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theErer�recn �pNSTRUCTIAN�- � - <br />c�tv OF I <br />everett PERMIT PERMIT NO. 164ZQ <br />CITY HALL 259�8745 <br />EVERET7, WA 98207 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AD�FESS GRY 21P PNONE <br />Robert Jungaro P.O. Box 363 Mukilteo, Wa 98275 355-4196 <br />ARCHITECT OR �ESIGNER MAII ADOflE55 CITY ZIP PMONE <br />GENERALGONiRACTOR MAILADORESS dT� ZIP PHONE LICENSEt <br />Self <br />NECH�NICAL CONTRACTOR MAIL A��RE55 GITY ZIP PMONE LICENSE � <br />GLUMBING GONTH�GTOR MRIL A�ORE55 CITY ZIP PHONE LICENSE � <br />❑ NEW U ADDITION ❑ AL?ERATION ❑ REPAIR �LI �EMOLI710N O FENCE ❑ SIGN ❑ WOOD STOV JFIREPLACE INSERT <br />S <br />Deaalition <br />�POSED USE OF BUIL�IN� <br />multiple family dwelling (four-plex) <br />.� o«�siat�nu nc ownccarv rSHOW BELOW OR ARACM FOUR COPIES� <br />�Oi 4&5 BLOCK732 OF <br />PLUMBIN6 <br />N0. TYPE OF FIXTURE <br />WATER CLOSET(TOILEII <br />BATHTUB <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL _ <br />DRINN�NG FOIiNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAOEHS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TO' <br />PERMIT <br />TOTALi <br />1.ENVIRONMENTAI CMECK LIST <br />2. BUILDING PLANS <br />3. FIFE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMEN7ALIMPACTSTA' <br />B. MEALTH DISTRIC7 <br />APPLICATION ACC. BY PLA <br />L.C. <br />Div H <br />f <br />S <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 />GnVERNING THIS TYPE UF WORK WILL BE COMPLIED WITH <br />1VHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORAjA�1C� O�CONSTRUCTION. <br />SIGNATURF,/OycO� ACT R OR RUTNORRED AGENT DnTE <br />�i 4/15/86 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMcNT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />eOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEiiS — B.T.II. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7NE COOLERS <br />CLOTI'.ES DRYERS <br />VENTILATION FAN , <br />RANGEHOOD <br />AIR HANDLING UN!T — C.F.M. <br />STOVE — W000 <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />YARD <br />YES NO <br />FOR IS <br />L.C. <br />SUB TOTAL <br />PEPMIT <br />TOTAL FEE <br />� <br />FEES <br />BUIL�ING S <br />PLUM8ING <br />MECHANICAL <br />OTHER <br />l <br />PENAL7Y c <br />TOTAL <br />� <br />f <br />S <br />PLAN CHECK FEE <br />I RECEIPT NO. <br />VALUATION I FEE <br />� <br />S�� <br />WHEN PROPERIY VALIDATED pN THI$ SP�CSE) THI&1��YqUp P4'F�11T � <br />/ 7 � '� 'J II l U'—' <br />Renewal of Permit #11428, issu=d 1/2I/83 �_ <br />L� <br />. . ' . i . � ��. �1 c ' <br />. . . . . �� �.� <br />i i. <br />� ,,„ . . <br />� c� <br />ADDRESS FIL[ <br />