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dir Fn•ie�rrri <br />everett <br />CITY MALL 25367<5 <br />CONSTRUCTIC _ _ <br />P�RMIT PERMIT NO. 1�:��� <br />eveaerr.�vr.sezo� ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MFILPO�RE55 GTY Z�P FMONE <br />Frank Jamieson 2427 Rockefeller Everett 98201 252-9185 <br />nRCnITECTORDESiGNEH MFiLADDRE55 GITY 2iP PHO4E <br />G[�JEPAL CONiRPGiOR MAIL ADpRE55 CIiY Z�P PNONE UCENSE � <br />Everett Builders Inc. 5606 Evergreer. Way Everett 98203 353-7161 <br />MECHANIGAL GONiPACTOR MAiI pD�RE55 CITY ZIP PNONE LICENSF. • <br />EVEREB*301PH <br />PWMItING GONiPAGTOP MAIL ADDR[55 GITY ZIP PMONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION }� REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN ❑ 1NOOD STO�FJFIREPLACE MSEFT <br />i 6�0��.�0 <br />;CRIpE WORN <br />Reside residence with vinyl siding <br />single family zesidence <br />[G/L UESCFiPiION OF PROP[NTY SHOW BElO\Y OP ATTACN FOUfl C <br />14-15 550 Everett <br />LOl _BIOCN_OF <br />except the south 5' of South lot 15 <br />J0� ADDRE55 <br />2427 Rockefeller <br />PLUM9ING <br />NO. TYPE OF FIXTUPE OR ITEM <br />WFTER CLOSET ITOILEn <br />BATMTU6 <br />LAVATORV (VJASH BASIN) <br />SHOWEfi <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRVIRAY <br />CIOiMES WASMER <br />WATER IIEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BflEAKERS <br />ROOF DRAINS — �:A�NLEADEfiS <br />SINK �SfHVICF. — BAR, ETC) <br />SI <br />SIZE OF <br />SUB TOTAL <br />PENMIT <br />TOTALFEE <br />STON�ES <br />FIR[ ZONE �ASEMBIT <br />APPROVALS <br />L ENVIRONM[NTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DFAINAGE <br />Z ENVIRONMENTALIMPAGTSTATEMENT <br />B.MEALTH DISTRICT <br />APPUCATION ACC. 6Y PLANS CME <br />I HEREBY CERTIFY THAT ; NAVE READ AND EXAM�NED THIS <br />APPLICATION AND KNOW TFiE SAME TO BE TRUE AND <br />CJRRECT. ALL PROVISIOFiS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE 0�� WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTIIORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CON;i1�RUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />sIGNliuo�OFCONiHnCWRAl1AUTN0Al2EDAGENI DRiE <br />M:CHANICAL <br />FEE NO. TYPE OF EOUIPMF.N7 <br />AIR COIJD. UNITS — H.P. EA. <br />RFPR�GERATION UNITS — H.P. EA. <br />BOILENS — H.P. EA. <br />GAS fIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEFS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORAtIVE COOLEPS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOU <br />AIR NAIJDLINO UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE B CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />� <br />S <br />S <br />REAR VARD 5 <br />VACANT SITE <br />YES : NO <br />NO. OF DWEL <br />MAX. OCG L( <br />FIRE SPFINKI <br />REOUIRED <br />VES NO <br />BY <br />ISSUANCE OV <br />�. <br />SUBTOTAL f <br />PERMIT t <br />TOTAL FEE f <br />lNUMBER PLAN CH <br />FEE <br />FEES VALUFTION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />S 6,000.00 <br />U.B C. <br />SEC. 303 Wi <br />RECEIPT N0. <br />FEE <br />TOTAL 1 I 56 I S� <br />PERMIT VALIDATION <br />WHEN PROPEPLV VALIDATED fIN TH�S SPA�E) TH131$ YOUP PERMIT _� <br />� <br />� <br />�1 <br />�r�� � <br />..,,. �_t_�� ���.�I. <br />o i. � <br />C.i <br />� <br />H <br />f. <br />r <br />H H <br />,.3 ": <br />H �- <br />�� <br />C C <br />lT7 � <br />c <br />� <br />� ~ <br />C� F. <br />C" ` <br />H � <br />r� <br />'P � <br />�a ;. <br />a <br />�� . <br />Y <br />� <br />C <br />� <br />� <br />