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rheErrrxrern � � CONSTRUCTI� S <br />everett PERMIT PERMIT NO. 16OS4 <br />G7Y HALL 259�87d5 <br />EVERETT,WA98201 ❑ COMBINATION �l BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS CITY 21P PHONE <br />H. Todd Hammons 6913 168th N.E. Arlington 98223 435-8201 <br />ARCHITEGT OR DESIGNEP MAIL ADORE55 CITY ZIP PHONE <br />GENENAL CONTHACTOR MAIL AO�RESS CITY ZIP PHONE LICENSE I <br />same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PIUMBING CONTRAGTOR MAIL ADOHE55 CITY ZIP PHONE LICENSE II <br />CLA55 OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION i�REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />f 2500.00 <br />Re-roof-rxterior and interior <br />LOT <br />Re <br />a <br />Rainier Avenue <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />BATHiUO <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — FAINLEADE <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FtE <br />SIZE OF BLDG. NO. O! <br />FIRE ZONE BASEM <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTAIIMPACTSTAT <br />8. HEALTH DISTRICT <br />COPIES� <br />FEE <br />S <br />5 <br />f <br />�-_YES ::NO <br />YES ; NO <br />3Y DA7E <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO <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 CONS�TRUCTION. <br />AGENT DATE <br />2/10/86 <br />MECHANICAL <br />NO. TVPE 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 />WALL HEATERS — B.7.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 FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />s 2500.00 � 38 �50 <br />(a) <br />TOTAL I I 38 I$0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATE� (IN TF{�SS9A�E) THIi9.I�YQI/ji f�Ef�11T ;��; <br />I t ,j J b �) <br />�'^ <br />r� . <br />ADDRESS FILE <br />�, l.l-ii I . ; <br />. .• -.. , } (,��� <br />; .i IL� JD <br />