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rhe E rer�; reen <br />��r� oF <br />everett <br />CITY HALL 2558745 <br />'i �ONSTRUCTIOI� � <br />PERMIT PERMIT NO. 161H5 <br />EVERE7T, WA 98201 �] COMBINATION ❑ BUILDING C�J MECHANICAL ❑ PLUMBING <br />OWNEfl MAILFDOHESS CITY ZIP PMONE <br />Townsend Henderson 2519 Grand Ave Everett 334-3219 <br />AF'YITECT OR DESIGNER MRIL ADURE55 CITV 21P PHONE <br />GENERFL CONTflRCTOR MAIL ADDRE55 CITY 21P aHOKE LIGENSE I <br />MECHANIC�L LONTH�CTOR MAIL ADDRE55 QTY ZIP PMONE LICENSE I <br />Valley Natural Gas 11323 Hwy 99 F.verett WA 98204 355-7730 VALLEYNG153LI <br />PLUMBING CONTRRCTOR MAIL ADDRESS CITY 21P PMONE LICENSE • <br />❑ NEW �ADDITION ❑ ALTERATION ❑ REPAIt'. ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD S70VE/FIREPLACE INSE7T <br />s <br />Gas piping for direct vent wall furnace <br />LOT_BLOCK <br />2519V Grand Ave #6 <br />PLUMBING <br />TYPE OF FIXTURE OR I1EM <br />W ATER CLOSET �TOILEn <br />LAVATORY�WASH BASINI <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISMWASHEH <br />:LOTHES WASHER <br />WATER HEATEq <br />URINAL <br />DRINKING fOUN7AIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK �SERVICE — BAR, ETGI <br />FEE <br />SUB TOTAL i <br />PERMIT f <br />TOTAL FEE { <br />EET SETBACK FEAR YARD SETB� <br />AREA VACANT SITF <br />�. YES �..NO <br />;UPANCV GROUP NO. OF OWELLING <br />OF STOFIES MAX. OCC. LOAD <br />£MENT FIRE SPRINKLERS <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIqE HYDRANT <br />d. FIRE PROTECTIOI <br />5. GRADI NG <br />6. DRAINAGE <br />7. ENVIRONMENTAI <br />IMPACTSTATEMENT <br />1TION ACC. BY <br />M.M. <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 CF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTI04 OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />X�$IGNATUR[ F CONTRACTOR OR AUTHORIZED AGENT DATE <br />�,,�jl��l.! ��1, i 3/7/86 <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — N P. EA. <br />BOILERS — H.P EA. <br />GAS FIRF.O A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. SO M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VEN71LA710N FAN <br />RANGEMOOD <br />AI9 HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIHEPLACE h CMIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT i <br />TOTAL FEE f <br />FEE <br />BUILDING —� <br />PLUMBING <br />MECHANICAL <br />BY DATE OTHER <br />BV <br />PENALTY <br />FEE <br />RECEIPT NO. <br />JALUATION I FEE <br />U B.C. <br />SEC.303 <br />�� <br />TOTAL I I ,I6 I00 <br />PERMIT VALIDATION <br />WHEN PROPERIY VALIUATED (W TMIS uPACE) THIS IS VOUR PERMIT � , <br />03G2 �0�6.�0 - 4 <br />� � - , � <br />„ �,....,i.���l <br />'. � ..... � (� <br />ADDRESS FILE <br />_ ] i��i) / <br />� m„il V i� <br />