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r .- <br />.. <br />�hr Erergrcen <br />everett r �ONSTRUCTIO�� <br />PERMIT PERMIT NO. 1214H <br />CITY HALL 259�B7C5 <br />EVERETf, \NA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILAODRE55 CITY i.IP PHONE <br />BILLIE FISHER 3017 NASSAU EVERETT WA 98201 259-5298 <br />RRGHITEGT OR DESIGNER MRII ROORE55 CITY ZIP PNONE <br />GENEPALCONI9ACTOR MAIL���PE55 CRY ZIP PMONE LICENSE� <br />EVERETT BUILDERS 5606 EVERGREEN WAY EVERETT 98203 353-7167 <br />MECMANICRL CONta4CTOF MRIL r1DDRE55 CITY V rvE uccnsc • <br />223-01- -ER-EB 301 <br />P�UMBING CONTPAGTOR MA�L R�URE55 CITY ZIP PNONE LICENSE I <br />__'.__ _. .._ <br />❑ NEW ❑ ADDITION ALTERAT�ON ❑ REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WOO� STOVFIFIflEPLACE INSERT <br />VRLUPTION OF WORK <br />s 1743.00 <br />DESCRI9E IVORK <br />Reroof <br />Sinale familv resi <br />�or eiocK722 oc Everett Div. "H" <br />S��all Lot 8 <br />PLUMBING <br />NO. TYPE OF FIXTUNE OH ITEM <br />WATER CLOSET �TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />UISHW4SXER <br />LAUNDRYTRAY <br />CLOTMES WASMER <br />�YATER MEATER <br />URIN4L <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />1. FIRE PROTEC.TION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. HEALTM DISTRICT <br />S <br />f <br />YAFD <br />:YES ��.. NO <br />PLANS CHECM.ED BY I APPR. FOR <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 HEFEIN OR NOT. THE GRANTING OF A <br />PERA7IT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OF CANCEL THE. PROVISIONS OF ANY OTHER S'iPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION Oa THE <br />PERFOGMA�NEE�9F CONSTRUCTION. <br />SIGNlIfUAdOFCONTHOG�TORORAUTNOiMZE6AGENi DATE <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFFIGERAiION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — iONN4GE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HF.ATERS — B.T.U. M <br />UNIT HEATERS — B.TA. M <br />EVAPORATIVE COOLERS <br />CLOTNES DRYERS <br />VENTILATIUN FAN <br />RANGEHO00 <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAI FIREPLACE 8 CMIMNEY <br />HEAT PUMP <br />SUB TOTAL <br />PENMIT <br />TOTALFEE <br />:HECK NUMBER F <br />FEE <br />FEES VALUqTION <br />BUILDING <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />PFNALTV <br />5 <br />30J <br />� <br />f <br />f <br />CHECK FEE <br />RECEIPT NO. <br />rorn� � � 29 150 <br />PEPMIT VALIOATION <br />WHFN PROPERLY VALIDATEO (IN TMI$ $f8�) THIS�SA'OUi1Ppi111? ��, <br />t�ic ��it� �u <br />� <br />N <br />YOUR RECEIPT� <br />THANK YOU <br />ADDRESS FlLE <br />30�83 <br />'1 <br />� <br />� <br />..� <br />