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``"`,"""" " �ONSTRUCTION <br />c�r� oF � <br />everett F►ERMIT PERMIT NO. 141�7 <br />CITV HALL 259-8745 <br />EVERET7,WA98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />01YNER MAILADDRE55 GITY ZiP PMONE <br />Burch Cambers 2625 Grand Everett 98201 <br />. __.. .�o ownuF <br />GENERAL GONTRAGiOR MAIL ADORE55 GITV ZIP PHONE LILENSE � <br />MECHANIGAL LONTRALTOR MAI� AD�RE55 CITY 21P PMONE LICENSE • <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br />...o MqIL A�ORE55 QiY ZIP PMONE L�CENSE � <br />❑ NEW � AD�I710N ❑ AL7ERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ��'�'OOD STOVE/FIREPLACE INSER7 <br />S <br />DESGPIBE WORN <br />LOT__9LOLK�OF <br />2625 Grand <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLO�ET (TOI LEn <br />BATHTUB <br />�AVATORY (WASM BASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />OISMWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />W �TER HEATER <br />I�r71NAL <br />ORINKING FOUNiA1N <br />FLOOfI ORAIN <br />VACUUM BREAKERS <br />F�OF DfiA�NS - RAINLEAOERS <br />SINK�SERVICE - BAR,ETC.) <br />SUB TOTAI <br />PERMIT <br />TOTAL FEE <br />USE �ONE <br />APPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />9. FIRE HYDRAN7 <br />4. FIRE PROTECTION SYSiEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONN,ENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />ePPI IfATION ACC. BY PLANS CHE <br />BY <br />FEE <br />� <br />f <br />S <br />EAR VARD SETB <br />'ACANT SITE <br />YES .NO <br />10. OP OWEIIIN� <br />AA%.00C.LOAD <br />�IRE SPPINKLER', <br />7EOUIRED <br />YES NO <br />B� OA <br />I HEREBY CERTIFY THAT I HAVE READ AND E: AMINED 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 GRANT�NG OF 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 CONSTRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. <br />�.�.�.nroc nc rnuroerina na nuTHOR12ED AGENT DATE <br />X <br />NO. TYPE OF E�UIPmerv � <br />AIR COND. UNITS - HP. E4. <br />REFFIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORGED AIR SYSTEMS - 8 T.U. M EA. <br />WALL MEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTMES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AI(i HANOLING UNIT - C.F.M. <br />STOVE - WOCD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HGA1 PUMP <br />SUB TOTAL <br />PERMIT _ <br />TOTALFEE <br />;NUMBER F <br />FEE <br />FEES VALUA710N <br />BUIL�ING <br />PLUMBING <br />MECHANICAL <br />pTH�H <br />S <br />11/28/64 <br />FEE <br />s 4 50 <br />S 10 00 <br />S <br />CMECK FEE <br />RECEIPT NO. <br />FEE <br />14 50 <br />PENALTY SEC.90318) <br />TOTAL 14 5� <br />PERMIT VALIUATION � <br />WMEN PROPERLY VALIDATED pN THIS SPACEI THIS IS YOi R PERMIT __ ^ <br />� ' �. <br />� <br />� <br />� �� <br />BY <br />;�DI`R[E� t`IU'_ <br />� <br />z <br />0 <br />� <br />c� <br />m <br />� T <br />.. -� <br />v+ x <br />v <br />m <br />cv <br />m o <br />ci <br />-1 C <br />O � <br />--i Z <br />S �-1 <br />m <br />.O 2 <br />D --I <br />rx <br />�--I (n <br />< <br />O A <br />T � <br />--i m <br />S <br />m �-- <br />N <br />o r <br />c��n <br />C V1 <br />N <br />m' <br />z c� <br />—� r <br />• m <br />a <br />A <br />--1 <br />2 <br />a <br />z <br />� <br />._-� <br />N <br />Z <br />O <br />--1 <br />n <br />m <br />