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Ihe E�•erRrren ` <br />everett � �ONSTRUCTION ^� <br />PERMIT PERMIT NO. 15009 <br />CITY MALL 259�87d5 <br />EVERETT, WA �3201 � COMBINATION ❑ BUILDING ❑ MECilANICAL ❑ PLUMBING <br />OWNEF MRILADDRE55 CITY 21P PHONE <br />DONALD B. STOCKTON PO BOX 7594 Everett ►YA 98201 339-2293 <br />ARCMITECT OR DES�GNER MAIL ADORESS CITY ZIP PrypNE <br />GENEPAL CONTR�GTOR MAIL ApORE55 CRV ZIP PHONE LIGENSE � <br />Same <br />MECNANICAI GONTqI1�TOR MFIL ADORE55 CITV ZIP PHONE LICENSE 1 <br />PLUMBING CONiR�CTOR MAIL ADDRE55 CITY 21P PHONE LILENSE I <br />❑ NEW � A�DITION ❑ ALTERATION K] REPAIH ❑ OEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />s 4350.00 <br />OESCRIBE WONN <br />Repair plianbing, carpentry (flooring) <br />PROPOSEO USE OF BUII.OING <br />Apartrnents <br />LOT Z��LOCK7 Z 1 OF <br />PLUMBING <br />OR ATTACH FOUR COPIES� <br />1 qJ� 1 <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOIiEn <br />B4THTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK e DISP. <br />DISMWASHEF <br />LAUNDRVTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DFAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIZE OF BL�G. NO. OF STOR <br />FIPE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRON�IENTAI CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />0. FIRE PROTEC'ION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.FNVIRONMENTALIMPAGTSTATEMENT <br />� B. MEALTH DISTR'CT � � ` <br />- APPLICATIGN ACC. BV 7LAN5 CHE <br />� <br />� <br />FEE <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 TYP[ OF WORK WILL BE COMPLIED WITH <br />WHFTHER SPECIFIED HEREIN GR NOT. THE GRANTING OF A <br />PFHMIT DOES NOT PRESUME � O GIVE AUTHORITY TO VIOLAT[ <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEAFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTR9CTOR OR 9VIWOR1IED AGENT DATE <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIH CON�. UNITS — H.P. EA. <br />REFRIGERATION UNI75 — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS fIRED A.C. UNI7S — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.i.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DHYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVF. — WOOD <br />METAL FIREPLACE & CHIMNEV <br />FIREPLAGEINSEqT <br />HEAT PUMP <br />f LiS VU <br />f $ 0� <br />EAR YARD SETBACK PLAN CHECK <br />ACANT SI7E <br />.VES .-.NO F <br />O. OF DWELLING UNITS <br />BUILDING <br />IA%. OCQ LOAD <br />PLUMBING <br />IRESPRINKLEFS MECHANICAL <br />EaUIFED <br />YES : NO <br />BY DATE OTHER <br />PENALTV <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />FEE <br />Fee <br />� <br />S <br />S <br />:HECK FFE <br />RECEIPT NO, <br />VAlUAT10N FEE <br />$ 4350.00 50 <br />28 <br />U.B.C. <br />SEC. 30J lal <br />Tora� � � 78 �50 <br />PERMIT VAIIDATION � <br />WHEN PROPERLY VALIDATE� IW TMIS SPACEI THIS IS YOUF��.PERMI7 � <br />0 <br />0 <br />� <br />� <br />ADDRESS FILE <br />