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r <br />� <br />����`��T�°F ' �ONSTRUCTIOn <br />everett ' <br />PERMIT PERMIT N0. 125g3 <br />CITY HALL 259�8705 <br />EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING 7� MECHANICAL ❑ PLUMBING <br />OWNER MAILAOORE55 GITY 21P G.�ONE <br />Mrs. Anne Alexander 5210 We:;t Highland Road Everett 98203 353-2725 <br />ARCMITECT OH DESIGNEfl MAII ADDRESS dTV ZIP PNONE <br />GENERALCONTP4GiOR MAILADpRESS CITY p�P PMONE LICENSE� <br />MECHANICAL CONTRALTOR MAIL ADORE55 CITY Z�P PHONE LICENSE / <br />Same <br />PWMOMG CONTRAGTOR MAIL N�DRESS CITY ZIP PMONE �ICENSE R <br />S <br />❑ NEW ❑ ADDITION ❑ AL7ERATION O FiEPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN �{ WOOD STOVFJFIREPLACE INSERT <br />install fireplace insert <br />LOT _ BLOCK _OF <br />5210 West Highland Road <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET �701LEn <br />BATHTUB <br />LAVATORV�WASMBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SIZE OF BLDG. <br />APPROVALS <br />1.ENVIRONMENTAI CHECK LIST <br />2.6UILDING PLANS <br />3. FIRE MYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRA�ING <br />6. DPAINAGE <br />7.ENVIRONMENTALIMPAG7STATEMENT <br />B. HEALTH DISTRICT <br />f <br />S <br />S <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Fovacoaiesi 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 />PERM�T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFIMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTMORIZEO AGENT DATE <br />X 10/21/83 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. cA. <br />GAS FIREU A.C. UNI7S — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR NANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAI. FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />1 Fireolace insert 7 50 <br />VARDSETBACK <br />YES . NO <br />BY I DATE <br />SUBTOTAL f 7 50 <br />PERMIT S j0_ _ 00 <br />TOTAL FEE f 17 SO <br />IFEE I RECEIP7 NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL ].i SO <br />OTHER <br />PENALTY U.B.C. <br />SEC. 30] lal <br />70TAL 17 SO <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED QN THI�$(��CFj THIS ��1(O{1��1p7�, T� <br />� r ui u <br />i.: ) <br />�,t <br />'iOUR PECEIPT�-: <br />T; ;:^,�lK YOU <br />ADDRESS FIL[ <br />1 I �t 8 3 <br />� <br />i!1 <br />� <br />