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Ihr(i�•rrTmoF ; CONSTRUCTIQM� <br />everett PERM IT PERMIT NO. 1-� ' � <br />CI i Y HALL 259�8745 <br />EVERETT,VJA9B207 ❑ COMBINA'fION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADORESS CITY 2iP PMONE <br />Carl Pearson 2933 Nassau Everett 98203 <br />AflCMITECT OH �ESIGNER MAIL ADDRE55 CITY ZIP PMONE <br />GENERAL CONTPACTOF MAIL ADDRE55 CITV 21P PMONE ULENSE � <br />Smokev Roofina Company 14601 84th N.E. Lake Stevens 98258 <br />MECH4NICAL CONTRACTOR MAIL AD�RESS CITY ZIP PHONE LIGENSE � <br />SM OK ER 267NW <br />PLUMBING CONTRACTOF MAIL AOORE55 GITV ZIP PMONE LILENSE N <br />❑ NEW O ADDITION L� ALTERATION �fiEPAIR � OEMOLI710N ❑ FENCE ❑ SIGN <br />s 108.00 <br />re-roof porch <br />�or 17 e�ocK 678 oF Everett Div. C <br />IOB ADORESS <br />2933 Nassau <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOI LEn <br />BATHTUB <br />'.AVATOPY(WASHBASINI <br />SHOWER <br />KITCHEN SINK <br />LAUNORYTRHI' <br />CLOTHES WASMER <br />WATER HEATER <br />UflINAI <br />DRINKING FOUNTAIN <br />FLOOR OPAIN <br />VA�UUM BREAKEFS <br />FlOOF DRAINS — RAINLEADERS <br />SINK (SEFVICE — BAR, ETC.) <br />PERMIT <br />TOTAL FEE <br />SIZE OF <br />APPROVALS <br />1. ENVIRONIdENTAL CHECK LIST <br />2. UUIIDING PLANS <br />J. FIFE HYDRANi <br />4. FIRE PROTECTION SYSTEh1 <br />5. uRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALT4 DISTRICT <br />APPLICATI09 ACC. BY PLANS CHE <br />BY <br />i <br />S <br />S <br />YARD <br />FEE <br />YES NO <br />VES <br />BY <br />6Y <br />❑ WOOD STOVFJFIREPLACEINSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. AI.L 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 STPTE OR <br />LOCAL LAW REGU�ATING CONSTRUCTION OR THE <br />PERFORMANCE OF CON TRUCTION. <br />�GNALURE PF CO�ffM(CT�H OR THORI2E0 AGENT DATE <br />\ � �1r. 12/7/84 <br />NO. TYPE OF EQUIPMENT <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.i.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.• 'J. 1+1 <br />EVAPOFATIVE COOLERS <br />GLOTHES DRYERS <br />VENTIIATION FAN <br />R4NGcH00D <br />AIR HANOLING UNIT — QF.M. <br />SrOv� — w000 <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT E <br />TOTAL FEE S <br />CHECK <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />5 108.00 <br />TOTAL I I <br />PERMIT VALIDATION � � � �� � <br />WHEN PROPEFLV VALIDATED (IN TMIS SPACE) THI$ IS <br />AD^^nE$$ F��_L <br />FEE <br />K FEE <br />RECEIPT NO. <br />fEE <br />10 <br />1� �� <br />il�fi PERMIT (V <br />� <br />N <br />ii,_ �' <br />�, � <br />i <br />f . � <br />z <br />0 <br />-i <br />� <br />m <br />� T <br />.. --i <br />N S <br />Il <br />0 <br />co <br />mo <br />� <br />—I C <br />O 3 <br />m <br />-i z <br />S --1 <br />m <br />.-� <br />.O Z <br />C <br />D —1 <br />rx <br />� N <br />< <br />O A <br />T � <br />--I m <br />S <br />m N <br />or <br />c-� m <br />C N <br />� N <br />m <br />--I � <br />• m <br />a <br />z <br />� <br />x <br />n <br />z <br />--i <br />2 <br />N <br />2 <br />O <br />�--I <br />n <br />m <br />