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Iht Eri�rC�CNn <br />everett �ONSTRUCTIO(� <br />PERMI 1 PERMIT N0. l�;�i):i:� <br />CITY 4ALL 259-8745 <br />EVERETL Y!A 98201 [] COMBINATION Cx BUILDING � MECHANICAL ❑ PLUMBING <br />OL4NEN W1C1 W150 MAIL AOOiiE55 CITY ZIP PMONE <br />RYXSYXAM8�f1UaHXAj %BHSBX 1602 D1cDougal Everett 98201 252-3944 <br />APGHItEGi OF OESiG6ER IdAiL AppRE55 CITY ZIP PMONE <br />GENERlL CONiPAGtOR MFIL AD�RE55 �ItY ZIP PHpNE LICENSE � <br />Everett Builders inc. 5606 Evergreen [9ay Everett 98203 353-7161 <br />MEGMFNIGALCONTRACTOR MAILl+ODPE55 GTY ZIP PHONE LIGENSE/ <br />EV ER EB *30_PH <br />PLUMBING CONTRACTOR MAIL AD�RESS QTY ZIP PHONE LIGENS[ M <br />CLA55 OF CJORN — <br />❑ NEW ❑ ADDITION ❑ ALTEFATIfiN ��riEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WpOD STOVHFIREPLACE IYSERT <br />s 1870.00 <br />reroof res�dence- and aaraae- <br />PROPOSE� USE OF 9URDING <br />EG! L OESCiiIPLION OP PROPERtt �SMOW BELOYJ OR <br />�or 32 oLocK335 oF Everett <br />East 72' of N 17' 31 <br />�oe nooness <br />1602 McDougal <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOIIEn <br />BATH7UB <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUN7AIN <br />FLOUR DHAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK 15ERVICE - BAR, ETC.1 <br />SUB TO7AL <br />PERMIT <br />TOTAL FEE <br />LOT <br />SIZE OF BLDG. I NO. OF <br />L ENVIRONMENTAI CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />4. fIRE PRO?ECTION SVSTEM <br />5. GRADING <br />fl DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. MEALTH OISTRICT <br />A <br />FEE <br />� <br />S <br />S <br />REAR VARD SETtlACK <br />VACANT SITE <br />VFS NO <br />NG. OF�OWELLING U� <br />MAX.00Q IOAD <br />�IRE SPHINKLERS <br />REOUIRED <br />BV <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 TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PfiESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STA?E OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E OI COHTRACjOR OR PU 0'2Ep AGENT DAiF. <br />X � . �] [� . [at�l.��G� 1��25�8Q <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />HEFRIGERATION UNITS - H.P. EA. <br />�OILERS - H.P. EA. <br />GAS FIREO A,C. UNITS - TONNAGE EA. <br />FORCE� AIR SYSTEMS - BS.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIFEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />�MEATPUMP <br />PLAN ,I�ECK <br />SU8 TOTAL S <br />PERMIT S <br />TOTALFEE S <br />FE[ I RECEIPT FO. <br />FEES � VALUATION I FEE <br />UUILDING I E1870 � 31 011- <br />f'LUMBING <br />MECnANICAL <br />OAtE OTHER <br />PENALTY U B.C. <br />SEC.303 <br />rorni I 31 I 00 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE� THIS IS YOUR PERMIT (� <br />, � �� I . " - m <br />, - <br />— Ci <br />`-"i� <br />BY �' � <br />„ I <br />z <br />0 <br />� <br />� <br />m <br />-1 T <br />..� <br />cn x <br />0 <br />m <br />co <br />m o <br />n <br />� C <br />O � <br />m <br />-i z <br />S --I <br />m <br />.O ^ <br />C � <br />r 2 <br />-i (/� <br />-G <br />'+-i <br />O .� <br />�n <br />� m <br />m.. <br />N <br />O <br />o r <br />� m <br />C Vf <br />. . N <br />z n <br />-� r <br />• m <br />n <br />z <br />� <br />x <br />a <br />z <br />--1 <br />r=-� <br />N <br />O <br />-i <br />[7 <br />m <br />