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`'"`"��A'"" CONSTRUCTIL N <br />ur, o� � <br />ev�rett PERMIT PERMIT NO. 13563 <br />cirrMALL2-4974' � COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />EVERETT. K'A 98201 � <br />OWNEF <br />Tony Bartling 1913 MCDoc9>1 Everett 98201 _ <br />AqCMItEGT OH DESiGNER MAII A�DPESS <br />CITY ZIP PMONE <br />GENERAL GONTRAGTOF MAIL ADDFE55 <br />GITY ZIP PNONE LICENSE � <br />SMIE Z�p PHONE LICENSE • <br />NELHRHIGALCJNTRACTOR <br />MRIL ADO�ESS ��TY <br />PLUMDING CONTRACTOR MAII FDDRE55 <br />CITY 21P PHONE LICENSE • <br />❑ NEW ❑ ADDITION ❑ AI.TERATION �j�EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN <br />1 L���.G� <br />Reptace timbers and level <br />Single Family Residence <br />7 385 <br />LOT __ ULOGI( _OF <br />JOLnODRESS <br />1913 McDougal <br />PLUMBING <br />IE�OW oF ATTPGn ruun wr <br />Everett Div,. P <br />NO. � TYPE OF FI%TURE OR <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />FITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHESWASHER <br />IYATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOCR DRAIN <br />VACUUM OREAKERS <br />flOOF DRAINS — R4INLEADERS <br />S�NK �SERVICE — BAR, ETC.1 <br />SUB TOTPL <br />PERMIT <br />70TAL FEE <br />SIZE <br />FIR <br />APPROVALS <br />L ENVIRONMENTAL CHECK LIST <br />2. BWLDING PLANS <br />�. FIRE HYDFANT <br />C.FIREPROTECTIONSYSTEId _ <br />5. GFADING <br />G. DRAINAGE <br />LENVINONMENTALIMPACTSTATEMENT <br />B. MEALTH DISTRICT r— <br />nPPLICATION ACC. BY � rLANS CHECKED B <br />� <br />S <br />S <br />REAR <br />YES <br />FEE <br />❑ WOOD STOVFJFIFEPLACE INSERT <br />APPLIC T ON TANDTKNOW THE SAME NOEBErTkUE ANID <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINh�CES <br />GOVERNING THIS TYPE.OF WORK WILL BE COMPLIED'sVITH <br />YJHETHER SPEGFIEG HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER ST.4TE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. oAiE <br />SIGNATURE OF ONTRACTOR OR AUTNORI ED P6ENT <br />x i, ('� 1 �rJ-t.-� ��--e c�z8/RQ <br />MFCHANICAL <br />TYPE OF E�UIPMervi <br />PIR COND. UNITS — H.P. EA. <br />REFRIGERATIOf! UNITS — H.P. EA. <br />BOIlERS — H.P.EH. <br />GAS FIRED A.C. UNITS -- TONNAGE EA. <br />FORCED AIR SYSTE.dS — B.i.u. td EA. <br />WALI HEATERS — �.1.�� M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD _ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLAGEINSERT <br />�EAT PUMP <br />SUBTOTAL <br />PERMIT _ <br />— TOTALFEE <br />F <br />)SETBACK PLAN CNECK NUMBER <br />FEE <br />ITE FEES VALUATION <br />NO <br />OCC. <br />BUILDING <br />PLUMBING <br />ldECHANICAL <br />OTHL�7 <br />PENALiY <br />S 1700.00 <br />� <br />5 <br />S <br />ChIECN FEE <br />— RECEIPT N0. <br />FEE <br />ie o0 <br />TOTAL I I 28 IOO <br />PERMIT VAIIDATION - <br />WHEN PFOPi.RLY VALIDATED pN iH�S 6R.46E� TM18 IG Y9yH REij{+11T '�, <br />/ �� <br />. i- , <br />�' ; <br />` <br />ti <br />f. <br />r: <br />H F <br />y ' <br />H � <br />� � <br />t <br />O� <br />!� <br />6� <br />� � <br />b � <br />�: <br />ti <br />� <br />C <br />T , <br />� <br />u <br />�15, <br />� <br />� <br />� <br />