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die li�rr�rern <br />c� � �, o� <br />everett <br />CITY MALL 259�B�C5 <br />EVERETT. WA 98201 <br />� �ONSTRUCTIOP" <br />PERMIT <br />❑ COMBINATION j(XI BUILDING ❑ MECHANICAL <br />PERMIT N0. 1351� <br />❑ PLUMBING <br />01YNER !_ M41L ADORE3S CITY 21P PHONE <br />Mf:S. ALICE HICKS 2014 P1NcHURST EVERETT WA 355-5179 <br />ARCMITEC�. OR DESIGNER MAIL A7�RE55 CITY Z�P PMOHE <br />GENERAL CONTRnCiOR MFIL ADORESS CITY 21P PMONE UGCNSEx <br />RIVERSIDE ROOF CO 2916 STATE ST EVERETT WA 98201 258-4646 RIVERR302T0 <br />MECHFNICAL CONiRACTOR MFIL ADDPESS CITV ZIP PHONE LIC'_NSE � <br />PIUMBING CONTRACiOR MAIL AODRE55 CITY ZIP PHONE IICENSE • <br />CLASS OF WORN <br />X� NEW ❑ ADDITION ❑ ALTERATION �(REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOO� S70VEIFIREPLACE INSER7 <br />VALUATION Of WOPK <br />j 2���.0� <br />RCf'UUI� � CtlMlrltlbTtttlN� f <br />':IOIOSED USL OF PUILDING <br />Residence <br />'iGAI DESGIIIPTION OF PPOPERTY �SHOW UELOW OR <br />.OT__BLOCN_OF <br />IOp ADDRESi <br />2014 Pinehurst <br />PLUMBIHu <br />NO. TYPE OF FI%TURE OR ITEM <br />W ATER CLOSET �TOILE� <br />BATI ITUB <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHEH <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATEH HEATER <br />URINAL <br />DRINKI�lG FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREANERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB 70TAL <br />PERMIT <br />TOTAL FEE <br />APPflOVALS <br />I. ENVIROhMENTAL CHECK LIST <br />:. BUILDING PLANS <br />3. FIF7E HI'DRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTS7ATEMENT <br />8. HEALTH DISTRICT <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 0E COMPLIED WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW flEGULATING CONSTRUCTION OR THE <br />PERFORMANCE JF CO TRUCTION. <br />SIGN FCONTRACTORC �THORIZEVAGEN UATE <br />X ��Ah�d.ln �ei,QOin{�� <br />MECHANICAL <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 AIR SYSTEMS - B.T.U. M EA. <br />\NALL NEATERS - B.T.U. M <br />UNIT HEATERS - B T.U. M <br />EVAPORATIVE COOLER3 <br />CLOTHES DRYERS <br />VENTILATION FAN <br />PANGEHOOD <br />AIH HANDLING UNIT - C.F.M. <br />STOVE - WO00 <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSER7 <br />HEAT PUMP <br />� <br />S <br />5 <br />REAR VARD SETE <br />VACANT SITE <br />�.-VES ..NO <br />NO. OP DWELLIN <br />MA%. OCQ LOAD <br />FIRE SPRINI(LER: <br />REOUIFEO <br />YES ..NO <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />PENALTV <br />70TAL <br />SUB TO7AL 5 <br />PERMIT 5 <br />TOTAL FEE f <br />PEE � RECEIP7 NO. <br />VAlUA710N I FEE <br />303 <br />�� <br />��� <br />PEHMI7 VALIDATION <br />WHEN PROPERLV VFLIDATED pN THI51SpqG�� THIS �S YO{1fi-fFfiM�T _� <br />�� � r,. 1 <br />L'1 <br />BY APPR.FORISSUANCE BV � "-�� -"�I� <br />, , i� <br />ADDf;cS; I�ILE <br />i <br />> �.� � �� i <br />� <br />� <br />F- <br />r. <br />C] <br />H 1- <br />y '-. <br />H � <br />� � <br />M �. <br />O F. <br />� ~ <br />r- <br />�y :. <br />t"' : <br />H � <br />H [ <br />K <br />O; <br />r' <br />�r <br />� C <br />[ <br />[ <br />