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�he E�•er¢reen --� —\ "O N ST R U CT I v F' <br />CiirO� ��� <br />everett `" <br />PERMIT PERMIT N0. 126�`� <br />CITY MALL 259�87d5 <br />EVEHE7T,WA98201 � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MqIL ADDRESS CITY ZIP PMONE <br />John Posel 3316 Grand Everett 98201 <br />ARCHITEGT OP OESIGNER MAIL ADDRESS dTY ZIP PNOIrE <br />GENERnL LONTRACTOR MAII AD�RESS CITY 21P PHONE LICENSE � <br />MEGHANICAL CONTRACTOR MAIL AODRESS GTV ZIP PHONE UCENSE N <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 256-2441 <br />PLUMBING CONTHACTOR MAIL AOORESS CIiY ZIP PHONE UCENSE R <br />O NEW ❑ ADDITION ❑ AL7ERATION ❑ REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br />i <br />OF <br />LOT <br />3316 <br />PLUMBING <br />OF FIXTURE OR ITEM <br />WATER GLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDflYTRAY <br />CLO7HE5 WASHER <br />WATER HEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PENMIT <br />70TALFEE <br />YARD <br />TVPE OF CONST. <br />SIZE OF <br />APPHOVAIS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFE NY�RAN7 <br />4. FIRE PROTEGTION SYSTEN <br />5. GRAOING <br />6. DRAINAGE <br />7.ENVIRONMEN7ALIMPAGTSTAT <br />B. HEALTH DIS7RICT <br />S <br />f <br />S <br />YE$ i=NO <br />BY <br />PLANS CHECKED BV I APPR. FOR <br />I HEREBY CERTIFY THAT I HAVE FiEAD 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 SPECIFIED HEREIN OR NOT. THE GRANTING 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 OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />X�IGN NEOFCONTRACiORqRAV�HORIZEDAGENT DATE <br />� �� ��. �_ a-,�<<�I ��l i ti 11/3/83 <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — iONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T,U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEHS <br />CLOTHES ORYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WO00 <br />METAL FIREPLACE 8 CHIh1NEV <br />FIREPLACEINSERT <br />SUB TOTAL S <br />PENMIT S <br />TOTAIFEE 5 <br />PLAN CHEGK FEE <br />FEE I �ECEIPT NO. <br />FEES � VALUA710N � FEE <br />BUILDING i <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.G. <br />SEC. 303 <br />TOTAL I I 14 <br />WHEN PROPERLY VALIDATED �IN THiSB CASE) 7HI$ IS� Yi L�R PEROMIT � <br />� � D 4 5 <br />� <br />iv <br />Y;iUR RECEIPT '� <br />7� )AR� YOU <br />ADDRESS FILE <br />- 3 �,bv 8 3 <br />1 <br />I <br />