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`,'��`:""`�"' ^pNSTRUCTlO�' <br />�_,,, �� <br />everett PERMIT PERMIT NO. 137`�� <br />C�7V HALL 259�8745 MECHANICAL ❑ PLUMBING <br />EVERETT, WA 98Z0� ❑ COMBINAT�ON C BUILDING �t�%' <br />.v Z�P PHONE <br />Jerry Walker <br />GENERAL <br />S <br />MAIL AD�RES'. <br />201A� Rainier <br />IACTOR mna rw�w., <br />Gas Equipment Co. Inc_ 1625 <br />Everett <br />�P pHONE LICENSE • <br />9azoi 258-2441 <br />.......�� i�CENSE� <br />O NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑�^1�OD STOVE/FIREPLACE INSER7 <br />LOT�_��OCN�OF <br />20184 Rainier <br />PLUI`iBING <br />NO. TYPE OF FIXTURE OR <br />WA'ER CLOSET 1TOILET) <br />BATHTUB <br />SMOWEH <br />DISP. <br />LAUN�RYTRAY <br />CLOTHES WASHEti __ <br />WATER HEATER <br />URINAL <br />D�7INKING FOUNTAIN <br />FLOOR DRAI� <br />VAGUUM BREAKEFS <br />ROO� DRAINS — RAINLEADERS <br />I SINK (SE AR, ETC 1 <br />SUB tOTAL <br />TOTALFEE <br />OF <br />1, ENVIPONMENTAL CHECK LIST <br />2, BUILDING PLANS <br />3. FIRE H�DRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DFAINAGE <br />7.ENVIRONMENTALIMPACTSTA <br />8. MEALTH G13TRICT <br />eoai iCATION ACC. BY P�� <br />I HEREBY CERTIFY THAT i HAVE hEAD AN� EXAMI�IED TNIS <br />APPLICATION AND KNOW THE SAME TO BE TR'JE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH <br />PERMIT DOES NOITiPRESUME TO GIV�AU HORIRY TU V OL� TE <br />OR CANGEL THE PROVISIONS OF ANY OTHEH STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUGTION. onre <br />c¢;NANRE OF CGN;��R OR AUiNOR¢ED AGENi ^^, ^^ <br />FEE N0. TYPE OF EDUIPMeni <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA71ON UNIT.^� — H.P. �A. <br />BOILERS — H.P. EA. <br />GAS FIRED n.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. �"� <br />EVAPORnTIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />— RANGEMOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — VdOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP _�_— <br />f <br />S <br />S <br />�. �YES : �.1:0 <br />MA%. <br />YES NO <br />aT <br />FOR <br />SUB TOTA� <br />PERMI� <br />TOTAL FEE ? <br />FEE RELEIPT NO. <br />VpLUAT10N FEE <br />BUILDING S <br />PLUMBING <br />14 50 <br />ME7HANIGAL � <br />O7HEH <br />— �.a.�. <br />PENaLTY SEC.30]�a) <br />14 5� <br />TOTAL <br />PERMIT VAL�DATION <br />WHEN PROPERLY VALIDATED (IN TMIS $PAC�) THIS.IS YGU9_ P€FitI.41T__ <br />� 14 <br />� <br />M <br />; { i � <br />. '� <br />� � . <br />ADDi:E55 PILE <br />� . <br />i ..�..�a c -: <br />4 <br />� <br />f-: <br />Cn <br />H H <br />H ^ <br />H � <br />� �. <br />� � <br />C <br />R] �. <br />�p r <br />Cy : <br />C: <br />Hy F <br />K• <br />n • <br />� `. <br />,:, . <br />�. <br />� . <br />c'. <br />�z <br />y; <br />i.' <br />A <br />