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rhr LlrrArrr�� � C O N ST R U CT I O�� <br />��,� �, <br />everett PERMIT PERMIT NO. 12300 <br />CITY HALL 259�8745 <br />EVERE77,WA98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAOORE55 UTY 21P PMONE <br />RT1RT ('TARK 1006 Harbor Vie�a Lane Everett 252-6782 <br />ARGHITECT OP �ESIGNER MAIL AD�RE55 CITY ZIP PHONE <br />GENERNL GONTRACTOP MAIL pDOriESS CITV ZIP PMONE LICENSE • <br />Everett's Dtr. Handyman 80 ColumUia N;3rysville EVERESA1205KE <br />MECHANICAL WNTRnCiOR MAIL ADDRESS C6Y ZIP PHONE LICENSE • <br />PWMBING CONiHAGiOR MAIL AODRESS CIiY ZIP PMONE IICENSE � <br />❑ NEW ❑ ADDITION iLT ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLFCE INSERT <br />S 1 Q��. <br />DESCRIBE WORN <br />�tn b <br />�o* _ o�ocn _oF <br />PLUMBING <br />TYPE OF FIXTURE <br />W ATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORYIWASH BPSINI <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUIJDRV TRAY <br />CLOTHES WASNER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BdR, ETQ) <br />SUB TOTAL <br />FEE <br />I�C�7 <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HVDRANT <br />I 4. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />6.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTqTEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ORATTACHFOURGOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Hts DiV � 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCE THE PHOVISIONS OF ANY OTHER STPT[ OR <br />LOCA� FEGULAT CONSTRUCTION OR THE <br />PEPFO CE O�COn�fS�T JCTION. <br />mrueru �{ceroaiae� an ei� RNFIIAGENT DATE <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />�e:. <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS -- H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED PIR SVSTEMS — B.T.U. M EA. <br />� WALL HEA7ERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />SLOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />�t <br />REAR YARD SETBAC <br />VACANT SI7E <br />: YES NO <br />NO. OF DWELLING U <br />h1A%.00C.LOAD <br />��: <br />83/12300 <br />FEES <br />BUILDING <br />PLUMBING <br />MLCHANICAL <br />OTMER <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN C <br />FEr�1.38 <br />VALUATION <br />bl����. � <br />FEE <br />RECEIPT NO. <br />17 I 50 <br />PENAL7Y SEQ 3031a1 <br />TOTAL 1 % S O <br />FENMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) TNIS IS YOUH PERMIT C7 <br />0194 �0 17.50 -� <br />N <br />BY YOl1R RECEIPT`� <br />Tf-�Ahi: YOU <br />- $ Al)G 8 ? <br />� <br />_, <br />