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,,"L"�"."'° � CONSTRUCTiOr° <br />��,Yo� � <br />everett P�RMIT PC-RMIT N0. �-3045 <br />CITY HALI 259�8745 <br />EVEREi7, WA 98201 X�] CCMBINATION ❑ BUILDING ❑ MECHAt:ICAL PLUMBING <br />OWNER MAIL PODRESS <br />CITV 2iP PNON[ <br />DON BOYLE 7115 xXkR MORGAN ROAD EVERETT WA c353-541� ZP PHOVE <br />�— MAIL ADDRE55 <br />AP.MITEGT OR �ESIGNEP <br />._ n..nuc tICENSE� <br />RAL GONTPaG10N <br />ENERGY QUILDERS <br />1609 E GRAND <br />E�ERETT WA 258-2708 ENERGB*1� <br />,..�,. '.IP <br />� <br />G1P55 OF WOHN <br />❑ NtW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIDN ❑ FENCE G_iIGN O�vOOD S70VBFIPEPLACE INSER <br />VALUATION OF WORK <br />56200.�� <br />Add 8' x 8' hath <br />Residence <br />r�All�z.r.�� ....... ......_....._ _ <br />Be��<�rly Hi11s Addn <br />LOT � BLOGK ___OF <br />NO. TYPE d <br />'� WATERCLOSCT <br />BATHTUB <br />� <br />SHOWER <br />KITCHEN iINK & DISP. <br />7115 <br />ITEM <br />�AUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />, SINK (SERVICE — BAR, ETC.) _ <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />8x8 addn <br />FIHE ZOI:E <br />SI1B TOTAL <br />PERMIT <br />70iALFEE <br />EE7 SETBA <br />2�� <br />AFEA <br />JUPANCY G <br />R-3 <br />t. EN�IFiONhtEN7AL CHECK LIST <br />2. BUILDING PLANS <br />7.FIFENYDRANT (.� _ <br />a. FIRE PROTECTION SYS�_ <br />5. GPADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEME�T <br />� <br />_P.HEALIMDISTRICT _� <br />� i\ %.i r <br />�_ STG - = f j - <br />�_ v I <br />;... <br />I HENEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />CORRECT!�ALL PFOVIS�ONS OF LArWS AND URDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Or A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY O'i IiER STATE OR <br />LOGAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. ATE <br />SIGNATURE OF C iqA�T R OR �U7MON12ED �GENT � <br />x �',,.�"..� �l .� <br />FEE NO. TYPE OF E�UIPMtn� <br />Z OO A�n COND. UNRS — H.� <br />REfRIGERATION UNITS — H.P. EA. ___ <br />Z OO BOILERS — H.P. EA. _� <br />Z OO GAS FIRED A.C. UNITS — TONNAGE EA_� <br />fORCED AIR SYSTEMS —��T.�. M tA. <br />WALL HEATEHS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLEPS <br />CIOTHES DRYERS _ <br />VENTILP.TION FAN <br />RANGEHOOD _ <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — VdOOD <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP _ <br />� <br />S <br />S <br />IF_AF YARD Si <br />2�� <br />IACANT SITE <br />YES x NO <br />FOR <br />St1B TOTAL 5 <br />PERMIT S <br />TO7AL FEE S <br />.__..._ I FE�O 63 I 67��1jE1PT NO. <br />3045 <br />FEES VALUATION FEE _ <br />BUILDING '° OLt��. bL DU <br />r�uti+ewc 6 00 <br />MCCHnNICAL <br />OTHER <br />U.B.C. <br />PENALTV SEC.3031a) <br />TOTAL 68 50 <br />PERMIT VALIDATION <br />� MEN PROPERLY VALIDATED pN THISfS �A�E� THIS I� �(pURRE�7 �� <br />�� I <br />O <br />�7 <br />. �<cCI:IPT�--� <br />BY . 1' C) U , <br />- l. I''R u4 <br />