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- ',"`,`'„"."' ^ONSTRUCTIO�' <br />r, �F ; . <br />everett PERMIT PE!iMIT N0. 13474 <br />CITY HALL 259�B7a5 <br />EVERETT,WA98201 [] COMBINATION RxBUILDING ❑ MECHANICAL PLUMBING <br />L��� Z�p PMONE <br />OIYNEH MAII. PO�FE55 <br />Providence Hospital P.O. Box 10G7 Everett 98206 258-79�4 <br />_ _________.�...., MAIL/OORE55 <br />CITY ZIP PMONc <br />GENERfL GONiRAGTOF MAIL A�ORESS "' <br />Newland Construction Co. P.O. Box 958 Everett 98206 259-9191 <br />MECMANICAL CONTNALTOR MAILA�ORESS <br />GTY 21P PMONE LIGEi'SE M <br />PLUM6ING CONTRACTOR MI.IL AOORE55 <br />' GITY ZIP PMONE UCENS! M <br />S <br />❑ NEW ❑ ADDITIOI! ❑ ALTERATION ❑ REPAIR }L�. �EMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STJVEIFIREPLFCE INSERT <br />Demolish single family residence <br />LEGAL DESLRIPTION OF PROPERTY �SNOW UELOW OR ATTACN FOUR COPIES� <br />W��r-28 n�ocK ���F Everett Div. 8 <br />3212 Nassau <br />PLUMBING <br />TYPE OF FIXTURE <br />YlA7 ER CLOSET (TOILEn <br />pqTHTUG <br />LPVATORY(WASHBASIN� <br />;HOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTflAY <br />CLOTHES WASHER <br />WA7ER HEA7ER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUId BREAKERS <br />ROOF DRAINS - RAINIEADERS <br />SINK �SERVICE - BAR, ETC.) <br />SUB TO' <br />PERMIT <br />TO7AL1 <br />pPPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVOFANT <br />a. �IPE PFO7ECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIFONMENTALIMPACTSTA7 <br />B. HEdLTH DISTRICT <br />APPLICATION ACC. 9Y PLA <br />� <br />S <br />S <br />FEAR YARD SETB <br />VACANT SITE <br />'. �YES '. NO <br />NO. OF OWELLIN <br />MAX.00C.LOAD <br />FIF1E SPRINKLER <br />RE�UIRED <br />1'ES NO <br />BY DA <br />FOR <br />APPLICA70N ANDTKNOW THE SAME TOEBEnTRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERM T DOES NOTIPRESUME TO GIVE AUTHORITY TO V O ATE <br />OR CANCEL TH�EEGUoAITINGs �ONSTRU�CTTION SOR T�E <br />o�coA� ��en�rF�nFc�NST.F�UCTION. <br />X `ii �i �v-- - � <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. 11NITS - H.P. EA. <br />REFRIGERATION U�;TS - H.P. EA. _ <br />BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORC[D AIR SYSTEMS - B T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT MEATERS - O.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTMES DRYEFS <br />VEN7ILATION FAN <br />pANGE HO00 <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSER7 <br />HEAT PUMP <br />SUBTO7AL <br />PERMIT <br />70TAL FEE <br />INUMBER F <br />FEE <br />FEES VAlUA710N <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />O7HER <br />PENALTY <br />F. <br />U.B.C. <br />SEC.30J <br />on*e <br />6/6/84 <br />FEE <br />� <br />S <br />5 <br />CNECK FEE <br />RECEIPT NO. <br />FEE <br />00 00 <br />TOTAL I I OO I OO <br />PEHMIT VALIDATION <br />WHEN PROPERL� `1ALIDATED IIN TWS.^�SR b E) THI@ I�j Y�QI�i PE�Ii ; 1' <br />,1�J UU e <br />� <br />l' ! <br />",�CL-If'I r-i <br />DY . . <br />i . ,.� � C U <br />AD^P:�SS FIIE <br />H H <br />y •- <br />ri � <br />� F- <br />[�7 � <br />O F <br />[�7 ` <br />C �. <br />K <br />O <br />C <br />� <br />�. � i <br />C ' <br />.� . <br />�, <br />