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�hr C�rrcn'en <br />everett <br />CITY HALL 259-87<5 <br />- ;ONSTRUCTIOf►' <br />PERMIT <br />PERMIT NO. 1 '"� _� :� 1 <br />eveaerr. e+n 9szoi C COMBINATION L� BUILDING J MECHANICAL }��J ?LUMBING <br />01':NER IJFIL ADDRESS CITV Z'o Pn.ONE <br />Edward O. Swan 5107 95th Avenue N.E. Everett 98205 339-7725 <br />AIiGnRECT OR DE5IGNFR MpIL AD�RE55 GTV DP pMONE <br />GENERAL CONTHAGTOR MAII ADDHESS QTY Z�P PMONE UGENSE � <br />Same <br />MEGNFNILAL GONTRACTOR MAIL ApDRE55 dTV 21P PHONE L�LENSE � <br />PWMBING GONTRACIOR M/ Il AODRE55 CITY ZIP PMONE LICENSE • <br />❑ NEW ❑ ADDITION ❑ ALTERATION �FiEPAIR ❑ DCMOLI710N ❑ FENCE CI SIGN ❑ WOO� STOVfJFIREPI.ACE INSERT <br />VALUATiON OF WORK <br />f3500.00 <br />Repair existing bath and kitchen area <br />Apartment <br />LO�a_,t� BLOCK �ZLOF <br />3202 Grand Avenue <br />PLUMBING <br />NO. TVPE OF FI%TURE <br />1 BATHTUB <br />LAVATORV(WASHBASIN) <br />� SHOWER <br />i <br />1 KITCHENSINKBDISP. <br />DISHWASMER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRFINS - RAINLEADER$ <br />SINK �SERVICE -� BAR. ETQ� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />1. ENVIRONMENiAL CME�K LIST <br />2. BUILDING PLPNS m <br />3 �IREHYDRANI � <br />9 <br />4. FIRE PROTEC'"ION SYSTEM <br />i 5. GRADING <br />�iYi. DRAINAGE ' �"`� <br />c7. ENVIRONMENTAi IMPF�CT STAT <br />c i_ <br />-'b.MEALTH PISiRICT O <br />�'� APPLICA710N ACC. BY ] PLA� <br />V ` '� <br />i� <br />I HEREBY CERTIFY THAT I HAVE READ AND CXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDI�ANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED'YITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHJRITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OThIER STATE OR <br />LOCAL LAW REGULATING CON�IqUCTION OR THE <br />PERFORMANCE OF CONSIRU2FlON' / <br />OR <br />TYPE OF EOUIPMEN7 <br />AIR CON�. UN17S - H.P. EA. <br />REFRICERATION UNITS - H.P. EA. <br />901LERS - H.P, En. <br />GAS FIRED A.C. UNITS - TONNAGE <br />FORCED AIR SYSTEM1IS - B.T.U. <br />WALI HEATERS - B.T.U. <br />UNIT l7EATERS - B.T.U. <br />EVAPORATNE COOLLI7S <br />CLOTMES DRVEflS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR 4ANOLING UNI i - <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHiMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />s 10 00 <br />S <br />S 10 00 <br />REAR YARD SETOACK PLAN CMECK NUh <br />VACANT SITE <br />VES NO FEES <br />OCC.lOAO <br />YES NO <br />BY IAPPR.FORISSUANCE BY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMER <br />EA. <br />M L4. <br />M <br />M <br />C.F.M. <br />SUB TOTAL S <br />PEqMIT 3 <br />TOTALFEE S <br />PLAN C <br />FEE <br />VALUqTION <br />= 3500. <br />�a1E <br />10/9/85 <br />fEE <br />RECEIPT NO. <br />FEE <br />44 � 50 <br />1 � <br />PENAl7Y SECV307 �al <br />TOTAL , 54 SO <br />PERMIT VALIDATION � <br />WHEN PROPERLY VALIDATED pN TM16r6RA6E) THI�I$�YpUf �f�11T � <br />�rru U�I� U <br />�n <br />..IJ`I..::.`. 11�.� <br />. . • . � . � I i I . . <br />. i �� <br />_ �� .,� �� <br />