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dK Ev�rRnrn CO N ST R U CTI �. N <br />cnv oF � ''� � /"�, <br />everett PERMIT PERMIT N0. 14190 <br />q1Y NALI 259A7�5 <br />�R�' WA �� ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMOINO <br />MAIL �DDRE55 CIiY 21P PMOYE <br />Alfred J. Lunde 851 N.W. 165th Street Seattle 98177 546-3320 <br />• OR. S10NER MAILADDRE55 dTV 21P PHONE <br />ME �l C(�N �CtOR MAIL ADDRE55 GITY IIP PHONE LICEN8E • <br />$� <br />MECNIINICI1l CONTR�CTOR MAIL ADDRF.SS CITV ZIP PNONE ULENSE � <br />PLUMlINO CONTMGTOR MAII AUORE55 GITY 21P PNONE LICENSE I <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ �EPAIR � DEMOLITION ❑ FENCE ❑ SIGN O WOUD S'.OVEIFIREPLAGE INSCRT <br />VALUATIpN OF WpqN <br />{ <br />De,:a�lieh <br />22 <br />ior _ <br />exiatinq building to foundati <br />iLDING <br />ildinq was three nnit elso) <br />F PROPEPTV �SHOW BELOW OR ATi�CM FOUR COPIES� <br />616 Everett <br />2618 Grand Avenue <br />PLUMlINO <br />TYPE OF FIXTI <br />WATER CLOSET (TOILET) <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEP <br />LAUNDRYTRAY <br />CLOTHES WASMEH <br />WATER HEATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />TYPE OF GONST. OCCl1PANCY i <br />S�ZE OF BLDG. i�0. OF STORI <br />FIRE ZONE BASEMENT <br />• <br />APPqOVALS <br />1. ENVIRONMENTAL CHEC�( LIST <br />2. BUILDING PLANS <br />�. FIRE MYDRANT <br />1. FIRE PRC i ECTION SYSTEM <br />5. GRADING <br />8. DRAI4AGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <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 4VILL BE COMPLIED WITH <br />WHETHER SPECIFIEU NEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOEu NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE <br />OR CANCEI THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATI�NSTFIICTiON OR THE <br />PERFORMANCE OF GONST TION. <br />SIGN� F UNT C OR A D ENT DATE <br />X � �� 11/26/84 <br />FEE NO. TYPE OF EUUIPMENT <br />AIR C01lU. UNITS — N.P. EA. <br />REFRIGERATION UNI75 �- H.P. EA. <br />BOILEFS — H P. EA. <br />GAS FIRED A.C. UNIT� - TONNAGE EA. <br />FORCED AIP SVSTEMS — B.T.U. M EA. <br />WPLL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DfiYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME'"1L FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERt <br />HEAT PUMP <br />� <br />f <br />t <br />REAR YARD SETBA <br />VACANT SITE <br />YES NO <br />N0. OF DWELLING <br />MAX. OCQ LOAD <br />FIRE SPFINKLERA <br />REOUIRED <br />!�:YES '-NO <br />BY DATE <br />IN A.C. BY PLANS CHECKED BY APPR. FOR �SSUANCE BY <br />STG JEF LC <br />PLAN CHECK <br />SUB TOTAL f <br />PfUM1T f <br />TCTIIL FEE i <br />FEE I RECEIPT NO. <br />FEES I VALURTION I FEE <br />{ <br />BUILDING S 00 00 <br />PLUMBING <br />_L__ <br />MEGMANICAL I <br />OTMER r- — <br />PENALTV U.B.C. <br />..EQ 9031a) <br />TOTAL 00 00 <br />WHEN PROPERLY VALIDATEO pN THIS SPaCE) TH�515 YOUII PERMIT__ � <br />l � <br />�"� <br />Q' <br />''-� <br />ADDRESS FILE <br />