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v� via.a.a. '`�� ���Qi� ■ PERMIT NO. O97$6 <br />CITY HALL 259�8745 <br />eveaerr. wa eszoi ❑ COMBINATION ❑ BUILDING k� M'cCHANICAL ❑ PLUMBING <br />O:RIhN NAILADCH255 CRY Z��' PI�ONE <br />Fred V. Ernst 731 Hovt Everett <br />AHCMIiECT OF OE:fIGN[P MAIL ADORE55 CItY ZIP PHO4E <br />GENEPRLCOtliRAQOfi MNILAODFE55 �ITY 21P PNONE <br />l✓JEIL'c � <br />ldECHANICALC01lTRACiOR MAILADORELS CITY ZIP PHONE �I�Ef!$[� <br />Natural Gas Equipment 1611 East Grand Everett 96201 258-2441 <br />FLUM1IBINGLONiRACTOR MAILAODPE55 CITY ➢P PHONE LICENSE� <br />❑NEW C�ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGIJ ❑GARA� : <br />VALUATION OF Y:ORK <br />E <br />IGWL UGSCHIYI IpN OF PFOPERTV (SHOIV pELOW <br />LOT 9LOCK_OF <br />731 Hoyt <br />PLUMBING <br />NO. TYPE OI <br />WATER CLOSET (TOILI <br />BATHTUB <br />IAVATORY�WASH BA: <br />SHGWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />'NATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACJUM BREPKERS <br />ROOF ORAINS - RAIP <br />SINK ISERVICE - F1AF <br />SIDE YARD SETBACK <br />FIRE <br />SUBTOTAL <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCF.S GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIEU WITH WHE?HER SPECIFIED <br />HEREIN OR NO'. THE GRANTING OF A PERMIT DOES NOT <br />PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFO� <br />VISIONS OF AN'! OTHER STATE OR LOCAL LAW REGULATIIJG <br />CONSTRUCTION OR THE PF9FORMANCE OF CONSTRUCTION. <br />SIGNyAiyREOFCONiRFCTORORAUTNORIZE��GENi D.:iE <br />%�'I\(�-��/J�.li � .��`,�IRv,. i 9/16/81 <br />OR ITEM FEE N0. � TYPE OF E�UI <br />AIR COND. UNRS — H.P. EA. <br />REFRIGERATION UNITS — H.I <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TOI <br />1 PORCED AIR SVSTEMS — 8.7 <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLEFS <br />STREET SETBACK <br />LOT AREA <br />OCCUPANCY GRC <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PtANS <br />3. FIR� HYDRANT <br />1. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINA3E <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PWNS CHECKED �Y <br />REAR YARD SETBACK <br />❑YES ❑NO <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES ❑NO <br />APPR. fOR ISSUANCE BY <br />flANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FlREPLACE 8 CHIMNEY <br />SUBT�TAL <br />PEHMIT <br />TOTAL FEE <br />PLAN CHECK NUMBEF. <br />FEE <br />FEES VAU <br />BUILDING $ <br />PLUMAIIJG <br />MECHANICAL <br />M <br />M <br />FEE <br />RECEIPT NO. <br />� � � <br />PENALTY U.BC. <br />SEC.303(a) � <br />TOTAL I I 9 I00 <br />PEHMIT VALIDATION <br />\VHEN PROPERLY VALIDATED pN THIS SPACE� THIS IS YOUR PERlAIT <br />� , � '' �� <br />� <br />� <br />cri <br />i Q <br />l�DDRESS FIL[ <br />