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r <br />� <br />v <br />L <br />r/l1L1CTYenF �- CONSTRUCTIQ►'`' <br />eve�ett PERMIT PERMIT NO. 1254H <br />CITY HALL 259�8745 <br />FVERETT. WA 98201 � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MpILADGRE55 CITY 21P PHONE <br />HELEN NORGAARD 6108 DEXTER LVERETT ti4A 353-7544 <br />ARCMITECT OR OESIGNER MAIL AO�RE55 QTY [IP PNONE <br />GENERnL CONTRAGTOp IAAIL AODRE55 CITY 21P PMONE LICENSE � <br />ALPHA CONTRACTING 5325 SR 92 Lake Stevens 98258 691-6071 ALPHAC223DH <br />MECMRNIGPLCONTPACTOR MAIL AOORE55 CITY IIP PHONE UGEN3E � <br />PLUMBING CONTPACiOR MAIL ADDRE55 CITY ZIP PMONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION '�iEPAIR O DEMOLITION ❑ F�NCE ❑ SIGN ❑ WOOi7 STOVE/FIREPLACE INSERT <br />VALUATION OF WORN <br />�8,000. <br />CHIP REHAB <br />X�SI[XIGCl�1QZXX SINGLE FAMILY <br />LOyyty�yl�OCK�yOF <br />3221'� Grand <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (701LEn <br />1 BATHTUB <br />Z LAVATORY�WASH BASIN� <br />1 SHOWER <br />1 KITCHENSINKBDISP. <br />DISHWASHER <br />IAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUl1M BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISFRVICF _ FAR. FT[:.1 <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />SIZE OF <br />FIflE <br />1. ENVIRONMENTAL CHECR LIST <br />2. BUILOING PL4NS N <br />3.FIREHVDRAN7 � <br />� 1. FIRE PRO7ECTION SYST�IQ <br />S.GFADING, „ <br />�HEALTH@ISTRICT N <br />AT BY <br />rn <br />o° -� n <br />"' � m <br />� <br />� <br />S <br />S <br />�._VES L:NO <br />CVES � <br />"aT <br />BY IAPPR. <br />DAT.E <br />1 HEREBY CERTIFY THAT 1 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 WJRK 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 />PERFORMANCE QF, �ONSTJjUCTION. <br />MECHANICAL <br />PWN <br />AGENT DATE <br />�,� 10/12/83 <br />TYPE OF EQUIPMENT 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 — 70NNAGE EA. <br />FORCED AIR SVSTF:MS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. IA <br />EVAPORATIVE COULERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />qlq HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE K fHIMNEY <br />PIREPLACEINSERT <br />SUB TOTAL f <br />PERMIT f <br />TOTALFEE S <br />FEE I RECEIPT N0. <br />VALUATION I FEE <br />BUILDING s18,000. 128 50 <br />PLUMBING Z O O <br />MECHANICAL <br />OTMER <br />PENALTY U.B.C. <br />SEC. 909 Ia) <br />rorn� 148 50 <br />PERMI7 VALI�ATION <br />WHEN PROPERLY VALIDATED (IN 7HI 1SgA9CE61 TMIS ��OyF�PF�4i'�T—_ (�] <br />L b J '�Si <br />� <br />��� <br />YOUr REC[IPT�-� <br />'i!-IANK YOU <br />ADDRESS FIIE <br />I 7. ocr 8 3 <br />1 <br />�� <br />i I <br />� <br />