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�he E��ergrren - V 0 N ST R U CT I O�- <br />at�or �� <br />everett PERMIT PERMIT NO. 1272� <br />CITV HALL 259�6)<5 <br />EVERETT, WA98701 � COMBINATION �[ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />01YNEP MAiL ADORE55 CITY ZIP PHONE <br />Jack O. Anderson 10011 132nd Street N.E. Arlingt.on 98223 659-5954 <br />nRGnREGtORDESIGNER MAILA�DRE55 GiTY 21P PHONE <br />GENERAL GONiRPGTON MRiL AOORE55 CIT1' ZIP PMONE LICENSE � <br />Same <br />MEGHRNILFL CONLRACTOR MAIL RODRE55 GTY ZIP PMONE LICENSE M <br />PLUMOING CONLNAGTOR MPIL ADDRE55 CiTY ZIP PHONE LIGENSE � <br />my <br />s <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ flEPAIP 7(� �EMOLITION ❑ fENCE ❑ SIGN O WO00 STOVEIFIREPLACE INSERT <br />Demolish garage <br />aoaoseo use oc auaoinc <br />single family residence <br />2322� Rainier Avenue <br />PLUMBING <br />TVPE OF FI%Tl <br />CLOSET �TOILET) <br />LAVATORY <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />OISMWASHER <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />WATEfl HEATER <br />URINAL <br />FLOOR DflAIN <br />VACIIUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.� <br />SUB TOTAL <br />PEPMIT <br />TOTALFEE <br />APPPOVALS <br />1. ENVIRONMENTAL LMECK LIST <br />2. BUILDING PLANS <br />7.FIFEHVDRANT <br />a. FIRE PROTECTIQ'J SYSTEM <br />5. GRADING <br />fi. ORAINAGE <br />7. ENVIflCNMENTAI.IMPACTSTATEMENT <br />B.HEALTH DISTRlC" <br />aPPUCATION ACC.BY PLANSCMECKE� <br />S <br />f <br />HEAR YARD S <br />VACANT SITE <br />YES . NO <br />NO.OF OWEL <br />MA%.00C.LC <br />FIRE SPFINKI <br />FEOUIFED <br />YES ' NO <br />FOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS�ONS OF IAWS AND ORDINANCES <br />GOVERNING TH�S 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 PRQVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />P ORMAMCE OF NSTR CTION. <br />VI�AUREOFGQNTR�AC,T��I�NT��OA•GANi` ' �ATE <br />� /e� r 1 11/zl/E3 <br />TYPE OF EOUIPMErv7 <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEHATION 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 MEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />CLOTMES <br />PANGEHOOD <br />AIR MANOLING UNIT — C.F.M. <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />SUBTOTAL f <br />PERMIT S <br />TOTALFEE S <br />FEE I RECEIPT NO. <br />VALIIATION FEE <br />0 <br />BUILOING 5 OO OO <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTY U.B.C. <br />SEC. 30J (a) <br />TaTp� OO OO <br />PEPMIT VALIOATION <br />WHEN PROPERLY VALIDATED QN TMiS �f�gl THIS IS$�II�F�R101� --{\j � <br />(�.I <br />(� <br />•r ��; � r� r: � c � i�i�; <br />er -�,.�r�{y( YGU <br />ADDR:SS FII.E <br />;� i il�V 0.`� <br />