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C11V CF � <br />everett PERMIT PERMIT N0. 12747 <br />CI7V HALL 259�97d5 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL A�OPE55 CITY ZIP PMONF. <br />Charles Burgess Everett <br />RRCNITECT OR �ESIGNER MPIL ApOPE55 CITY ZIP PNONE <br />GENERFL CONTRACTOR MAIL ADDRE55 GTY 21P PMONE LICENSE � <br />United Pacific Salvage P.O. Box 2222 Everett 98203 258-2888 <br />MECHRNIGFI GONTRACTOR MAIL RODflE55 CITY 21P PHONE LICENSE � <br />PLUMBING CONTRACTOR MAIL AODRE55 CIT'r ZIP PNONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR GE}pEMOLITION C� FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERi <br />f <br />Demolish Couunercial Suildinq <br />�rt�II �ocK697 oF Swalwells Addition <br />3110 Hewitt Avenue <br />PLUMBINO <br />N0. TYPE OF FIXTURE OH ITEM <br />WATER CLOSE7 (TOILETI <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />LAUNDRYTRAY <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />1. ENVIRONMENTAL CHECK <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />�. FIRE PROTEC710N SYSTEA <br />5. GRADING <br />8. DRAINAGE <br />7.ENVIRONMENTALIMPACT <br />APPLICATION <br />� <br />� <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />�f <br />REAFiYARO <br />:�-�VES �-.NO <br />OCG LOAD <br />CHECKED BY I APPR. FOR <br />DI1TE <br />I HEREBY CERTIFY THAT I HAVE READ ANO 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 PRESUME TO �IVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LA LATING CONSTRUCTION OR THE <br />PE CO TRUCTION. <br />C , CT' �MO D AGENT / DATE <br />.O /.��a_ 11 29/83 <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYEHS <br />VENTILATION FAN <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL • <br />PERMIT f <br />TOTAL FEE : <br />;NUMBER PLAN CHEGKFEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING S 00 00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 903 (al <br />T0TI1L 00 OO <br />PENMIT VALIDIITION <br />WHEN PROPERLV VAIIDATEO (IN TH4 C P9AgE) THISIQYQI�i P�F�IIT - <br />bUUU U ri <br />�`– <br />�`! <br />BY Y:; � R R�CCIPT `° <br />' �"�%ti.�h i�4JU <br />ADDRESS FILE <br />1. / �r0�i � 3 <br />