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the Ercrxreen � O N ST R U CT I O P, ^!' \ <br />cr� oF <br />everett P E R M IT PERMIT NO. 1�� ��� �� <br />GiY HALL 259�8745 <br />EVEPETi. WA 98201 ❑ COMBINATION Xni( BUILDING ❑ MECHANICAL PLUMBING <br />__._ „o vHot+e <br />MAIL <br />� %� <br />nnwnc..�..,,....-,-.._- GITY ZIP PNONE LIGENSE� '' <br />GENERAL GONTRAGIOR MAIL ADURESS <br />MECHRNIGALGONTRACTOfl <br />MAIL ADORE55 GITY D%' PMONE UGENSE � <br />❑ NEW <br />.uAnon oF woRn <br />,1000.00 <br />❑ ADDITION O ALTERATION $XREPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLACE INSERT <br />- composition <br />�ot � 9 e�ocK 580 oF <br />2508 Harriso <br />PLUMBING <br />M9tche1l <br />NO. TYPE OF FIY.TURE <br />WA7ER CLOSET IT'�ILEn <br />BATMTUB <br />LAVATURY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WA7ER HEATER <br />URINAL <br />ORINKING hOUNTAIN <br />FLOOR DRAIN <br />HOUF DRAINS - NfUNLEADERS <br />SINK ISEFViCE - BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />USE ZON@ <br />FIRE ZONE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE IiVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMEN7 <br />8. HEALTH �ISTRIGT <br />f <br />i <br />f <br />S <br />Co. <br />YES NO <br />M4%. <br />APPR. <br />I HEREBY CERTIFY THAI' I HAVE READ AND EXAMINED THIS <br />CORRECTIOALL PROV SI NS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE QF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO V�JLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. ppTE <br />SiGNATURE OF GONTRACTO}i , Ui CPIZED AGENT <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />REFRIGEFATION UNITS - M.F'. EA. <br />BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES �RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />' AIR HANDLING UNI7 - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 7. CHIMNEY _ <br />FIREPLACE WSEHT <br />HEAT PUMP <br />SUB TOTAL S <br />PEflMIT S <br />TOTAL FE� s <br />� I FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILOING 51000.00 17 50 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />U.B.C. <br />PENALTV SEC.3031�1 <br />TOTAL 17 50 <br />PERMIT VALIDATION ' ` Y �� �� _— M <br />WMEN PROPERLY VALIDATED (M THIS SPACE) TMIS ISP O P IT ��, <br />r. (D <br />I C� <br />I . r..�.�� �i�,-� a 4 <br />',I <br />r1RCR�55 FIIE <br />_ u ! <br />�■ <br />z <br />0 <br />-i <br />.. <br />� <br />m <br />�--� ry <br />-i T <br />.. -i <br />�n x <br />m <br />co <br />m o <br />-i C <br />O 3 <br />m <br />2 � <br />m <br />.o z <br />C <br />r 2 <br />�. o-. <br />�--I � <br />< <br />T <br />O A <br />T n <br />--I m <br />m� <br />N <br />O <br />o r <br />C N <br />y N <br />Z C� <br />-� r <br />• m <br />a <br />� <br />� <br />s <br />a <br />2 <br />� <br />._-� <br />N <br />2 <br />O <br />� <br />t"� <br />m <br />