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rhC C• rer�reeil <br />��,��F <br />everett <br />CITY MALL 259�B745 <br />EVERETT, WA 98201 <br />' -�ONSTRUCTIOI _ <br />PERMIT <br />� COMBINATION ❑ BUILDING ❑ MECHANICAL <br />oERMIT N0. 14572 <br />❑ PLUMBING <br />OWNER MAIL ADORE55 CITY ZIP PMONE <br />DAVE SCHRUDER 15607 - OK Road Snohomish WA 98290 334-0233 <br />ANCHIiECT OR OESIGNER MAIL ADORE55 CITY 21P PHONE <br />GENERAI CONiRACTON MRIL AO�RCSS �ITY ZIP PHONE LICENSE � <br />Same <br />MECNANICAL GONTRACTOq M1IAIL FOORE55 CITY ZIP PNONE LICENSE � <br />PIIIMBING CONTRACTOR MNL AD�RE55 �ITY ZIP PNONE LICENSE � <br />❑ NEW ❑ ADDITION ,� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VnLUnIION OF WORK <br />y 5Q0.0� <br />OESCRIBE WORK — <br />Remove stairs, move hot water tank, install washer <br />LOT_BLOCK_OF <br />�oanoo���5 MCDOUgaI <br />PLUMBING <br />N0. TYPE OF FIXTUHE OR <br />WATER CLOSE7 (TOILEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEP <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATEP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACIWM BREAKERS <br />ROOF DRAINS — flAINLEAOERS <br />SINK (SERVICE — BFR, ETC.) <br />SUB TOTAL <br />PERMIT <br />70TAL FEE <br />1. ENVIFONMENTAL CHECK LIST <br />2.OUILDING PLANS � - <br />3. FIRE HYDRANT � ' <br />4. FIRE PROTECTION SYSTEM, <br />S.GRAOING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATEMC-NT <br />:8. HEAITH DISTRICT � <br />-APPLICATION ACC. BY '-PLANS CHE <br />` jef <br />BY <br />_� <br />S <br />S <br />REAR YARD S <br />VACANT SITE <br />YES .NO <br />NO. OF OWEU <br />2 <br />MAX. OCC. LO <br />6 <br />FIRE SPRINKL <br />REOUIRED <br />�.'.VES � NO <br />APPR.FORISSUANCE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION .1ND 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 q <br />PERMIT DOES NOT PRESiJME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAI. LAW FiEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION. <br />SIGNR�E OF COxTRRCTOR QR AUTMORIZEO AGENT �qTE <br />MECHANICAL <br />N0. TYPE Of E�UIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. 11NITS — TONNAfiE EA. <br />fORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTMES DRYERS <br />VEN7ILATION FAN <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FlHEFLACE 6 CHIMNEY <br />FIqEPLACE INSERT <br />MEAT Pl1MP <br />PLAN CHECK NUM <br />85/14572 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SU8 TOT.1L S <br />PENMIT s <br />TOTAL FEE S <br />PLAN C <br />FEE 6.50 <br />VALUATION <br />E� <br />U.B.C. <br />SEC.303 <br />RECEIPT NO. <br />FEE <br />TO7AL I I �(� I �Q <br />PENMIT VALIUATION <br />WHEN PROPERLY VALIDATEO (IN TNIS SPACE) THIS IS YOUR PEqM1T (V <br />I � _.— � <br />� <br />� <br />r�i <br />ADDRESS FIIF- <br />� <br />� <br />H H <br />H '*J <br />H !j <br />m ' <br />T <br />O <br />m <br />N <br />�z <br />C" R <br />� � <br />� � <br />� N <br />� <br />. � <br />� <br />� <br />M <br />� <br />H <br />[*1 <br />