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• Uu• Errrxrcen — <br />everett � �ONSTRUCTfOP� <br />CITVMALl259�97d5 PERMIT PERMIT N0. 12093 <br />EVERETT, Wq 98201 j] COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />HEATON/BUSTAD 5919 148th Ed:nonds �8020 �TM 21P PnoNe <br />AFGNIiEGi OR DESIGNEN 7 4 5- 6 4 4 3 <br />MAIL ApORE55 GITY � <br />_ ZIP PMONE <br />•^`�^� L�RNSE/ <br />PNONE UGENSE� <br />CUSSOFIYORN -----__ � V` <br />O NEW ❑ qp01TION �] ALT[R4110N � REPAIR ❑ DEMOUTION ❑ FENCE ❑ SIGN ❑ WO00 STOVE/FIREPLqCE INSENT <br />VRWqTION OF WORS <br />3 ..__ __ <br />�or <br />PLUMBING <br />3ATHTUO <br />IAVATORV (WASH ifASIN� <br />SMOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTqpy <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINIEADE <br />SINK �SERVICE — BAR, ETC.) <br />SUB TI <br />PERMI' <br />TOTAL <br />1. EIJVIHONMENTAL CNECK UST <br />2. DUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROIECTION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />ev <br />i� <br />ITEM <br />er <br />f <br />f <br />S <br />YES NO <br />MAX.00Q LOAD <br />NO <br />DATE <br />i� <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED TfiIS <br />APPLICATION AND KNO�V THE SA1,1E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAIA'S AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITH <br />WHETHER SPECIFIED HERF.IN OR NOT. Ti1E GRANTING OF q <br />PERMIT DOES NOT PRESUhiE TO GIVE AUTF;ORITY TO VIOLATE <br />OR CANCEL TH� PROVISIONS OF ANY OTHER STATE nR <br />LOCAL W REGULATING CON TRUCT!ON OR THE <br />PERFO ANCE ON Iyt TI ' <br />S�GNAi E O�COfiiq J q � <br />OATE <br />X Cl�+� �T� <br />— � 6 14 <br />MECHANICAL <br />NO. TYpE OF E�UIPMENT FEE <br />AIq CONO. UNITS — H.P. EA. <br />REFRIGERAiION UNITS — M.P. E4. <br />DOIIER$ — q,p,Eq <br />GAS PIpED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.?.U. M EA. <br />WALL HEATEFS — B.T.U, M — <br />UNIT NEATERS — B.T.U, M <br />EVAPORAiiyE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEMOO� <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL PIRGpLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT FIIMP <br />� SUB TOTAL 5 <br />PEqM1T f <br />_=�TOTALFEE 5 <br />N CHECN NUA78ER PLAN CMECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILOING E HOO, 00 <br />14 50 <br />PLUMBING <br />MECHANICA� <br />OiHER <br />PENALTV U.B.C. <br />SEG J03 �a� <br />TOTAL <br />PERMIT VALIDAT:�'�. 1 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE� THIS IS YOUfl PERMIT <br />8i2► 5014.50-d, <br />� <br />N <br />a� YOUR R�CciPT'� <br />THANK YUU <br />nuua�s�rn.r <br />14�uv83 <br />'1 <br />7 <br />� <br />� <br />