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!IIC I'.YNf4'rCP/t <br />everett <br />CITY HALL 259�B7d5 <br />EVERETT, WA 98201 <br />CONSTRUCTIC'�I <br />PERMIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT N0. 14 � a 7 <br />❑ PLUMBING <br />OWNER MAIL 4D�RE55 GITY ZIP PHONE <br />Anthony Bartling 1804 114th Drive S,E, Everett 98205 334-6081 <br />ARCHITECi OR OESIGNER MAIL ADDRE55 GTY ZiP PMONE <br />GENERAL CONiRAGiOR MAIL ADDRE55 CiTY ZIP PMONE LICENSE � <br />Same <br />MELMANICAL CONTRACiOR MAII AOORE55 CITY ZIP PMONE LILENSE � <br />PLUMBING CUNTRAGiOR MAIL AODRE55 GiTY ZIP PHONE LICENS: � <br />❑ NEW <br />VRLUATION OF WORN <br />i rJi���.�� <br />❑ ADDITION L�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE <br />Instnll insulation and sheetrock <br />Sinqle Family Residence <br />7-8 385 <br />�or_o�ocK_oc <br />JOO NOOHE55 <br />1913 McDougall <br />PLUMBING <br />' (SMOW DELOW OR AiTNLi <br />Everett Div. P <br />TYPE OF FIXTURE OR <br />`NATER CLOSET (TOILEn <br />BATNTUB <br />LAVATOFY �WASM BASIN) <br />SHOWER <br />KITCHEIJ SINK 6 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTMES\NASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DR;.IN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />OF STORIES <br />APPROVAlS <br />1.ENVIRONMENTAI LHECK LIST <br />2. 6UILDING PLANS <br />J. FIRE HYURANT <br />4. FIRE PROIECTION SYSTEM <br />5. GRA�ING _ <br />6. DRAINAGE <br />7. EI fYIRON MENTAL IMPACT STATEA <br />8. NEAL?H DISTRICT <br />APPLICATION ACC. BY PLANS <br />S <br />S <br />E <br />YES NO <br />BY <br />APPR.FOR <br />LOAD <br />❑ SIGN ❑ WW� STOVEJFIREPLACE INSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED W�TH <br />WHETHER SPECIFIED 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 STATE OR <br />LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />vGNATUREOF��NT.R`RCiO�R�ARI2ED� OA1E <br />� 12/13/84 <br />MECHANICAL " � <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS - H.P. EA. <br />PEFRIGEFATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIH SYSTEMS - B.T.U. M EA. <br />WALL H[ATERS - B.T.U. M <br />UNIT MEATERS - B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTHES DRYERS _ <br />VENTII.ATION PhN <br />RANGEHOOD <br />AIR HANOIING UNIT - QF.M. <br />STOVE - W�OD <br />fdETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT f <br />TOtALFEE f <br />CNECK NUMB[R ; PLAtJ <br />FEE I RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING 5 S OOO. SQ SO <br />PLUMBING <br />MECHANICAL <br />O7MER <br />PENALTV U.BC. <br />SEC. 30J lal <br />TOTAL SQ 5� <br />PEflM1T VALIDATION <br />WNEN PROPERLY VALIDATED pN THIS SPACE� TNIS IS YOUR PERMIT jti <br />�.. - d <br />N <br />� <br />' �-� <br />C <br />F <br />�: <br />M <br />H 1- <br />� r: <br />H � <br />�' E <br />0C <br />M �. <br />d� <br />[�7 : <br />Cy ' <br />r : <br />H � <br />� �, <br />O� <br />� r: <br />� ' <br />r <br />� ', <br />ti , <br />