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fhe L rer4rer�� , j � N V T� l�� ■ I O� <br />U7vCF i <br />everett PERMIT �ERMIT NO. 15307 <br />CITY HALL 259�8765 <br />EVERETT.WA9B201 � COMBINATION GS}tBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER AIAIL ADDRE55 CITV 2iP PMONE <br />G1en McCollum - 3011 Marine View Drive Everett 98201 <br />ARCNITELT OR DESiGNEP MAIL ADORE55 CiTY 2�P PMONE <br />GENERAL GONiRACTOR MAIL ADDRE55 ��TY ZIP PMONE LICENSE � <br />Overlin Const. Co. P.O. IIox 97176 Seattle 98146 259-2089 <br />MECMPNICAI CONTRAGTOF MAIL AODRE55 CITY ZIP PNONE LICENSE � <br />OVERLCC 158 BB <br />PLUMBING CONTRRCTOH MAIL AO�RE55 CITY ZIP PNONE LILENSE • <br />❑ NEW ❑ ADDIiION ❑ ALTERAT�ON }� REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />S 1�IOO.00 <br />fire <br />LOT_BLOCK_OF <br />JOB ADDRESS <br />3011 Marine View I <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (701LET) <br />BATMTUB <br />LAVATORV�WASH BASIN) <br />SMOWER <br />KIiCHEN SINK 8 DISP. <br />DIShIWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />JRINKING FOUNTAIN <br />F�OOR DRAIN <br />VACUUM BflEAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />TOTAL <br />TOTAL FEE <br />��: <br />1. ENVIRONMENTAL CHECK IIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRAOING <br />G. ORAINAGE <br />7.ENVIRONMENTALIMPACT&TA1 <br />B.HEALTH DISTRICT <br />I HEREBY CE`iTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND 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 A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO RUCTION. <br />SIGNA U OqE F CONTPACiOR OR Ul R2ED AGEj1T . OFTE <br />X YLCJYV�C✓0 (/"(/IXNr A/id/fiS <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UN�T� — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOIERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDLING UNIT — QF.M. <br />S70vE — WOOD <br />M[TAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />_� <br />S <br />S <br />PEAR YARD SETBACK <br />VACANT SITE <br />VES NO <br />NO. OF �WELLING U� <br />MA%.UCQ LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />VES NO <br />OY I DATE <br />CMECKED B1' IAPPR.FOR <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE f <br />FEE � RECEIPT NO. <br />PEES I VALU4TION I FEE <br />BUILDING 51400. 2 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.f3C. <br />SEC. 903 �a) <br />rorni I � 23 � 50 <br />PERMIT VALIOATION � <br />WMEN PROPCcRLV VALIDATED pN THIS SPACE� TMIS IS YOUR PERMIT � <br />_ _ _ �i <br />M <br />LI7 <br />t"� <br />ADDRr55 I�ILE <br />� <br />nH <br />M <br />H H <br />H 'T7 <br />� � <br />[�1 <br />O <br />M <br />H <br />z <br />C" � <br />My M <br />K N <br />'O.Ty� � <br />ii� <br />W N <br />� <br />. � <br />Z <br />x <br />r. <br />� <br />[�7 <br />