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dre E�•ergreert <br />Gi v OF <br />everett <br />CITY HALL 259�8745 <br />EVERETT, WA 98207 <br />r -�ONSTRUCTION'- <br />PERMIT <br />❑ COMBINATION �C BUILDING ❑ MECHANICAL <br />PERMIT N0. �-2��7 <br />❑ PLUMBING <br />OWNER MAILADDRESS �ITY ZIP PMONE <br />Sarry Nielson 4902 Glenwood Everett 98203 252-1523 <br />ARCHITEGT OR OESIGNEF MAIL ADDRESS �ITY ZIP PHONE <br />J Lee <br />GENERAL GONiFAGiOR MAIL ADOFES$ QTY ZIP PMONE LILENSE A' <br />�1#� Floors 3615 Mukilteo Blvd. Everett 98204 355-6781 <br />MECHANICAL CONTRACiOIi fdqlL q00FE55 CITV LIp PHONE LICENSE M <br />PWMBING CONTRAGTOR IAAIL AODRESS CITY ZIP pHONE LICENSE F <br />G NEW O ADOITION �]�LTERA710N ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f 1500.00 <br />DESLPIBE WORK <br />Construct decks an <br />P90POSED USE OF BUILDING <br />LEGAL pESCNIPiION OF PROPERTY �SMOW <br />�or__e�ocrc_oF <br />JOB .�J�RESS <br />3615 Mukilteo Hlvd <br />PLUMBING <br />OF <br />sta <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />OflATTAGHFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W�TH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOl PRESUME TO GIVE AUTHORITY TO VIOLATE <br />— OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF MANCE OF CONSTRUCTION. <br />SIGNAT E OF CONiFAC-TOR O�R UTHOg� � AGENi pAT <br />X ' �Y,� �i_ `// /n�i�P�= <br />TYPE OF FIXTURE OH ITEM <br />WA7ER CLOSET �701LEn <br />BATHTUB <br />LAVATORY(WASHBASIN� <br />SHJWER <br />KITCHFN SINK 8 DISP. <br />DISHWP.SHER <br />LAUNDRVTHAY <br />CLOTMES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM OREAKEFS <br />ROOF ORAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />707AL FEE <br />APPROVALS <br />1. ENVIqONMENTAL CHECK LISi _ <br />2. Ol11LDI4G PLANS <br />3. FIRE HYDRAN7 <br />4. FIFE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIFONMENTALIMPAC757ATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. DY PLANS CHE <br />STG I DAB <br />�f <br />FEAR YARD SETI <br />VACANT SITE <br />�..YES .�40 <br />NO. OF DWEL'.IN <br />MA%.00C.LOAD <br />=1RE SPRINKLER: <br />9EOUIRED <br />VES NO <br />BY DA1 <br />FOR ISSUANCE ^" <br />DAB <br />AIR 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 AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.7.U. M <br />UNIT HEATERS - B T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES OHVERS <br />VENTILATION FAN <br />AANGEHOOD <br />AIR HANDLING UNIT - GF.�d <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIflEP�ACE INSERT <br />NEAT PUMP <br />NUMBER <br />83/124f7 <br />FEES <br />BUILDMG <br />PLUMD;NG <br />M[CMANICAL <br />OTMER <br />PENA�TY <br />TOTRL <br />SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE16.ZS I 6973�PTN0. <br />VALUATION FEE <br />S1$00. <br />(a) <br />� �� <br />25�00 <br />PEflMIT VALIDATIDN � <br />WHEN PROPERLY VALIDATED (IN TH16 SPAC.E) THI�ISrYQUEi P(Fjf�11T (ti. <br />L446 ULJ UU CL7 <br />"� <br />N <br />`iln nrf <br />".... . ��,_��IPT<--� <br />� i r ��i <br />,.. '� O J <br />��{'L'Zi::- ;:�.'_ <br />r <br />' �'�� �J <br />z <br />0 <br />� <br />c� <br />m <br />., .. <br />-i T <br />.. ...i <br />cn x <br />0 <br />m <br />co <br />m o <br />-I C <br />O 3 <br />m <br />-a z <br />S -i <br />rn <br />ti <br />.O Z <br />C <br />n -i <br />r x <br />�--� .-. <br />1 N <br />< <br />O A <br />-n n <br />--i m <br />2 <br />m.. <br />N <br />O <br />or <br />e� m <br />C N <br />� N <br />m <br />Z Cl <br />--i r <br />• m <br />n <br />z <br />� <br />x <br />n <br />z <br />--I <br />� <br />N <br />z <br />O <br />�--I <br />n <br />m <br />