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rhe Ecerpreen <br />����; �� <br />everett <br />CONSTRUCTIC V <br />PERMIT <br />PERMIT NO. 1�3�6 <br />CITY HALL 259�87<5 <br />EVERETT. N!A 98201 � COMBINATION L�{ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />J"JNER MARADDRE55 GTY 2iP PHONE <br />Anthony L. Bartligg 1604 114th Drive S.E. Everett 98205 3�4-h�at <br />AFCMITECT OF OESIGNER Mn�L AOORE55 GTY ZIV PHONE <br />GENLRnL CCNTRAGTOR MAIL ADORESS GTY ZIP PNONE LICENSE � <br />Same <br />MECNFNICw_ CO�IlFACTOF MAIL ADORE55 GTY 21P PMONE LIGENSE � <br />PLUM9ING GONiRAGTOR MAII /DORE55 GTY ZIP PHONE LIGENSE • <br />❑ NEW ❑ AD�ITION ❑ ALTERATION C��iEPAIR ❑ DEMOLITION ❑ fENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />S 18��.�� <br />re-roof <br />OR <br />io�-8 eiocK 385oF <br />JOB nDORE55 <br />1913 DtcDo�gall <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />W ATEF CLOSET (TOILE� <br />BATMTUB <br />LAVATORY �WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDFYTflAY <br />CLOTHES WASNER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEfiS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />SIDE <br />FIRE <br />APPROVALS <br />L ENVIRONMENTAL CHECK U5T __ <br />2. �UIIDING PLA��S <br />3. FIRE MYDRANT <br />A. FIRE PROTECTION SYSIEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVI RONMENTAL I M PACT STATEMENT <br />B.HEALTH DISTRICT <br />ePPI ICATION ACC. BY PLANS CHE <br />I H[REBY CERTIFY THAT I HAVE READ AND EXAMINFD TFIIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />covies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERN�NG THIS TYPE OF WORK WILL SF COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TG GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCA� LAW HEGULATING CONSTRUCTION ON THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR�E 'O/Ff ONTRAGTOR OF RU/T�MORIZE� AGENT OATE <br />X LG�7I��r,�-J � P--fi � 4/30/84 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <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 S�S7EMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEATERS — B T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — W�OD <br />METAL FIREPLACE & CHIIANEY <br />FIREPLACEINSEHT <br />HEAT PUMP <br />i <br />S <br />S <br />EAR YARD SETBACY. PLAN CMEGK NUIv <br />ACANT SITE FEES <br />VES NO <br />10. OF D\NELLING UNITS <br />BUILDING <br />anx occ �oao <br />PLUMBING <br />'IRE SPPINKLERS �,�ECHANICAL <br />IEOUIRED <br />YES NO <br />BY DATE �THER <br />PENALTY <br />APPR. <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE f <br />'''jI� FLAN CI <br />FEE I <br />FEE <br />RECF.IPT NO. <br />VALUATION FEE <br />s1800.00 29 50 <br />UBC. I <br />SEQ 307 lal <br />TOTAL 29 �J <br />PEPMIT VALIDATION <br />VlHEN PROPERLY VALIDATED pN TMI� 3PAC�) THISVS�'��P�PA�IT-- ((3 <br />0 <br />M <br />�I I � <br />BY �� <br />C <br />�, <br />Hr <br />C7 <br />H H <br />H ^' <br />H � <br />� C <br />� y <br />O'k <br />c <br />�t <br />r <br />�y� <br />r : <br />H � <br />�3 f <br />�� <br />O, <br />^� :: <br />N �' <br />� . <br />h7 , <br />2 '. <br />