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dic £rcr�;rern <br />��,� o� <br />everett <br />CI7Y HALL 259�B7d5 <br />EVEFE77, WA 98201 <br />�� �ONSTRUCTIOI� � <br />PERMIT PERMIT N0. �4H16 <br />❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEP MAILADORE55 CITY 21P PHONE <br />Hank Steinfeld SAN DIEGO, CALIF. 92135 437-6616 <br />ARGMITEGT OF OESIGNER MAIL AOORESS CITY 21P PMONE <br />GENERALCONTRAGTOR MAILADDRESS CRY ZIP PMONE UCENSEII <br />Rob Donnelly 20530 13th Drive S.E. Bothell 98012 485-6518 <br />MEGNANICAL GONTRACTOP MAIL AU�RESS CITV ZIP PHONE UCENSE � <br />PLUMBING CONTRACTOR MAIL AOOFE55 CITY 21P PHONE UCENSE t <br />CLASS OF WORK <br />❑ NEW ❑ ADOITION ❑ ALTERA710N }[� REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIFlEPUCE INSERT <br />s 1,735.00 <br />DESCRIfiE WORK <br />repair water damage <br />Single Family Residence <br />LOT _BLOCK _OF <br />JOBAOORE55 <br />2222 Rainier Avenue <br />PLUMBING <br />N0. I TYPE OF FIXTU <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 OISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE <br />SIZE OF BLDG. N0. OF <br />FIRE ZONE BASEN <br />APPROVALS <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE HYORANT <br />d. FIRE PROLECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATI <br />8. HEALTH DISTRICT <br />GOPIES� <br />FEE <br />i <br />S <br />S <br />;'.VC-S �.NO <br />;:VL'S ��.:NO <br />BY IAPPR.FOR <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 />GOVERNINCI 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 />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNA]UFE � �ONT�TOR OR AUTj/0RI2EQ AGENT DATE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNI7S — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIqED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVe — WOOD <br />METAL FIHEPLACE 8 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />( NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />Bl11LDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />U.B.C. <br />SEC.303 <br />FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I 29 I 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATE� (IN THIS SPACE) THIS IS YOUR PERMIT (D <br />. � � � ^ . '_— � <br />-... , � <br />�' <br />�-'r <br />ADDRESS FILE <br />