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r <br />'AI <br />r <br />L <br />Use Eiergeen Y CITY OF OF IrO N ST R U CTI O N <br />everett PERMIT <br />CIIY HALL 2598745 PERMIT NO. 11045 <br />EVERETT, WA sfizol ❑ COMBINATION ❑ BUILDING 6a MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP PHONE <br />Monte Ingrahm 2408 <br />Larlin Drive Everett °8203 <br />ARCHRECi OR DESIGNER Mml enneeee 252-aRnn <br />GENERAL CONTRACTOR <br />M1IAIL ADDRESS <br />Olds -Olympic, Inc. <br />P.O. Box 180 <br />CITY <br />ZIP PHONE LICENSE <br />MECHAN ICALCANTRACTOR <br />Lynnwood <br />98026 778-3124 <br />VME ADDRESS <br />CITY <br />21P <br />PHONE LICENSE 1 <br />PLUMBING CONTRACTOR <br />MAIL gDORE55 <br />QL DS O 17B <br />CITY <br />ZIP PHONE LICENSE <br />S <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />Addition of heat pump to existing electric furnace <br />LOi BLOCK_OF <br />2406 Larlin Drive <br />PLUMBING <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 ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />%GN%E OF ONTRACTOR OR AUT�ED AGENT DATE <br />9/23/82 <br />RAM <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />NO. ^ , <br />WATER CLOSET (TOILET) <br />TYPE OF EQUIPMENT <br />FEE <br />9ATHTUB <br />AIR COND. UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />REFRIGERATION UNITS — H.P. EA <br />SHOWER <br />BOILERS — H.P. EA. <br />KITCHEN SINK 8 DISP. <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />DISHWASHER <br />FORCED AIR SYS'I EMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />RANGE H000 <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />AIR HANDLING UNIT —C.F.M. <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 He <br />SINK (SERVICE — BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL <br />$ <br />PERMIT S <br />TOTAL FEE $ <br />STREET SETBACK REAR YARD SETBACK <br />PERMIT <br />PLAN CHECK NUMBER TOTAL <br />S <br />FEE III <br />SIDE YARD SETBACK <br />PLAN CHECK FEE <br />FEE RECEIPT N0 <br />USE ZONE <br />LOT AREA VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO.OF DWELLING UNITS <br />SIZE OF BLDG. <br />NO. OF STORIES MAX DOC LCAD <br />BUILDING <br />S <br />PLUMBING <br />FIRE ZONE <br />BASEMENT FIRE SPRINKLERS <br />MECHANICAL <br />REQUIRED <br />1:1YES ❑NO <br />16 <br />00 <br />APPROVALS BY <br />DATE <br />OTHER <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />PENALTY <br />U B CSEC. 303(a) <br />QQ <br />3. FIRE HYDRANT <br />TOTAL <br />16 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED 6N THIS SPACE) THIS IS <br />5. GRADING <br />fYOpDUR++PE/RMIy�T� I, <br />7902 S 1! 1 6. U O �'� Xy� <br />6:-DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />YOUR RECEJPT <br />APPLICATION <br />ACC. BY <br />PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />THjANK Y,'4V: <br />;1 <br />W] <br />L,. <br />ADDRESS FILE. <br />23SV.82 <br />j <br />