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Uie ErrrArer�i <br />everett �'ONSTRUCTIOI� <br />PERMIT PERMIT NO. 14�77 <br />CITY MALL 259�6745 <br />EVERE7T,WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MRIL ApORE55 CITY ZIP PHONE <br />Charles K. Clouse 9512 lst Avenue Everet+ 98i'�4 353-7398 <br />ARCNITECt UR OESIGNER MAIL AODRESS CITY ZIP PMONE <br />GENSRAL GONTR�CTOR MAIL RODRE55 GITV ZIP PHONE LICENSE � <br />Same <br />MECHANICRL CONTRqCTOR MRIL ADDRESS CITY 21P PHONE LICENSE / <br />PLUMBIN6 f,ONTA�CTOR MAIL ApORE55 CITY ZIP PHONE LICENSE I <br />CIASS OF <br />VALUATI01 <br />S <br />❑ NEW ❑ AD�I710N ❑ ALTERATION ❑ REPAIH 7IS UEMOLITION ❑ FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSEF.i <br />Demolish Single <br />PROPOSE� USE OF BUILOING <br />LEGAL OESGRIPT:ON OF PROPERT <br />1� 10 <br />LOT_BIOCK_OF_ <br />JOB R�DRESS <br />17 West Marilyn <br />Residence <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRIIE AND <br />HOW 6ELOW OH ATTACH FOIIP COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />intercity Div. 1 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. ThE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNRTURE OF CONiRAC�Ty R pR AUTHORRED AGENT ORTE <br />X / /�/� // _ _ e 3/14/85 <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHpWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATEH HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAIN6 — RAINLEODERS <br />SINK (SERVICE — BAR, E7G� <br />SUB 70TAL <br />PEHMIT <br />TO7AL FEE <br />SIZE OF BLDG. I NO. OF <br />f <br />S <br />S <br />:-.YES :'.NO <br />.'.YES :=;NO <br />MECHANICAL <br />N0. <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNI1S — H.P. EA. <br />BOILERS — Ii.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAGE EA. <br />FOflCED AIR SVSTEMS — B.T.U. M EA. <br />WALL NEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLWCa UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIqEPLACE 8 CHIMNEY <br />FIREPLACEINSER�f <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE f <br />PLAN CHECK NUMDEP PLAN CI <br />FEE <br />FEES VAIUATION <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />RECEIPT NO. <br />FEE <br />APPROVALS BY OATE OTHER � <br />1. ENVIRONMENTAL CHECK LIST PENALTY U B.C. <br />2. BUILDING PLANS SEC. J03 (a) <br />3. FIRE HYDRANT T�TA� 00 00 <br />4. FIRE PRO7ECTION SYSTEM PERMIT VALIDATION <br />5. GRADING WHEN PROPERLY VALIDATED QN THjS SPACE� THIS IS V�1l1�R PERMIT � <br />6.DRAINAGE � � ' ` ' — � <br />7.ENVIflONMENTALIMPA:TSTATEME�IT � <br />B.HEALTH DISTflICT � <br />APPLICATION ACC. BY PLANS CHECKED dY APPR. FOR ISSUANCE BY � . . i i � <br />ADDRE�S F4E <br />a i <br />N �—] <br />� ' <br />O <br />W <br />H <br />�z <br />S <br />�H <br />N <br />'Oy�1 � <br />m <br />N <br />y <br />� <br />. � <br />� <br />� <br />H <br />� <br />H <br />I�l <br />