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�% �heE�e�rRYee�F C�'''�NSTRUCTION -�� ^ <br />everett PERMIT pERMIT NO. 07951 <br />CITY HALI. 259�8745 <br />EVERETT,WA 98201 ❑ CONIBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAILADDRE55 CITV ZIP PHONE <br />WILLIAM G. MOORE 1314 MURILTEO BLVD. EVERETT 98203 <br />RRCMITECT OR DE51 .NEF MAIL AO�RE55 C�iY ZIP PNONE <br />GENERRL fANTRACTCR MAIL ADDFE55 CIiY 21P PMONE LICENSE � <br />IASM�n GLCONTRACTOP MAIIA�DRE55 Cltt 21P PNONE LICENSEI <br />PLUMBING GONTRnCTOR MFIL ADDRESS CITY 21P PMONE UCENSE / <br />WORN <br />❑NEW DADDITION �ALTERATION �REPAIR ❑OEMOLITIGN ❑FENCE ❑SIGN GARAGE <br />s 500.00- 600-00 <br />DESCRIBE WOPK <br />USE OF <br />LEGAI DESCNIPTION OF PROPERTV 1.`�MOW BELOW OR <br />�or aia�_oF <br />1314 MUILTEO BLVD. <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />� WATER CLOSET (TOIIEn <br />BATHTUB <br />LAVATORV ASH BASINI <br />SHOWER <br />� KITCHEN SINK 6 DISP. <br />, DISHWASHER _ <br />��, UUNDRY TRAY __ <br />� CLOTHES WASHER _ <br />� WATER HEATER <br />� URINAL <br />� �RINKING FOUN7AIN <br />SIDE VA <br />USE Z01 <br />NPE OI <br />SIZE OF <br />FIRE ZO <br />3 <br />m�vr urv.irva — <br />SINK ISERVICE — <br />SE7BACK STREET SETBACK <br />LOT AREA <br />)NST. OCGUPANCY GRI <br />R-3 <br />DG. N0. OF STORIES <br />2 <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PlANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. ENVIRONMEN7ALIMPACTSTATEMENT <br />B. HEAITH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />i hEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�P,�S� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PfiOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VlSIONS OF ANY OTfIER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNA,�iU�{ijE OF CONi/RFCTOROR FUTH �R%IIE4U AJ�'}+E�NT DATE <br />Y J'1� //�/i n_.m_/ ! v //! L°�t`'�2�%-.15-8� <br />MECHANICAL - <br />EE NO. TYPE OF EOUIPMENT <br />AIR CAND. UNITS — H.P. EA. <br />REFRIGER.4TION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />fORCED AIR SYSTEMS — B.T.U. M EF <br />� WALL h1EATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVA!'GRATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UN!T — GF.I <br />STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />SUBTOTAL <br />PEAMIT <br />TOTALFEE <br />SEiDACK PLAN CHECK NUMBER P�N <br />FEE <br />CANT SI7E <br />YES ❑NO <br />NO.OF DWEILIN <br />1 <br />Mnx.occ �ono <br />APPR. FOR ISSUFNCE BY <br />x.c. <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />E 600.00 <br />U.BA. <br />SEC.303(a) <br />FEE <br />RECEIPT NO. <br />VALIDATE� (1N THIS SPACE) THIS IS YOUR PEFb.iT <br />��� <br />��� <br />asoa 5006.00 T � <br />ti <br />YOU R REGEIPT � <br />i Hr1NK YOU <br />I <br />