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NieLlrr,�rern � �ONSTRUCTIO� • <br />eve�ett PERMIT PERMIT NO. 16226 <br />CITY HALL 259�B74E <br />EVERETT,WA98201 ❑ COMBINATION LX BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAOOPE55 CITV ZIP PMONE <br />MERCEDES M. ANDERSON 2121 RAINIER EVERETT WA 98201 252-1903 <br />APCHITEGT OR OESIGNEP MAIL AOORE55 CITY ZIP PHONE <br />GENEFAICONTRAGTOR MAILAD�RE55 CITY ZIP PHONE LICENSEI <br />Everett Builders 5606 Everqreen Wav Everett WA 98203 353-7161 <br />MECMANICAL CONTRACTOR MAIL AODflESS QTY ZIP PNONE LICENSE I <br />PLUMBING CONTPACTOR MAIL PDDNESS CITY ZIP PHONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR ❑ �EMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />5 1117.00 <br />ESCRIL'E WORN <br />Reroof <br />ROi'OSEU USE OF BUILDING <br />Residence <br />EGAL DESCRIPTION OF PNOPEI <br />LOT�L�LOCK_OF <br />PLUMBING <br />NO. TYPE OF FI%TI <br />WATER CLOSET (TOILElI <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KI7 ;HEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER H[ATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR OPAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />TOTAL <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br /><. FIRE PROTECTION SYS7EM <br />3. GRA�ING <br />6. DRAINAGE <br />'.ENVIRONMENTALIMPACTSTATEMENT <br />FOUR <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 i0 GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE O�CONSTRUCTION. <br />SIGNAiURFafdFCONTRAQiO ORAUTHORI2ED,AGEj{i OATE <br />MECHANICAL <br />FEE NJ. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />FlEFRIGERATION UNI7S — I' P EA. <br />BOILERS — H.P. EA. <br />GAS FIRE: r.l:. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATIUN FAN _ <br />RANGE HOOD <br />AIR HANDLING UNIi — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEAT PUMP <br />3 <br />S <br />S <br />REAH YARD SETBACK PIAN <br />VACANT SITE <br />_YES i-NO <br />LOAD <br />�YES NO � <br />iY I OATE <br />8. HEALTH DISTRICT � <br />APPLICATION ACC. 6Y PLANS CHECKED BV APPR. <br />SUB TOTAL S <br />PERMIT S <br />TOIALFEE S <br />FEE <br />FEES VALUATION <br />RECEIPT NO. <br />FEE <br />BUILDING sj j j J, OO 2O BO <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y U.B.C. <br />SEC. �OJ la) <br />TOTAL 20 5� <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED pN THISaSPA� �1 THIS IS �O�fF�PFfI�T__f,� <br />( LU <br />_ . <br />ri�. <br />,.. . , l ';l.i_����I� . <br />BY <br />� ::. �1 lJ �� <br />AfDRESS FILE <br />� J !I,�tt U� <br />