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�hr Ll�rrArern <br />evereti� �� �ON;�TRUCTIOI� � <br />CITVHAL�.259d745 PERMIT PERMIT NO. �58�.Ei <br />EVERET7, WA d0201 ❑ COMBINATIJN � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />Gil Castilla 7828 Highland Drive Gverett 98203 353PH8235 <br />ARCHIIECT OR �ESIGNER MAIL I JpRE55 CITY 21P PHOhE <br />GENERFL CONTOhCiOR MAIL AD�fiE58 CITy ZIP PHONE �ICENSE 1 <br />Damage Repai_ Service Hox 2095 Everett 98203 337-4222 <br />MECHANICAL COHTRq(,TOR MAIL qDORESS CITY _ Zlp PHONE UCENSE I <br />PLIINBING i�ONTi1dCTOq MAIL AOORE55 61TV 21P PNONE UCENSE 1 <br />❑ NEW <br />VA W ATION OF 1VORK <br />S 1%50.00 <br />❑ ADDITION ❑ ALTERATION �REPAIq ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE I4SERT <br />hepair fire damage <br />Single Family Residencc <br />LOT_BLOCN�OF <br />J0� AOOPESS <br />7828 Highland Drive <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOIL.Ei) <br />BATHTUB <br />SHOWER <br />8 DISP. <br />LAUNDRY7RAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK�SERVICE — BAR,ETQI <br />SUB <br />70TAL FEE <br />1. ENVIR�NMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTA7EMEN7 <br />B. HEALTH DISTRICT <br />APPUCATION ACG. BY PLANS CHE <br />I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED TF{IS <br />APPLICATION AND KNOW TH[ SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS':ONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF INORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL TFIE PROVISIONS OF ANY OTH[R STPTE OR <br />I.00AL LAW REGULATIN� CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />SIGNt�IURE OF CONTflACTOR pAA�{(TMA�I2ED AGENi /'1 DATE <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND. UNIT$ — H.P. EA. <br />REFRIGERATION UNI75 — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />�YALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMO00 <br />AIR HANOLING UNIT — C.F.M. <br />S70VE — NlOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEA7 PUMP <br />� <br />S <br />S <br />REAR VARD SETBA <br />VAGANT SITE <br />,'YES I �.NO <br />NO. OF OWELLING <br />MAX. OCG LOAD <br />FIflE SPRINKLERS <br />REOUIRED <br />YES : NO <br />BY DATE <br />APPR.FORISSUANCE <br />SUB TOTAL <br />PERMIi <br />TOTAL FEE <br />FEE <br />FEES VALUATION <br />S <br />S <br />f <br />FEE <br />RECEIP7 NO. <br />FEE <br />BUILDING 5 29 SO <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />PENALTV U.B.C. <br />SeC. 303 (a) <br />TOTAL 2� SO <br />PERMIT VALIDATION <br />WHEN PROPEFLY VALIDA?ED (IN THic �p�,�) THISEIg�Y011fl P�qMIL_ f A) <br />G r.� � U L/ J U T <br />� <br />� <br />,.._, !,; �-.:c�i��rr: <br />� ,i!': 1'r'i lJ <br />ADDRESS f-ILE <br />I 3 ���c � � <br />