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!hc EvcrAreen -- ; p N ST R U CT I 0 P� <br />CIivOF ���-�l. � <br />�verett PERMIT PERMIT NO. 1642`� <br />CITY HALL 259�B7a5 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADORESS CITY ZIP PMONE <br />I�ert Jungaro P.O. Box 363 Mukilteo, WA 98275 355-4196 <br />_._.. ONOtIF <br />GENERAL CONTRRCTOR MAIL ADORE55 CITY ZIP PMONE LIGENSE � <br />Self <br />MECNANICAL CONTNACTOR MAIL A�OflE55 CITY ZIP Pr10NE LICENSE II <br />PLUMBING CONTHACTOR MAIL AODRESS CITY ZIP P��ONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR C� DEMOLITION ❑ F[NCE ❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br />s <br />Single family residence <br />�or 4 & eiocK 732 <br />JOB ADDRE55 <br />37.09 Nassau <br />PLUMBING <br />F,verett, Div H <br />OR <br />CLOSET <br />LAVATORY�WASHBASIN� <br />SHOWF7 <br />KITCHEN SINK d DISP. <br />OISHWASHER <br />LRUNDRY7RAY <br />CLOTHES WASHEH <br />WATER HEATER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — F7AINLEA�ERS <br />owv �ccovicc _ aea F7C � <br />SUB TOTRL <br />PENMIT <br />TOTALFEE <br />NO. <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIS7 <br />2. BUILDING PLANS <br />�. �'PEHtORANT <br />d. FIRE PROTECTION SYS7EA <br />5. GRADING <br />6. DRAINAGE <br />I.ENVIRONMEN7ALIMPhCT <br />B. HEALTH OISTNICT _ <br />ACC. BY <br />M.M <br />i <br />S <br />f <br />'.:YES ..NO <br />NO <br />DATE <br />BY IAPPR.FORISSU <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 SPECIFI[D 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 W �}EGULATING CONSTRUCTION OR THE <br />PERFO ' A CEIOF CONSTHUCTION. <br />cir.uaru nc oNTRIC70R OR AUTHORIZED AGENT �ATE <br />X %v <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UP11T5 — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />901LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — BT.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />�EN7ILATION FhN _ _ <br />PANGEHOOD <br /><IR HaNDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEHMIT S <br />TOTALFEE S <br />C NUMBER PLAN C'. <br />FEE <br />FEES VALUATION <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />r�c <br />RECEIPT NO. <br />FEE <br />� <br />PENALTY SEC �03 (x) <br />TOTAL '�— <br />PERMIT VALIDATION _ <br />WHEN PROPERLY VALIDATED IIN THIS S,A�E�THIS I� xO�RREFiM��7 __ ^^:� <br />I � � <br />3enewal of Permit M,1142T, is ued`7% 1�%8� �' � <br />ft� <br />. � - � . .�� �„ � . � <br />. �i l) <br />ADDRE55 FILE <br />�I - , <br />�� �„ .� u � <br />