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rhr lirr-crperi <br />everett <br />CITV HALL 259�B7a5 <br />� �ONSTRUCTIOI�' <br />PERMIT <br />PERMIT NO. 13724 <br />EVERETT,WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER MAIL AOOPE55 CIiV 21P PMONL <br />New Life Center 6110 Colby Everett 98203 355-9330 <br />ARCMIiEGT OR DESIGNER MAIL AOOFE55 „ITY ZIP PMONE <br />: GENERILCONTRACTOR MAILADDRESS CITY ZIP PMONE �ICENSEI <br />A-1 Construction 711 356th Avenue South Federal Way 98203 <br />� MECHANICRL CpNTRACTOq MAIL ApORESS GITY ZIP PHONE LICENSE I <br />FWMBING CONTqACiOR MAIL ADORE55 CITV 21P PHONE UCENSE � <br />t <br />O NEW O AOOI710N ❑ ALTERA710N ❑ REPAIR � DEMOLITION ❑ FENCE C] SIGN O WOOD STOVEIFIREPLACE INSER7 <br />Interior Demolition <br />Beverly Hills Division #1 <br />LOT __ BLOGN ___OF <br />All of Blocks 2 and 10 <br />6830��Highland Drive <br />PLUMBING <br />N0. TYPE OF FIXTUPE OR <br />WA7ER CLOSET�TOILEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES\NASHER <br />WA7ER HEATFR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — R4INLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEqMIT <br />TOTAL FEE <br />SI2E OF BLDG. I�O. OI <br />FIRE ZONE BASEM1 <br />APPHOVALS <br />1.ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HY�RANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLAP <br />i <br />S <br />S <br />VFCANT SITE <br />YES NO <br />MAX.00G LOAD <br />BY <br />BY � APPR. FOR ISSUANCE BY <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 ORD�NANCES <br />GOVERNING THIS TYPE QF WORK WILL BE COMPLIED WITH <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 />PERFORMANCEOFCONSTRUCTION. <br />SIGNAT11pE OF CONTRACiORDR ALLTHpRIZEO AGEN7 OATF <br />X . %%!�/�.�,ci�>l., �.�G, / <br />MECHANICAL <br />NO. TYPE OF EaUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N 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.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL 5 I <br />PEflMIT S � <br />I <br />� TOTAL FEE S ��— <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUIL�ING S 00 00 <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENALTV U.B.C. <br />SEC. 903 �a� <br />TOTAL I I 00 I 00 <br />PERMIT VALIDATION <br />WMEN PROPERLY VALIDA7ED IIN THIS SPqCE) THiS IS YOUR PEF�MR. ��� :� <br />. , � . .. <br />N <br />� <br />�1 <br />� <br />...�_'i:L.., bllf <br />