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the E %-etgreon <br />CITY O� CONSTRUCTION <br />everett PERMIT <br />CITY HALL 2598745 PERMIT NO. 12130 <br />EVERETT, WA 98201 ❑ COMBINATION <br />❑ BUILDING ❑MECHANICAL PLUMBING <br />OWNFA <br />Virgil Bearden <br />GENERAL -ACTOR <br />1725 McDougall Everett zIP PHONE <br />MaL ADD n 98201 259-2534 <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP PHONE LICENSE 4 <br />PLUMBING COaiRACiOq <br />Same MAIL AOORESS CITY <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />onK <br />s <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BI <br />LOT -BLOCK-OF <br />JOB ADDRESS <br />1725 McDougall <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />CDAAINS <br />HTUB <br />LAVATORY (WASH BASIN( <br />SHOWER <br />NEN RINK A DISP. <br />DISHWASHER <br />DRYTRAY <br />HES'NASHER <br />R ',EATER <br />AL <br />ING FOUNTAIN <br />R DRAINUM BREAKERS DRAINS — RAINLEADERS(SERVICE —BAR, ETC.(er LineS__ <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />B. <br />BY <br />f <br />YES GNO <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 PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PRO'YISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT <br />DAI( X <br />6/24/83 <br />MECHANICAL <br />klBOILERS <br />OND. UNITS — H.P. EA. <br />=B.T.U. <br />NITS — H.P. EA. <br />A. <br />NITS — TONNAGIEMS — B.T.U. B.T.U.B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE MOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />EA. <br />ME <br />M <br />M <br />C.F.M. <br />TOTAL f <br />MIT f <br />AL FEE f <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />VALUATION I FEE <br />BUILDING f <br />PLUMBING <br />f <br />L <br />ISE <br />TOTAL <br />PERMIT VAL5 00 <br />WHEN PROPERIDATION <br />LY VALIDATED (IN THIS FPACi) THISfS(yV5foia IT (� <br />b740 Ji UU 1U1 JJ UU �� <br />YOUR RECEIPT"' <br />THANK YOU <br />WE <br />I <br />ADDRESS FILE <br />24AN83 <br />., <br />