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!li.• Ecr.,rren <br />ever�tt <br />CRV MALL 259-c]45 <br />EVEREiT, VJA oB207 <br />�O�ISTRUCTIOh� <br />PERN�IT <br />C COMBINATlON XJU BUILDING ❑ MECHANICAL <br />PERMIT NO. 1.3 1_ 1, r <br />PLUMBING <br />,,:rtiiH n'.AiLADDFE55 Cii: _, PNONE <br />DAVE RENNING 725 Laurel Drive Everett tdA <br />„'��ChrtECi OR OESIG'�EP MPIL F��RESS CI(T LP PMONE <br />�� .�'�L GCNif1:.GT0❑ .'.!41L /�DORE55 pTV ZIP PHONE LICENSE e <br />6ridgeway Construction 3876 Bridgeway Ave N. Seattle WA 98103 632-OS00 _ <br />,fl::Mn�UGAI C0�liiiAGTOR MAII AOORE55 CITv 21P PHONE LiCEf�tit . <br />i'Lu:!OINGLONTNRCTOF MAILADDRE55 CITY ZIP PNONE �If'E�:E� <br />i.��.oa �r wvnn <br />❑ NEW ❑ ADDITION ❑ ALTERATION �(FEPAIR ❑ DEMOLITION J FENCE ❑ SIGN ❑ WOOD STOVFIFIREPLACE INSERi <br />::. W ATiON OP Y:ORN <br />� 15,000. _ <br />Repair fire damage <br />Residence <br />�or 10 e�ocK10 oF <br />PLUMBING <br />NO.—� TYPE OF FIXTURE OR ITEM <br />\'lf.T[ R CLOSET �TOILEn <br />BATMTUB <br />LAVA i ORY (K'ASH BASIN) <br />SHOWER <br />K.ITCHEN SINft & DISP. <br />DISFIWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />ylATER MEATER <br />URINAL _ <br />DRINfIING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRf.INS — RAWIEADERS <br />SINK ISERVICE — BAR, ETC.1 <br />SIZE <br />E <br />SUB 10TAL <br />PEflMIT <br />TnTALFEE <br />OF <br />APPflOVALS <br />t. ENVIRONMENTAL CMELK LIST <br />2 BUILDING PLANS <br />3. f IRE HYDRANT <br />:.FIFlEPPOTECTIONSYSTEM _ <br />5 GFADING <br />6. �PAINAGE <br />LENVIRONMENTALIMPACTSTAI <br />0 HtALTHDI$TFICT <br />APPUCATION ACC.BY PLA <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TC BE TRUE AND <br />CORREC'(. ALL PROVISIONS OF LAVJS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK W! BE COMPLIED WITH <br />WHETHER ECIFIED HEREIN OR N� . THE ,RANTING OF A <br />PERMITDOE OTPRESUMETOGIV� THORITYTOVIOLATE <br />OR CANCEL E PROVISIONS OF N OTHER STATE OR <br />LOCAL LAW EGULATING CON RUCTION O5 THE <br />PE E F CONSTRUCTI . <br />91G a0�0� Cl ROFA'JiNORREDAGE i 3��4�84 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMEN7 _ <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILEflS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M[A. <br />4'JALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOHATIVE GOOlERS <br />CLOTHES �RYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AtR MANDLWG UNIT — C.P.M. <br />STOVE — WOOD <br />METAL PIflEPLACE d CHIMNEV <br />FIHEPLACE INSEPT <br />� <br />S <br />S <br />aEAfl YARD SETB <br />VACANT $ITE <br />VES NO <br />NO. OF DN'EIUW <br />MAX. OCC. LOAD <br />FIRE .iPRINKLER; <br />RE�UIRED <br />YES NO <br />'R.FOR <br />dab <br />SUBTOTAL f <br />PERMIT S <br />TOTAL FEE S <br />I NUMBE4i PLAN C <br />FEE <br />FEES vALUAT10N <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALiV <br />S 15.000 <br />FECEIPT N0. <br />FEE <br />110 150 <br />TOTAL � <br />PEfiMIT VALIOATION <br />WHEN PROPERLY VALIDATED pN THIS $PAC�IJTHIS 19YQUj±�f�Ml� �l` � <br />� � � � � <br />r'-� <br />M <br />;�. r.�cr:ir�-+ <br />�1' � il <br />..�� <br />