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dicLl•ertrecn - JONSTRUCTI�01'" <br />ciiv OF � <br />everett � <br />PERMI ! PERMIT N0. ��� 3�.' <br />CITY HAIL 259�87d5 <br />EVERETT,VJAS9201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILF��HE55 CITY ZIP PMONE <br />Arthur Brandvold 1012 Park Drive Everett 98203 � 353-3952 <br />qRCM�TEGT Ofl DESIGNER MAIL ADDFE55 CITY ZIP PHONE <br />GENENFL CONTHAGiOR MFIL AOORE55 CITY 21P PHONE LICENSE Y <br />Same <br />MECHNNICAL CONTRACTOR MAIL AppRE55 CITY ZIP PNON[ LICENSE � <br />PLUMBING GONTRAGTOR MFIL AD�HESS CITY ZIP PHONE UCENSE I <br />5 <br />❑ NEW � ADDI710N ❑ ALiERATION O REPAIR '[:7 DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERi <br />Demolish Single Family Residence <br />�or �3 BLOCK 3 oF North <br />5317 003 013 0105 <br />6719 Highlnnd Drive <br />PLUMBING <br />N0. TYPE OF FI%TURE OR <br />WATERCLOSET�TOILEn <br />BATHTU� <br />LAVATORY�WASH BASINI <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DflAIN <br />VACUUM OREAKERS <br />ROOF DHAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SIDL <br />BLDG. <br />fiqE: <br />SUB TOTAL <br />PEPMIT <br />TO7AL FEE <br />AREA <br />1. ENVIRONIdENTAL CHECK LIST <br />2 BUICJINGPLANS <br />J. F!RE NYDRANT <br />4 fIPE PROTECTION SYSTLM <br />5. GRADING <br />G DRAINAG'c <br />7. ENVIHONMENTAUMPACiSiATE6 <br />8. HEALTH DISTRICT <br />APPI ICATION ACC. BY PLANS <br />I HEREBY CERTIFY THAT I HP'JE READ AND EXAMINEC� THIS <br />APPLICATION AND KNON' iHE SAME TO F3E TRUE AND <br />°OUR WPIES� CORRECT. ALL PROVISIUNS OF LAWS AND ORDINANCES <br />Park GOVERNING THIS TYPE OF WORK W�LL BE CUMPLIED \NITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO 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 />SIGNASUREOFCOi1TFACTpqORlUTMOPIZEDAGENT OAiE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATIUN UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — D.T.U. M <br />EVAPORATIVE COOLEHS <br />C:OTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSER7 <br />HEAT PUMP <br />S <br />5 <br />5 <br />VACAN7 SITE <br />-. -.YES , NO <br />MA%.UCC.LOAD <br />�O <br />DATE <br />FOR <br />SUB TOTAI 5 <br />PERMIT E <br />TOTAL FEE S <br />PLAN CHEGK NUM9EN r�Hn i.n�i.n rcc <br />FEE I RECEIPT N0. <br />FEES VALU.4TION ' FEE <br />Bl11LDING S 00 00 <br />PLUMOING <br />MECHANICAL <br />OTHEfl <br />PLNAL7V U.B.G. <br />SEG. 303 la) <br />TOTAL OO OO <br />PERMIT VALIOATION , <br />WHEN PROPERLV VALIDAT�� (IN THIS SPACE� THIS�IS YBUP PERMIL..._ J <br />AUDkp�ti FIU� <br />� <br />0 <br />n <br />� <br />—i T <br />.. -� <br />tn 2 <br />m <br />co <br />m o <br />n <br />-i C <br />�m <br />—i Z <br />2 � <br />m <br />�� <br />.0 <br />n -+ <br />rx <br />.-. �--i <br />� N <br />t <br />T <br />on <br />--� m <br />2 <br />m � <br />N <br />O <br />o r <br />c-� m <br />C !!1 <br />� N <br />m <br />2 C'1 <br />� r <br />• m <br />a <br />z <br />� <br />x <br />a <br />z <br />1 <br />2 <br />N <br />2 <br />O <br />.�-� <br />c"1 <br />m <br />