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du• Errrl'reert <br />��,, �� <br />everett <br />CITV HALL 259�d7d5 <br />CONSTRUCTIO�' <br />PERMIT PERMITNO. 137�6 <br />Eveae.T.w.�eazo� � COMBINATION ❑ BUILDING GGX MECHANICAL ❑ PLUMBING <br />o�•�Nca n. ony s ome or ui �g� ess c�rr zi� P�wNe <br />Everett blarina Partners 5 Upper Newporc Plaza Newport Beach 92660 <br />ARCMITECI OR DESIGNER �dAIL ADDRESS GITY IIP PMONE <br />GEi1EPPL GONiRAGtOR MFIL AppRE55 CITY 21P PHONE LICEvSE • <br />MECNANIGAI CONTFAGTOR MAIL ADDRESS GTY IIP PMONE LIGLM1BE � <br />B& B Heating Inc. 17720 65th N.E, Redmond BB tlE AA @ 40KC <br />VWMBII G CONTRPCiOR MAIL ADDR[55 CITY Z�P PHONE LICENS[ � <br />S <br />❑ NEW ❑ ADDIiION ❑ ALTERATIOtJ O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />oayana <br />LOt_BLOGN_OP <br />�oe nooa�ss <br />1720 West Marine View Drive <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILEn <br />DATHTUB <br />LAVATORYpNASM BASIN) <br />SHOVJER <br />KITCHEN SINK 8 DISP. <br />DISNWASIIER <br />LAUNDRVTRAY <br />CLOTMES WASHER <br />WATER MEATER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR �RAIN <br />_ VACUUM BREAKERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB 70TAL <br />PEflM1T <br />TOTAL FEE <br />SIZE <br />ri�� <br />APPROVALS <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDIFG PLANS <br />3. FIRc HYORANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING <br />6.ORAINAGE <br />�.ENVIRONMENTALIMPACTSTAT <br />8. HEALTH DISTRICT <br />. C <br />S <br />5 <br />EAR VAFD SETBA� <br />'ACANT SITE <br />VES NO <br />10.OF DWELLING <br />9A%.00C.LOAD <br />'IRE SPHINKLLRS <br />IEOUIRED <br />�YES NO — <br />9Y 1 DATE <br />CHECKED BV IAPPR.FORISSUANCE �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXANINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CURRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLICD WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT[ <br />OR CANCEL I�'E PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REuULATING CONSTRUCTION OR THE <br />PER ORMA,N,CE OF CONSTRUCTI <br />SIG�/\F UIiE O�F%� NiRP 10 �'�`/pTHORI � Gj;(/L DATC <br />X \'t-'h �"� �////.! _ / F7/21/84 <br />ICAL <br />�. TYPE OF E�UIPMENT FEE <br />1 AIR COND. UNITS — H.P. EA. G OO <br />]. REFRIGERATION UNITS — H.P. EA. G OO <br />BOILERS — H.P. EA. <br />GAS fIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALI MEATEflS — B.T.U. M <br />UNIT HEATERS — �.T.U. M <br />EVAPORATIVE COOLERS <br />CIOTHES DRVERS <br />j VENTILATION FAN 9 OO <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WO00 <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLAC'cINSERT <br />MEAT PUMP <br />SUB TOTAL � z7, <br />PERMIT S 10 <br />'OTAL FEE S 31 <br />N CMECK NUMBfR PLAN CMECK FEE <br />FEE I AECEIPT NO. <br />FEES I VALUATION I FEE <br />BUILDING S <br />PLUMBING <br />MCCHANICAL 31 OO <br />O1HER <br />PENALTY U.B C. <br />SEC. 303 1a1 <br />TOTAL I I 31 I �� <br />PEPMIT VAIIDATION <br />PJMEN PROPEPLY VALIDATED �IN TMIS SPAGE� TMIS IS.YOU�7 P.FHMIT (,.(c�, <br />i C_.` <br />�' <br />M <br />c--1 <br />,`.[�[�:�i.tiS FILE. <br />H � <br />H - <br />U :: <br />O� <br />r I_ <br />ti <br />rJ ', <br />;� ' <br />r� <br />