WHETHER SPECIFIED HEREI� OR NOT. THE GRAiJTING OF A <br />?ERMIT DOES PIOY PRESUME TO GiVE AUTHORITY TG VIOLATE <br />OR CANCEL "��HE FROVISIONS OF ANY OTHER STP7E ^R <br />LOCAL LANi REGULATING CONSTRUCTION OR T4E <br />PERFORMA�;CF QF COhSTRUC,710N. <br />SIG�IATUq� OF C�RAC`�OR OF MOPiZED AGENt �ATE <br />X �i� �� �', �,� 7/37./84 � <br />MECHANICG.L <br />FEE NO. 7Y�E OF E�UIPME�� � <br />AIR COND. UNITS — H.P. EA. <br />REF471GERATION UNITS — H.P. eA. <br />BO LEFS — M.P. EA. <br />3�15 FIRED A.Q UNITS — TONNAGE EA. <br />FJRCED AIR SYSTEIdS — B.T.U. M EA. <br />'�.YALL MEATERS — B.T.U. M11 <br />UNIT HEATEFS — BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIH HANOLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIflEPLACE & CHIMNEY <br />� FIREPLACEINSERi <br />HEAT PUMP <br />1 Water Heater <br />S <br />S <br />S <br />YES NO <br />OCQ LOAD <br />APPPOVALS BY DATE <br />I. ENVIRON6IENTAL CME7K LIST <br />RW�DINGPLANS <br />J PiHEHYDRANT <br />: FiREPFOTECTION5Y5TEM <br />h GRA�ING <br />5 DFAINAGE <br />7. [NVIRONMENTAL IAIPACT iTATEMENT <br />a r�Fn�Tn oisrr:icr <br />APPUCATIOh Afl; uv PLANS CHECKED BY :.PPH. FOR ISSUnNCC �Y <br />_— "_.—_— ""- �--�—_.—..___— ___.J <br />CHELK NUMBEfi <br />SUB TOTAL i 4 SO <br />PEflM1T 5 ZO 00 <br />TO�AL FEE 1�} SO <br />FE� I F7ECEIPT NO. <br />VALUA710N � FEE <br />BUILDING 1 <br />PLL'MBING <br />MECMANICAL IA SO <br />OTMER <br />PENALiV <br />(al <br />70TAL I I 14 I50 <br />��EPMIT VALIOATION � <br />IVNEN PROPERLY VALIDATED (IH THIS SPACEI THISVS YO+Jf��PEPMIT— �, <br />� <br />r <br />r-• <br />� <br />