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„"���",°,�”' � ':ONSTRUCTIO�' <br />ev�rett � P E R M I T <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT �JO. <br />127u� <br />❑ PLUMBING <br />OYMEP lAAILAOORES$ ���� "' •••�" <br />Michael Kight 919 Hoyt Everett WA 98201 252-9836 <br />AFCMItEGT Oii OESIGNER MPIL ADDRE55 GITY ZIP PHONE <br />GENEHFL CONTflACTOR MAIL ADDFESS CITY ZIP PMONE LICENSE Y <br />MEGHANICAL GONTFAG70R MAIL AD�RE55 CITY ZIP PHONE LICENSE X <br />?WtdOiNG CONTRAQOR <br />MAIL A�ORE55 CITY ZIP PMONE LIGENSE N <br />❑ NEW ❑ ADOITION ❑ ALTERNTION X%REPAIR ❑ DElAOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 4���.�� <br />ESGi118E WORK <br />Reroof - shake <br />ROPOSEO USE OF 9UILOWG <br />Residence <br />hGAL DESCRIPt10N OF PROPERI <br />LOT_BLOCN__OF_ <br />�oe noor+ess <br />919 Hoyt <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATER CLOSET (701LE7i <br />e.4TH7UB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISF'. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES6VASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAfl. ETG) <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 GF LAWS AND ORDINANCES <br />GOVERNItJG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFiED HEREIN OR NOT. THE GRANTING OF A <br />pFRM1T DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROViSIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF,pR�CONSTRUCTION. <br />XNr�r�1i r+T roa o ���Nr j 1/ 16/83 <br />Lh <br />MECHANICAL _ <br />ITEM FEE N0. TYPE OF E�UIPMENT <br />AIR CON�. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UIJIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />$TOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />TOTAL <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRON MENTAL IMPACT STAI <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLA <br />BY <br />�5 <br />REAfl YARO SETBA( <br />VACANT SITE <br />YES ..NO <br />NO. OF DWELLING I <br />MA%.00C.LOdD <br />FIflE SPRINKLERS <br />REOUIREO <br />VES , NO <br />BY OATE <br />SU9 TOTAL S <br />PEfiM1T E <br />TOTAL FEE S <br />IFEE I RE�EIPT NO. <br />FEES VALUATION FEE <br />BUILOING 5 4000.00 44 50 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />rora� 44 50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALI�ATE� (IN TMI {�PlaC�) THIS��QUF�,P�7MIT�� 1� <br />L 4 �� � � <br />I - <br />t -, ! <br />'. n- �. i:l�'1 , ' <br />BY � . , ,., � : �.J <br />� .. <br />i����n1�F55 F�,l: <br />