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d�cl�•erxreen ; � CONSTRUCTIOr1 <br />C� i v OF <br />everett PERMIT PERMIT NO. 12550 <br />CITY HALL 259-8745 <br />EVEREIT, VJA 98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADORE55 CITY 21P PNONE <br />HHLEN NORGMRD 6108 DEXTER EVERETT 353-7544 <br />PflCMITELi OR DESIGNER MAIL NODRE55 GITY 21P PHpNE <br />GENERALCONTRAGTOR MAILADDRESS GITY I�P PMONE LILENSE/ <br />ALPHA CONTRACTING 5325 SR 92 LAKH STEVENS 98258 691-6071 <br />MEGMANIGAL CONTFACTOR MAIL AODRESS CITV 21P PHONE LICENSE N <br />ALPHAC223DH <br />PLUMBING GONiRPCTOR MAIL AODRESS CITY ZIP PMONE LICENSE � <br />❑ NEW ❑ ADDI710N ❑ AL7ERATION X� REPAIR O DEMOLITION ❑ FENCE O SIGN O WOOD STOVE/FIREPLACE INSERT <br />S �1%��.0� <br />CHIP REIIAA <br />x}d3LiEXdiif3{��X SINGLE FAD4ILY RESID�NCE <br />)ESCRIPTION OF PROPERTY ISMOW BELOW OR ATfACN FOUR COPIES� <br />�or 11 BLOC��� oF Ev2Tett H <br />IOB AO�RE55 <br />3221 Grand <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEN <br />WATER CLOSET (ToiLt <br />BATHTUB <br />LAVATORY�WASHBA: <br />SHOWER <br />KITCHLN SINK 8 DISP. <br />DISHWASHER <br />LAUNOR�TRAY <br />WATER HEATER <br />URIN�L <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF �NAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />1 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 />GUVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR C�;NCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO TR OM. <br />e��uerimeoc.onutanGT U IZE AGENT DATE <br />MECHANICAL 0 <br />FEE NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />2 O O FORCED AIR SYSTEMS — B.T.U. M tA. <br />Z OO WALL HEATERS — B.T.0 M <br />UNIT HEATERS — � T' M <br />EVAPORATIVE COOL! �. ._ <br />CLOTMES DRYERS <br />VENTILATION FAN <br />t,ANGE HO00 <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIFiEPLACE INSER7 <br />IUB TOTAL + `� <br />'ERMIT t <br />fOTAL FEE f <br />:ET SETBACK REAR YARD SETBAI <br />qqEA VACANT SITE <br />: �YES '�.NO <br />UPANCY GROUP NO. OF DINELLING <br />OF STORIES MA%. OCQ LOAD <br />EMEN7 FIFE SPRINKLERS <br />REOUIRED <br />VES ;.NO <br />�s BY DATE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS ti <br />�. FIRE HYDRANT <br />4. FIRE PROTECTJON SVSTEM <br />S.GRADING� . <br />—8. DRAINADE -- <br />ti). ENVIRONMEH7�L IMPA�j'iTATEMENT <br />.HEALTHDISTRICT � <br />PPLICATi . BV LANS CHECKED 8V APPR. <br />� _� � <br />�,.: � rn <br />_, <br />� <br />PLAN CH <br />SU0 TOTAL <br />PERMIT <br />TO7AL FEE <br />F <br />FEE <br />VAWATION <br />BUILDING 5 (���Q, <br />PLUMBING <br />MECHANICAL <br />O7MER <br />U.B.G. <br />PENALTY SEC. 303 (a) <br />FEE <br />� <br />S <br />t <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />TOin� � U b IS U <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS2 �PAp E�) THIS � x,OVR�E�iNIT �� �? <br />O /4 U�) � �U <br />�n <br />� <br />aY �,.�U2 RECC:IPT.� <br />;, �,^,n!; You <br />ADDRE55 FILE <br />I 2 OCT 8 � <br />