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Ihe£verxrren � J�NSTRUCTIOP � � <br />1 cirvcF �''� --� �� ^� <br />! everett pERMIT PERMIT NO. �5951 <br />� GTY HALL 25&B745 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDiNG ❑ MECHANICAL ❑ PLUMBING <br />' OWNER MAILADDflESS GTY ZIP PMONE <br />Paul Muckey 3321 Nassau Everett 252-5922 � <br />AqCMITEf.T OR pESIGNEP MAIL ADDRESS GIiY ZIP PHONE i <br />OENER�L CONTR�CTOR � M�IL A��RESS CITY Z�p PNONE LICENSE / <br />All Serv�ce Buildera 317 Glen Avenue Snohomish 98290 568-1334 <br />MECN�NIGALCONTRACTOR MAILAOORE55 CITY 21P PHONE LICENSE• <br />ALLSEB*166KG <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE UCENSE � <br />O NEW <br />.U�TION OF WORN <br />f 55��.�0 <br />Chip Rehab <br />❑ ADDITION ❑ ALTERATION �IEPAIH ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOO� STOVE/FIREPLACE INSERT <br />Single Family Residence <br />�or 11-1��ocK 786aF Everett Div. H <br />3321 Nassau <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />LAV�iTORV (WASH BASIN� <br />SHOWER <br />KI?CHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATEP HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -� RAINLEAOEHS <br />SINK ISERVICE — BAR, ETC.1 <br />PENMIT <br />TOTAL FEE <br />LO7 AREA <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIl01NG PLANS <br />3. FIRE HYDRANT <br />�. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />0. HEALTH DISTf:ICT <br />ACC. BV I PLANS CHECKED BV <br />FOUfl COPIES� <br />FEE <br />� <br />S <br />S <br />REAR YAF� SETI <br />VACANT SITE <br />�.�.YES ;;NO <br />NO. OF DWELLIN <br />MA%.00C.LOAD <br />FIRE SPHINKLER� <br />REOUIRED <br />_YES CNO <br />BV OA' <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 \NILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V:JLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />?ERFORMANCEOFCONSTRUCTION. <br />SIGNATURE oF� TR�OR OR UTH R1=E0 �GENT DATE <br />x % 1/17/86 <br />N0. TYPE OF EOUIPMENT <br />Alq 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 FIR SYSTEMS — 3.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />_ SUB TOTAL S <br />PERMIT f <br />TOTAL FEE f <br />PLAN CHECK NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING $ SSOO. <br />PIUMBING <br />MECNqNICAL <br />OTMER <br />PENAL7Y <br />TOTAL <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />FEE <br />561 50 <br />56 � 50 <br />—' WHEN PROPERLV VA�IDATED pN THIS SPACE) THIS IS YOUR PERMIT �.-..{ <br />-_ � � 49 $056.50 - �; <br />l(� <br />FORISSUANCEBY ' � " �� �-i <br />. :�;:CElF7 <br />.. . . .i;� �'(�li <br />ADDRESS fILE <br />I I � �'; ,; � <br />