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dte Erer,�reen <br />�,T�°F � �ONSTRUCTIOP' <br />everett PERMIT PERMIT NO. 1226H <br />CITY HALL 259�8745 <br />EVERETT, WA 98207 ❑ COMBINATION Gt�c BUILDING ❑ MECHANICAL C-1 PLUMBING <br />OWNER MAI� AD�RE55 CITY 21P PMONE <br />Jim Loeloen 2018 Highland Avenue Everett 98201 339-2282 <br />ARCHITECT OF DESIGNER MAIL AOORESS CITY ZIP PHONE <br />GENERPL GONTRRCTOR MAIL AOORESS CITY 21P PMONE LI�ENSE • <br />Same <br />MECHANICAL CONTRRCTOR MAIL AO�RESS dTV ZIP PHONE LICENSE � <br />PLUMBING CONIRACTOR MAII ADOFESS CITY ZIP PMONE LICENSE � <br />❑ NEW ❑ ADDITION �XALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF \40RK <br />f 150�.0� <br />Const <br />single family residence <br />L0T25_�LocK410oF St. Nicholas <br />2018 Highland Avenue <br />PLUMBING <br />WATERCLOSETITOILEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />TVPE OF CONST. <br />SUB <br />TOTAL FEE <br />OF <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />�. FIRE HYDRANT <br /><. FIRE PROTECTION SYSTEM <br />S. GRn01NG <br />B. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRIGT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />DAH <br />FEE <br />S <br />S <br />VACANT SITE <br />YES . NO <br />OCG LOAD <br />BY <br />APPR. <br />DAB <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 PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNnTURE OF CONTRACTOF OR AUTMORRED iGENT �AiE <br />Y cFPm�,n� k .i�nP,.rPi.v 7/a4/83 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIF CO�D. UNITS — H.P. EA. <br />PEFRIGERATION UNITS — H.P. EA. <br />� BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />Alfi HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEHMIT S <br />TOTAL FEE S <br />83/12268 I FEE I RECEIPTNO. <br />FEES VALUATION FEE <br />BUILDING I S 1SOO.00 � 2S � 00 <br />PLUMBING <br />MECHANICAL <br />O7MER <br />PENALTY U.B.C. <br />SEC. 303 la) <br />TOTAL 2 S O O <br />PENMIT VAIIDATION <br />WHEN PROPERLY VALIDATED (IN THI$ �P�C�) THIS�I�YQl1Q P�R�IIT � <br />1 � L7 VU <br />N <br />N <br />1'C)U R RECC-IPT � <br />���,�r�k You <br />-I�R3 <br />� <br />