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the ErerAr�er� <br />����°� � � CONSTRU ;TIC V <br />everett PER@VIIT PERMIT NO. 12� 6� <br />CITY HALL 2598]CS <br />EVERETT,VlA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWIlEP MAILA�DFE55 GIiY ZiP PHONE <br />Clyde Hensley 617 Legion Drive Everett 98201 252-2769 <br />APGNRECT OR OESIGNER MAIL AOOPE55 GiY ZIP PHONE <br />GEHE9AL CONiRPCtOR MAIL ALpRE55 �ILY ZIP PMONE LICENSE I <br />Everett Bldrs. inc. 5606 Evergreen Way Everett 98203 353-7161 <br />MECHRN�GF� CONiRNGiOR MAIL ADpRE55 GT'I ZIP PHONE UCENSE I <br />EV ER EB 301PH <br />PLUMBING CONTPACiOR MAIL AOORE55 GITY 21P PHONE LILENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION x�' REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIhEPLACE INSERT <br />+ 1280.00 <br />re-roof composition <br />single family residence <br />EGAL OESCRI W�OH OP PPOPERTY �SIIOW 8Ei0\Y OF AiTpCM FOVR LOPIES� <br />�o* 3 BLOGK_OF Legion park DiV. 2 <br />617 Le <br />PLUMBING <br />NO. TYPE OF FIY <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORY(WASMBA: <br />SHOW'cR <br />NITCHEN SINK 8 DISP. <br />on Drive <br />LAONDRYTRAV <br />CLOTHES WASHER <br />WATEfi HEATER <br />11RINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREAKERS <br />ROOF DRAI�S — RAINLEADERS <br />SINK (SEHVICE — 9AR, ETC.� <br />PERMIT <br />SiZE OF <br />1. ENVIRONMENiAL CHECK LIST <br />2. �UILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SVSTEM <br />6. ORAINAGE <br />�. ENVIRONMEYTAL IMPACT STATEMENT <br />B. HEALTM DISTRICT <br />P'PLICATION ACC. BY PLANS CHE <br />ITEM <br />FEE <br />� <br />5 <br />f <br />REAfl YARD SETF <br />VACANT SITE <br />YES NO <br />NO. OF �WELLIN <br />MAX.00G LOAD <br />FOR <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 OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANC T VISIONS OF ANY OTHER STATE OR <br />LOC L W' REG TING CONSTRUCTION OR THE <br />PER NCE OF NSTRUCTI <br />SIGNAT CON�RpG "qAUtHOPIZED i pAIE <br />X ' L� — 7/5/83 <br />MECHANICAL <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION lIN1T5 - HP. EA. <br />BOILERS - H.P.EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.O. M EA. <br />WALL HEATERS - B.T.U. M <br />11NlT Y.EATEFS - B.T.II. M <br />EVAPORATN'e COOLERS <br />CLOTHES ORYERS <br />VENTILFTION FAN <br />AIR HANDLING UNIT - C.F.1.1. <br />METAL FIREPLACE d CMIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL { <br />PERMIT t <br />TOTALFEE S <br />IFEE I qECEIPT NO. <br />FEES VqLUAT10N FEE <br />BUILDING S 12HO.00 ZZ OO <br />PLUM6ING <br />MECHANICAL <br />OTHER <br />PENALTY U.BC. <br />SEC. JOJ �a� <br />TOTAL ZZ OO <br />PENMIT VALIDATION <br />WHEN PROpCFlLY VALIDA7'ED �IN TMI�Se'A;E� TMI$ I5o yOZ O OMI= � <br />a� � ; L <br />�� <br />N <br />BY Y� J R RECEIPT '� <br />�i I �ANK YOU <br />noor,ess r�i�r_ <br />- 2 �. 8 3 <br />A <br />1 <br />� <br />.J <br />