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`r <br />� <br />� <br />L <br />`,"E`�T�`�" ; �ONSTRUCTIO� � <br />everett PERMIT PERMIT N0. 12��9 <br />CITY HALL 259�8745 <br />EVERETT, WA?8201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 CITY ZIY PMONE <br />EVERETT 353-7544 <br />ARCMRECT OR �ESIGNER MAIL AUDRESS GITY ZIP PMONE <br />GENERALCONTfl�CTOR MAILApORE55 LITY ZIP P40NE LILENSE� <br />ALPHA CONTRACTING 5325 SR 92 Lake Stevens 691-6071 ALPHAC223DH <br />"'__"""""' '_.._.....�..., uvu nooRF55 CIIY 21P PHONE LICENSE • <br />PLUMBING LONTRRGTOR MAIL AOORESS GITY ZIP PMONE 4CENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERA710N �REPAIR ❑ DEMOLITION O FENCE ❑ SIGN O WOOD S70VEIFIREPLACE INSERT <br />VALVRTION 01 WORN <br />s 9350.00 <br />CHIP REY.AB <br />Apartment <br />LEGAL OESCRIPTION OF PROPERTY �SHOW BELOW OR ATPACM <br />�or 12 BLOCK77� oF EvCrett '�H'�_ <br />PLIIMBING <br />TYPE OF FIX' <br />W A7ER CLOSET (TOIIE <br />BATHTUB <br />LAVATORY(WASHBAS <br />SHOWER <br />KITCHENSINKB DISP. <br />LAUNDRYTRAY <br />CLO7HE5 WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TO' <br />PEHMIT <br />TOTALI <br />APPROV�LS <br />1. ENVIRONMENTAL CHECK LI57 <br />2.BUILDINGPLANS N <br />3.FIREHVDRANT � <br />�. FIPE PROTEGTION SYS7B� <br />PPLICA . BY LANS CHECKE� BY <br />Oo ..� � <br />w Q fll <br />� <br />� <br />FEE <br />S <br />YES "-N0 <br />BY <br />LOAD <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 WILL BE COMPLIED WITH <br />WHETHER SPECIFIEU HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEri STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO STRUCTION. <br />"".._.._���......,.�...e..�n�..o�aciflr.cur DATE <br />MECHANICAL <br />Alfl COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOO� <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE 6 GHIMNEY <br />FIREPLACE INSEFiT <br />HEA7 PUMP _ <br />SUB TUTAL <br />PERMIT <br />TOTAL FEE <br />I NUMBER F <br />FEE <br />FEES VALUATION <br />aui�oiNc <br />PLUMBING <br />MECHANIGA <br />OTHER <br />PENALTY <br />=9 <br />U.B.C. <br />SEC. 30] (a� <br />FEE <br />� <br />f <br />f <br />CMECK FEE <br />RECEIPT NO. <br />FEE <br />TOTAL � � !S 2i I S Ll <br />PERMIT VALIDATION <br />\NHEN P(iOPEFLV VALIDATED (IN TMIS SP,�,C�dINS IS V�lM1 ���5 O � <br />L 77 !U <br />LCi <br />�i�;UR RECE� <br />T;-1��.NK YOU <br />ACDRE°S PIIE <br />I 2 �cT 83 <br />� <br />�I <br />JI <br />� <br />