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dir 1 �crrRrren <br />�� c� <br />everett <br />CI1Y MALL 259�87d5 <br />EVEflE7i. WA 98201 <br />Evelyn Berg <br />� CONSTRUCTIQ' 1 <br />P�RtJIIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />3019 Svest bfarine View Drive <br />PERMIT NO. 13 n � �S <br />❑ PLUM8ING <br />nncMirecr oa oesi��e� <br />GIiV 21P PMON[ LIC[NSE+ <br />GENERALCONiRPGiOfl MAILADORES$ (j820(j 353-3445 <br />Fortune Rnofing 11216 Highway 99 South Everett P�oN�SE� <br />GRY 21P <br />MECIIANICRL WNiRAGTOR M11AIL ADORE55 j�ORTURI184MI <br />,,..� 7�P PNONE UGENSE • <br />��n>a v� ......,. <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />VALl1AT10N OF WORK <br />S LI.rJ�0.ii0 <br />F$?—YOOE <br />S�o}0 11 oiocn ��l oF Everett Div. 8 <br />3019 t9est htarine View Drive <br />PLUMBING <br />TYPE OF FIXTURE OR IT <br />W ATER CLOSET (TOILET) <br />BATMiUO <br />LAVATORY(WASH BASIN) <br />SMO\VER <br />KITCHEN SINK 8 DISP. <br />DISMWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />wA7EF HEATER <br />UPINAL <br />DRINNING FOUNTAIN _ <br />FLOOR ORNN _ <br />VACUUM UREAKERS <br />ROOF ORAINS — AA�N�EADERS <br />SINH �SERVICE — BAF. ETC � <br />SU970TA1 <br />PERMIT <br />TOTAL FEE <br />FlPE ZONE <br />pPPROVALS <br />1. ENVIFONMENTAL CHECK IIST <br />2. �UILDING PLANS <br />3. FIRE NVDRANI <br />d. FIRE PROTECiION SVSTEM <br />5. GflADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAI <br />B. Hi ALfM DISTRICT <br />S <br />5 <br />EE. GiEPAIR ❑ DEMO�ITION ❑ FENCE � SIGN ❑ WOOD SiOVEIFIREPLACE IqSERf <br />YE$ NO <br />APPP. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />ApPLICATIG�N AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS�ONS OF LAWS AND OHDINANCES <br />GOVERNING TliIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERMIT DOES NOIT'PRESUMEI TO GIVE�AUTHORITY TO V OLO TE <br />�OCAL LA�N HREGU�4ITIN�GSCONSTR'OTTIUN SORT T�E <br />PEFFORMANCE OF CONSTRUCTION, oAiE <br />AHnTyne cy c�rvrnncroa�' nur��uni ❑ nceNr z�24/84 <br />� %� ��GT i <br />TYPE OF EOUirmtni <br />AIR COND. UNRS — H.P. �A. <br />REFRIGERATION UNITS — H.P. Ea. <br />OOILERS — H.P. EA. <br />GAS FIRIiD A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.T.U. M EA. <br />WALL HE:ATERS — �.T.U. M <br />UNIT H[ATERS — B.T.U. M <br />EVAPOR4TIVE COOLERS <br />CLOTHE;iDRYERS <br />VENTILAiION FAN <br />RANGE h100D <br />AIR HAFDLING UNIT — QF.M. <br />STOVE —�WOOD <br />METAL FIREPLACE 8 GHIIANEY <br />F!REPLACEINSERT <br />HEAT PUMP <br />P <br />BUILOING <br />FWId�ING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUOTOTAL t <br />PEHMIT S <br />TOTAL FEE S <br />PLAN C <br />FEE <br />VALUAiION <br />= 1$�0. <br />U.B.C. <br />SEC. 303 lal <br />RECEIPT NO. <br />FEE <br />� �� <br />1 25 I 00 <br />— TOTAL <br />PERMIT VALIDATION THI5,15 P����— � <br />bVHEN PFOPEqLV VALIDATED IIN TH16 SPAC�I \, ��9 � u �, <br />� <br />Y) <br />�. �.. \_��..�C � r� <br />sr , ;': 1' C U <br />��.DDR't;.� t �L'' <br />