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rhr L�rer�rrcri <br />�;�°� '� �ON�TRUCTIC�I� � <br />everett pERMIT PERMIT NO. � CE <br />CITY HALL 1EB�8745 <br />EVERE7T, WP 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER MqIL ADDRE55 i CITV 21P PMONE <br />Knights of Columbus 2913 West Marine View Drive Everett 259-1218 <br />ARCMRECT OR pESIGNER AIAI� AODRE55 CITY ZIP PHONE <br />GENERAL CONTRAGIOfl MAIL AD�RESS CITY ZIP PNONE LICENSE Y <br />Same <br />MECHANICAL CONiRACTOR MAIL ADDRE55 CRY 21P PHONE LICENSE • <br />PLUMBING CONiPAGTOR MAIL ADDRE55 QTY ZIP PHONE LICENSE � <br />❑ NEW ❑ ADDITION �(qLTERATION O REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VALUATION OF WORK <br />1 11��.�0 <br />Construct Partion wall <br />Health Center <br />lOT _ BLOCK _OP <br />2913 West Marine View Drive <br />PLUMBING <br />NO. TYPE OF FIXTURE OF <br />WATER CLOSE7 �TOILEn <br />BATHTUB <br />LAVATORV�WASM BASIN) <br />SHOWEri <br />KITCMEN $INK & �ISP. <br />DISN WAS�1E(i <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �HAItJ <br />VACUUM BREAKERS <br />(i00F ORAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.) <br />ITEM <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />IEET SETBACK <br />L ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTAI ::PACTS7A7EMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECI <br />EB JEF <br />FOUR COPIES� <br />FEE <br />S <br />S <br />f <br />YES NO <br />REOUIRED <br />YeS NO <br />BY <br />FOR I: <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS�ONS OF LAWS AND ORDINANCES <br />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 AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER ST�.TE OR <br />LOCAL LA1h' REGULAT�NG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />x )�, <br />MECHANICAL <br />N0. <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — VJOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PEqM1T S <br />TOTAL FEE S <br />I NUMBEF PLAN C <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENAL7Y <br />5 1100.00 <br />DATE <br />6/3/85 <br />RECEIPT NO. <br />FEE <br />� �� <br />TOTAL 19 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATE� QN THIS SPACE) THIS IS YOUFl PERMIT-- —(1^' <br />� <br />� <br />� <br />BY 1 � <br />ADDRE55 FILE <br />