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�he Lvi�rcreen �— <br />���,�� �� � corvsTRr�cri�,. <br />eve�ett P�RMIT PERMIT NO. 1552� <br />CITV HALL 259-8745 <br />EVERETT,'NA99201 � COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br />OWNBR MA�iAD�RE55 CITV 1i� VHONE <br />Harmon & Associates P.O. Box 1179 �tam�uod 629-4536 <br />NRCNIi[Ci OR DF9GNEA IAAIL 4D�R[55 � GITY ZIP PHONE <br />GENERAL CONiPACTOA MRIL AODRESS CITY 21P PMOfIE lIGE45E / <br />MEGMANiGAL GONTPACTOR MAIL AUDRE55 GITY ZIP PHONE LICF+" • <br />PLUMBING CONTPACTOR MPIL aDURE55 CIiV ZIP PHONE LICENSE / <br />Hezel Plumbing Irc. 129?5 Sndion Beach Cama!ao island 387-8624 _ <br />CLA55 OF WOPK <br />❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ DEMOLILON C PENCF G SIGN H�E�B����S��FIREPLACE INSERT <br />S <br />LEGAL DFSCRIPi�.Ui: OF PROPEflTY �SMOW BELOYJ OR AiTACH FOUP COPIES� <br />LQT___B�OGK_Ur <br />�CR AOilPFS•— <br />4202 Hoyt <br />PLUINBING <br />NO. T1'PE OF FIXTIIRE <br />�� VJFTEFCLOSET�TOI:En _ <br />j 9Ah�TUB <br />BASIM) <br />SHON'EF <br />KITCHEI':SINKB <br />2 LAUNDRYTRA� __ <br />GIATHES WASh:F <br />L WAicq HEATER _' ___' <br />�— <br />UflINAL <br />DRINKING FOUN7AIM1 <br />1 FLOOR DRAIN <br />'JACUUM BREAREFS <br />ROOP OFAiNS — RAWLEA�SRS <br />�SINK (SERVICE — BAR, ETCI <br />SI�E �Ii1RD SE. <br />USE 20NE <br />TYPE OF rON: <br />SIZE OF BLDG. <br />SUfl TOTAL <br />PERPAIT <br />TOTAL FEE <br />AREA <br />APPflOVALS <br />1. ENVIPGNF7ENTAL CHECX LIST _ <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PR07�ECTION SYSTEIA <br />S.GRADING _ <br />6. JRAIHAGE <br />7.ENVIPONMENiALIMPACTSIATEMENT <br />8. MF.AL7'I I DISTRICT <br />I HERFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APP�ICATION AND KNOW THF SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVER�!ING THIS TYPE OF VvORK WIL� BE COMPLIED WITH <br />WHETHER SPECIFIF.D HEREIN (�R NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL TH OVISIONS OF ANY OTHER STPTE OR <br />LOCA W GULA'fING CONSTFll1C�'IOtJ OR THE <br />PERF RMAN F C 1RUCTI N. � <br />SIGNFi E OF T CTOR R AU RI GENT lO��BS <br />X // <br />MECHANICAL <br />FEE NO. YPE OF EDUVNM�NT <br />� AIR CON UNITS — H.P. EA. <br />REPRIGERATION UNITS — H.P. EA. _ <br />4 �p BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTFMS — 6.T U. M EA. <br />N'ALL HEATERS — B.T.U. M <br />�S OO UNIT HEATERS — B.T.U. M <br />E`LIPORATNE COOLEFS _ <br />CLOTHES DRYERS _ <br />VEN�I'_AT.'ON FAN <br />RANG'2MOBD <br />Z AIR f'r�NULIVG UNIT — _ C.F.bI_ <br />SiCVE -- V`'OOD <br />11ETAL FI�icPLFCE 8 CHIMI:EV <br />F'REPLPCP.iVSERT <br />HEAT PUNF' <br />S 16—I <br />S <br />s 19 <br />EAR YAR� SETBA� <br />ACAIVT SITE <br />VES NO <br />Q OF UWELLIN� <br />IqX.00C.�0A0 <br />IRE SPRINKLEPS <br />EOUIRFD <br />YES .NO <br />e�— onie <br />CHECKED BY IAPPR. <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />I FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING 19 �0 <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 30b �a) <br />TOTAL 19 Q� <br />PERMIT VALIOATION <br />WHEN PflOPLRLY VALIDATED �IN TH16 SPfQE) THI5,�1$�VQUfj P�f�11T � <br />J 6 2S U I � U <br />BY <br />ADDP,ESS f-1LF <br />rr'l`C��.'� . '. <br />�: �.. <br />� . . .. . �. ...;.� <br />' �1 ��� U) <br />