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rhe ere�tn•r,; <br />Gr; o� <br />everett <br />CITV HAIL 259�8745 <br />EVERETT, WA 98201 <br />� CONSTRUCTIC'V <br />PERMIT <br />❑ COMBINATION ❑ BUILDING �YXMECHANICAL <br />PERMIT N0. 1�4��J <br />❑ PLUMBING <br />01YNER MAiL ADORE55 CIiY 21P PMONE <br />Wilbur Meyer 2317 McDougall Everett 98201 <br />ARCMITECT OR JESIGNER MAIL AODRE55 CITV 2iP PMOHE <br />GENERAL LOhTRALiOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSE � <br />MEGMANIGALGONTRACTOR <br />1.tAIL AppRE55 GITY ZIP PMONE LICENSE I <br />1611 East Grand Everett 98201 258-2441 y <br />Natural Gas Eguipment �itY �,P pHONE LILENSE/ <br />PLUMBiNG CONiFFGTOR MAIL AOORESf � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSEAT <br />S <br />�or_o�ocK_oF <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />W ATER CLOSET (TOI LEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WAIiHER <br />WAiER HEALER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINIEADE <br />SINK �SERVIGE — BHR, ETQ) <br />OF <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ORATTALMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS .4ND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. 7HE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE A� �THORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF A�Y OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTIQN OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNALURF�OF �t�A/+CTOR� AUTHf]RI2E� AGENT ����/ � <br />FEE <br />SUB TOTAL s <br />PERMIT s <br />TOTALFEE S <br />EET SE7BACK REAR YARD S <br />� AHEA VACAN7 SITE <br />YES NO <br />OF <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.8UILDING PLANS <br />J. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S. GRAOING <br />G. DRAINAGE <br />L ENVIRONMENTAUMPACTSTA7 <br />8. HEALTH DISTRICT <br />BY <br />MA%. <br />YES <br />8Y <br />ISSUANCE <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COIJD. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. E �. <br />BOIIERS — H.P. EA. <br />GAS FIRED A.C. UNITS — iONNAGE EA. <br />FORCED AIR SVSiEMS — B.T.U. M EA. <br />WALL HEA7ERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPOR4TIVE COOLERS <br />CLOTH[S DRYERS <br />VENTILATION FAN <br />RANGEI100D <br />AIR HANDLING UNIT — G.F.M. <br />SiOVE — W000 <br />ME7AL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />SUB TOTAL S <br />PEHMIT S <br />TOTALFEE S <br />�NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLU1dBING <br />MECHFKICAL <br />OiHER <br />PENALTV <br />TO7AL <br />b <br />FEE <br />RECEIPT NO. <br />FEE <br />14 <br />5a <br />PERMIT �A�IDATION , ._ <br />WHEN PROPERLY VALIDATED (IN TI�I�S'a ,CE) THIS O I�R JEOM�T .�� <br />� o p <br />'. �y:' -�''. RECEIFT � . <br />, . _ i'. , . � \i U <br />,�DDR�SS i IlF <br />I � ��-� U.l <br />