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N <br />rhe E�•rrArecn �--- � -� � C O N ST R U CT I O" <br />GiY OF <br />everett PERMIT PEHMIT N0. 14347 <br />CITY HALL 259�87a5 <br />EVERE77, WA 98207 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAILADORE55 CITY ZIP PMONE <br />Barbara Knerher 1917 Highland Avenue Everett 98201 252-3860 <br />pRCMITECT OP pESIGNEfl MAIL A�DRESS CITY 21P PMONE <br />GENERAL CONTPPCTOR MAIL A�ORE55 QTV 21P PHONE IILENSE M <br />MECHANICAL CONTRAGTOR MAIL APDRESS QTY ZIP PHONE LIGENSE M <br />Valley Natural Gas 519 S.E. Everett Ma11 •�ay Everett 98204 355-7730 <br />PLUM9ING CONTRAGTOR MAIL ADORE55 CITY 21P PMONE UCENSE M <br />❑ NEW ❑ ADDITION ❑ AL7ERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />s <br />PROPOSEL <br />l0T_BLOCN__OF <br />I9247�lj�[f�fi 1917 Highland <br />PLUMBIN6 <br />NO. TYPE OF FIXTURE OR ITEM <br />—rW ATER CLOSET (TOILEn <br />—�BATHTUB <br />SHOWER <br />KITCHEN S�NK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — aAINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIS7 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION AGC. BV PLANS CHE <br />, <br />S <br />S <br />YES NO <br />MAX. OCC. <br />NO <br />DATE <br />FOR <br />I HEREBY CERTIFY THAT 1 HA'✓E 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 PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />L�C1L LAW REGULhTING ONSTRUCTION OR THE <br />PERFO ANCE OF CO T <br />SIGNA OF/��C�p �'y�/�JLp AGENT DPTE <br />y !� M�ti�//' / / 1�15�95 <br />AIR CONO. UNI7S — H.P. EA. <br />REFRIGERA710N UNIiS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.1]{p0 M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.T.U. ti1 <br />EVAPOFATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLAGEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAI FEE <br />:NUMBER F <br />FEE <br />FEES VALUA710N <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />F'. <br />303 lal <br />FEE <br />S � <br />S <br />S 17 <br />�HECK FEE <br />RECEIPT NO. <br />FEE <br />1% <br />TOTAL I I <br />VEHMIT VALIOATION � <br />WHEN PROPERLV VALI�ATED (IN THIS�SPACEj THIS IS <br />ncoatss r af: <br />n A <br />R�PERMR � � <br />•r, <br />' � . ���1-:: <br />.� � 7 <br />� <br />z <br />0 <br />�--1 <br />n <br />m <br />., .. <br />--1 T <br />..� <br />N 2 <br />m <br />C o <br />mo <br />.-i c <br />O 3 <br />-1 2 <br />S --I <br />m <br />.. <br />.O Z <br />D --I <br />r x <br />H 1--1 <br />�-i t/� <br />< <br />T <br />O A <br />T D <br />3 <br />--i m <br />2 <br />m� <br />N <br />G <br />O r <br />�m <br />C (/� <br />� N <br />m' <br />Z C7 <br />-a r <br />. m <br />a <br />a <br />-a <br />x <br />a <br />z <br />�--I <br />._.. <br />N <br />Z <br />O <br />�--1 <br />n <br />m <br />