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!he £��erAreen <br />UTV OF <br />everett <br />GTY HALL 259�8745 <br />�� � CONSTRUCTI�IV <br />PERMIT <br />� <br />PERMIT NO. 15796 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNEfl MAILADDRESS CIiY 21P PNONE <br />DENNIS DAVIS 1309 PINDERTON AVE EVERETT WA 98203 347-8725 <br />AqCHITECT OR DESIGNER MAIL ADDNE55 CITY 21P PHONE <br />GENERALCONTRRCTOR MAILAODRE55 CITY 7P PMONE UGENSE� <br />5ame <br />MECHANICAL CONTRACTOR MAIL A��RESS CITV 21P PHONE LICENSE 1 <br />PLUMBING CONTRACTOR MAIL AOORESS CITV 21P PHONE UCENSE 1 <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />f <br />DESCPIBE WORK <br />Install free-standing wood stove <br />Residence <br />EGAL �ESCRIPTION OF PROPERTV (SHOW BELOR' OR <br />LOT_BLOCK_OF <br />�oa�g���ssPinkerton <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATORV (WASH B',SINI <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEH <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAI <br />PEHMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. DUILDING PLANS <br />3. FIFE HYDRANT <br />d. FIRE PROTECTION SYSiEM <br />S.GRADING <br />fi. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />FEE <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 />LOCqJ, LAW REGULATING CONSTRUCTION OR THE <br />OFCONT.PCA\CTaROflf%�1THOF�ZED�—GEN; TE <br />\� %\J 12/9/8� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENI <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H,P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI7S — TONNAG <br />FOPCED AIR SYSTEMS — B.T.U. <br />WALL HEATEFS — B.7.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />j STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />i <br />S <br />S <br />IEAR YARD SETBACK PLAN <br />'ACANT SITE <br />:YES �. -.NO . <br />MA%. OCQ LOAD <br />FIRG SPRINKLERS <br />REOUIRED <br />::YES �..NO <br />8� <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />FEE <br />EA. <br />M EA. <br />M <br />M <br />C.F.M. <br />f <br />S <br />S <br />RECEIPT NO. <br />_ FEES I VALUATION I FEE <br />_� <br />BUILDING I $ <br />PLUMBING <br />MECHANIGAL � <br />OTHER <br />PENALTY <br />TOTAL ' " <br />PEHMIT VAIIDATION <br />WHEN PROPERLY VALIDATED QN THI$ S' A,C�) THIS�i��f�PfEA�IT_ � <br />b� L u I J <br />r- <br />Ln <br />,:,�� i: R i: C, E I FT �--, <br />BY ' <br />�.�::: ��c� u <br />ADDRESS FII.[ <br />- 9 ��ec o � <br />