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IheE�•crArcrn � �ONSTRUCTIO� • <br />everett PERMIT PERMIT N0. 1512�. <br />CITY HALL 259�B7a5 <br />EVERETf,WA98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER MAIL ADORES$ CIiY ZIP PNONE <br />Jerry O'Brien 1832 Mukilteo Blvd. Everett 98203 35i-1832 <br />ARCNITEGT OR DESIGNER MAIL ADDPESS CITY ZIP PMONE <br />GENERnL CONTRACTOR MPIL AOPNESS CIiY 21P PHONE LICENSE Y <br />Same <br />MECHANICAL CONTRACTOR MFII ADDRESS CITY Zip PHONE LICENSE � <br />PLUMBING CONiRRCTOR MAIL ADDRESS CITY ZIP PMONE LICENSE / <br />❑ NEW O ADDITION ❑ ALTERATION � REPAIR C DEMOLITION ❑ f ENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br />AIATION OF WORh <br />sZ�50�.0� <br />New roof and necessary repair to hold <br />PFOPOSED lISE OF BUIl01NG <br />Single family residence <br />LEGAL DESCRIFTION OF PHOPERTY �SHOW OELOW OR ATTALN FOUR COAIES) <br />�OT__BLOCK <br />1832 Mukilteo Blvd. <br />PLUMBING <br />TYPE OF FIXTURE <br />WATER CLOSET (TOILEn <br />BATMTUB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />�ISHWASHER <br />LAUNORYTqAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, E7CJ <br />SUB TOTAL <br />TOTAL <br />1. ENVIRONMEN7AL CHECK LIST <br />2. Bl11LDING PLANS <br />3. FIRE HYDRANT <br />4. FIAEPROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMEN7ALIMPACTSTATEMENT <br />B. HEALTM DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />FEE <br />S <br />S <br />S <br />'ACANT SITE <br />YES .7N0 <br />REOUIRE� <br />�. YES : �.NO <br />8� <br />L.C. <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 TYPF OF WOFK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFCONTRACT��RpLL�HOyIj,EU.GENT y 'IDAT�� <br />n � \ %/ <br />MECHANICAL ' <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEFS — B.7,U. M <br />UNIT HEA7ER5 — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />FANGEH000 <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL PIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />FEE <br />SUP-fOTAL S <br />PEHMIT S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE REGEIPT NO. <br />VALUATION FEE <br />52,500.00 25 03 <br />U.B.C. <br />SEC. 303 (al <br />TOTAL I I � <br />PERMIT VALIDATION <br />WHEN PROPERLY VAIIDATEO (IN 7HIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS fIL� <br />� <br />