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u <br />`��E���x�`�F ��- -�ONSTRUCTIO�' <br />everett PERMIT PERMIT NO. �-28g5 <br />GTY HALL 259�8745 <br />EVEFETT,WA98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL I� PLUMBING <br />OWNER MAILAODRESS CITY 21P PMpNE <br />Richard A. Newton 1527 Rainier Everett 98201 <br />FRCMITECTOR'�ESIGNER MAILADDRE55 CI1Y 21P PHONE <br />GENEFALGONTRACTOR MRILADPRE55 CIiY ZIP PHONE LICENSE� <br />MECHANICAL CONTR�CTOR MAIL /UORf55 CIiY ZIP PMONE LICENSE M <br />Eylan3er Heating and Refrigeration P.O. Box 5G29 Everett 98201 339-3363 <br />PLUMBING CONTRAGTOR MAIL ADORE55 GITV ZIP PNONE 4CENSE • <br />� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />3 <br />LO7 _ BLOCK _OF <br />ioe aooRess <br />1527 Rainier <br />PLUMBIN6 <br />NO. TYPE OF FIXTUIiE OR ITEM <br />BATHTUB <br />LAVATORY �NASM BASIN) <br />SHOWER <br />KITCHEN SINK S �ISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DFAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PF.RMIT <br />TOTALFEE <br />APPROV�LS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br /><. FIRE PROTECTION SYSTEIA <br />6. DRAINAGE <br />FEE <br />f <br />S <br />S <br />YES '._ NO <br />MA%.00C.LOAO <br />DATE <br />B.MEALTHDISTqICT � � <br />APPLICATION ACC. BY PLANS CHECNED BY APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED ThIS <br />APPLICAT".N 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONTRACTOR OR AUTHORIZE� AGENT DATE <br />X � .n � ��)����F�.� 1/17/84 <br />N0. TVPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FINED A.C. UNITS — TONNAGE EA. <br />1 FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — 9.T.U. M <br />UNIT HEA7ER5 — B.7.U. M <br />EVAPOHATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />(7ANGE HOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLAGE INSERT <br />FEES <br />9UILDING <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />PENALTY <br />TOTAL <br />FEE <br />SUB TOTAL S 6 <br />PERMIT S 10 <br />TOTAL FEE = 16 <br />PLAN CMECK FEE <br />�EE pECEIPT NO. <br />VALUATION FEE <br />5 <br />16 <br />U.B.C. <br />SEC. 3031aI <br />16 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SP�CE) 7HIS01STl�UII PPANIT � <br />b l b .D ll b V U <br />� <br />� p N <br />�� �'", I\rl.r.'1 �.r-� <br />' ''':. �.'. il <br />ADDRESS (ILE <br />�S <br />H'~*] <br />H r� <br />�S <br />� <br />C� <br />� M <br />z <br />S <br />� � <br />�7 � <br />� N <br />� <br />. � <br />Z <br />S <br />H <br />� <br />� <br />Mn <br />M <br />