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�he £ver�;reen <br />�iT� �F <br />everett <br />CITY HALL 259�8715 <br />� �ONSTRUCTIONj � <br />PERMIT PERMIT N0. 15500 <br />EVERETT. WA 98207 ❑ COMBINATION ❑ BUILDING Gt�t MECHANICAL ❑ PLUM8ING <br />OWNEH MRILA�OHESS CITY 21P PHONE <br />Natural Gas Equipment 1625 E. Marine View Drive 9HBY 98201 258-2441 <br />�RCNITEGT OR DESIGNER MAIL ADDRE55 CITV 21P FHONE <br />GENERALCONTPACTOR MRILADDPE55 CITY ZIP PNONE UCENS[� <br />Paul <br />MEGNANICALCONiRACTOR MAILADURE55 CITY 21P PMONE �ICENSEI <br />Paul Pritchard 1101 Grand View Everett 98201 <br />PLUMBING CONTRACTOR MAIL AOUflE55 CITY ZIP PNONE LICENSE I <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE IHSERT <br />s <br />LOT_BLOCY._OF <br />1101 Grand View <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET ITOILET) <br />SMOWER <br />KITCMEN SINKB DISP. <br />DISHWASNER <br />LAUNDRVTHAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />VACUUM BREAKERS <br />ROOF DRA�NS — RAINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />PERMIT <br />TOTAL FEE <br />� <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />FIRE HYDRANT <br />1. FIRE PROTECTION SYSTEN <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIPONMENTALIMPACT <br />8. <br />STATEMENT <br />FOUR <br />S <br />S <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 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 STPTE OR <br />LOCAL lAW REGULATING CONSTRUCTION OR THE <br />SIGNATUflE <br />MECHANICAL <br />AGENT DATE <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — TONNAGE [A. <br />FORCED AIR SYSTEMS — B.T.U. A1 EA. <br />WALL HEATERS — A.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WWD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACcINSERT <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />YES L1N0 <br />NO. OF DWELLING UNITS <br />BUILOING S <br />MA%.00C.LOAD <br />PLUMBING <br />FIRESPRINKLERS MECHANICAL <br />REOUIRED <br />I-:YES ::NO <br />BY DATE OTHER <br />.___ PENALTY � <br />PLANS CHECKED BY I APPH. <br />� <br />f <br />s <br />CHECK FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />�a� <br />TOTAL I 20 50 <br />PERMIT �ALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT •— <br />3��20 $020.50 - � <br />Ll ) <br />BY t�����i� 1\l:C��l l �J <br />I �-';�iv�< io u <br />ADDRESS FILE 2 9 SEP $5 <br />