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dtP £trr,;rcen <br />everett CONSTRUCTIO; <br />CITYHALL259�87a5 PERMIT PERMIT NO. 15S�Ei <br />EVERETT,Wq9B201 � COMBINATION ❑ BUILDING � MECHANICtiL ❑ PLUMBING <br />OWNER AIAIL ApDRESS CRY ZIP PHONE <br />Stephan E. Ells 340 Olympic Blvd. Everett 252-5587 <br />PRCHITEGT OR OESIGNER MA�� ApOPE55 �ITY ZIP PHONE <br />GENERAL GONTR�CTOR MAIL AD�RE55 �Itt 2iP PHONE LICENSE � <br />MECMRNICAL CONiPACTOR MAIL ApDRE55 CITY ZIP PMONE LICENSE � <br />Valley Natural Gas 11323 Highway 99 Everett 98204 355-7730 <br />PLUMBINC CONTRRCiOR MAIL ApDRE`S qTY ZIP PMONE LIGENSE � <br />. VALLENG 153LI <br />❑ NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SiGN ❑ WOOD STOVE/FIREPLACE INSERT <br />OF WORK <br />S <br />LOT_BLOCK_ OF <br />340 Jlympic Blvd. <br />PLUMBINO <br />NO. TYPE OF FIXTUHE OR ITEM <br />LAVATORV�WASMBASIN� <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BPEAKERS <br />ROOF DRAINS -- RAINLE <br />SINK (SERVICE — BAR, E' <br />SUB <br />TOTAL FEE <br />SIZE OP PLDG. <br />1. ENYIRONMENTAL CHECK LIST <br />2. BUILGING PLANS <br />9. FIRE MYDFAPiT <br />4. FIRE PNOTECTION SYSTEM <br />5. GRADING <br />B. MEALTN DISTRICT <br />APPLIChTION ACC. <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 TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL TfiE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION. <br />SIGNR UH�j OF CONTqAC R O�AUTNOR12ED AGENT DATE <br />%� Vt� i1. �.%iwiw��e�— 9/30/85 <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFHIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />_ GAS FIRED A.C. UNITS — TONNAGE EA. <br />j FORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEHS — B.T.U. M <br />EVAPORAiIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEMOOD <br />Alq MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />: <br />S <br />REAR YARD SETE <br />VACANT SITE <br />-..YES .�NO <br />NO.OF DWELLIN <br />MAX.00C.IOAD <br />FIRE SFiiINKLERI <br />REGIh!7ED <br />TOTAL FEE <br />PLAN CMECK NUMBER f <br />FEE <br />FEES VALUIITION <br />BUILDING f <br />PLUIdBING <br />MECHANICAL � <br />BY OATE OTHER <br />PENALTY <br />TOTAL <br />303 <br />FEE <br />s ii $o <br />: <br />f <br />�NECK FEE <br />RECEIPT NO. <br />FEE <br />zi So <br />22 5� <br />N'HEN PROPERLV VALIDATED pN Tl��SS�E) TH� � yp{�q pEaM1T � <br /><<y <br />, ;,. <br />BY APPR. FOR ISSUANCE BV ��- �,J �� R � C r-1 f�T \� <br />' !'; Y!, U <br />L;�Ci' �j <br />ADDHESS f-1ll. <br />M M <br />H '*J <br />N ID <br />� R1 <br />d <br />M� <br />^ N <br />� Z <br />M <br />�J� <br />� M <br />N <br />� <br />. � <br />� <br />S <br />H <br />N <br />� <br />