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. + ♦ <br />�hr !: rerC�ern <br />everett �ONSTRUCTION <br />P�F�MIT PERMII N0. �352� <br />GTl' NALL 259�BIa5 <br />LVERETT,WA�Jf7201 ❑ COMBINQTION ❑ BUILDING IgX MECHANICAL L� PLUMBING <br />������<<� MlILAODRESS (IiY :iP pHpry� <br />Donald Chase 1927 Mukilteo Blvd. Everett 99204 <br />FRGMRECt OR OESIGHEH MPIL AOOIiE55 �iLV 2iP 1§�ONE <br />GhNE11AL CONIRAGTOR MPiI AOORE55 CIiY 21P PMONE UGEN'.1 • <br />MEG�ANIC.ILCONiNRCTOR MAILRCpNE55 �IiY ZIP PNONE UCV�'�t • <br />Natural Gas Equipment 1625 Gast Marine View Drive Everett ?8201 258-2441 <br />VIUM1'OiNG GONiRAGiOR MNII ADORE55 CIiY )IP PNpN! l:f'�;! • <br />C1A55 OF WORR <br />O NEW ❑ ADDITION <br />VALUFTION �F W�RK <br />S <br />LOi_BLOCR__OF <br />1927 Mukilteo Blvd. <br />PLUMBING <br />N0. <br />❑ ALTERA710N ❑ REPAIR ❑ DEMOL�TION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INS[Rt <br />OR ITEM I FEE <br />WATERGLOSET�TOILEn <br />BATHTUO <br />LAVATORYpNASHBASIN) <br />SHOINER <br />KITCHEN SINK d DISP. <br />DISMlNASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRIt'NING FOUNTAIN <br />FLOOR DRAIN . <br />\'ACUUM BREAKERS.. 4 � � <br />f� - <br />ROOF DRAI� � �� • iiAINLEADE <br />SINK �,��',iVICE — BAR, ETC.) <br />SUB TOTpL <br />PERMIT <br />70TAL FEE <br />NO. <br />1. ENVIRONIAENTAL CMECK UST <br />2. BUILDING PLANS <br />3. FIRE HtORANT <br />4. FiFE PROTECTION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTAIJIdPACTSTATEh <br />8. MEALTH DISTRICT <br />APPLICATION ACC. BY P�ANS <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAM[ TO BE TRUE ANO <br />COPR�CT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT[ <br />OR CANCEL THt f'ROVISIONS OF ANY OTHFR STPTE Oii <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />sicr a• ne or cor+ra�cror� o•uTnoi,�reo accr�r o•ir <br />x� t�� I,� L 1� - l�c �. �; e�zo�e� <br />MECHANICAL <br />NO. TYPE OF E�UI7MENT <br />AIR CON'J. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. [A. <br />BOILEFS — MP. EA. <br />GAS FIRED A.C. UNITS — TONHAGE EA. <br />FORCED AIR SYSTEIAS — B.T.U. M EA. <br />WALL MEATERS — B.T.U. M <br />IINIT MiAtERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES ORYERS <br />VENT;LATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 6 CMIMNEV <br />FIREPLACEINSERT <br />S � <br />S <br />S <br />IEAR YARD SETBACK PLAry CHECK <br />'ACANT SITE <br />YES .NO F <br />10. OF OWELLING UNITS <br />BU!LOING <br />Ip%. OCQ LOAD <br />PLUMBING <br />IRE SPPINKLERS MECHANICAL <br />EOUIRED <br />YES NO <br />BY DA7E OTHER <br />PENALTV <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE f <br />�'LFN CI <br />FEE <br />VALUATION <br />S <br />FEE <br />RECEIPT NO <br />FEE <br />FS�F� <br />TOTAL I I jQ I50 <br />PERMIT VALIDAiION <br />IYMEN PROPERLY VALI�ATED pN 7HI$ SPPCE) TMIS;�IS`YQUfl P[i7HIT__ � <br />� , 1 I � I U �J <br />� i <br />�, -� <br />f7 � (. ' : � .- . <br />t.r...... � . .. <br />` I <br />Ls <br />r; <br />