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`,"� ",`.".".,' - ^0 N ST R U CTIO N <br />/ I"Y C'� <br />everet� PERMIT PEh'MIT NO. 1����' % <br />QTY HALL 259-87d5 <br />eveaeTr,wn9eza+ � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER PHONE <br />SCOTT PATRICK 2929 Rd�@1i��°c�5'er Everett Wi1'r98201 25'� 1787 <br />ARCN�iECT OR D[SGNEN �r/IL AD�RE55 CiiV ZIP VHONE <br />GENERAL GOH�RAGTOP MAIL AD�RE55 CITY ZIY PMONE LICENS[ ♦ <br />Everett 81drs 5606 Evergreen Way Everett 98203 353-7161 <br />tdEGMANICPL CONiRAGTOR MAIL nDORE55 CITY LP PNONE LIGENSE / <br />PLUM��NG GONTRAGTOR MAIL AD�RE55 ��T� 21P ONONE UGENSE � <br />❑ NEW ❑ ADDITION ❑ ALiERATION I 1,�7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERi <br />Reroof - hot tar <br />PROPOSEO USE OF OUILDING <br />LEGAL DESGRIPTION OF PROPEPTY ISHOW BE1014 OR . <br />�o..�e�acr.�or �Ueh'C7t,C <br />JOB AD�NE55 <br />2929 Rockefeller <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILET) <br />BATMTUB <br />LAVATORY�WASM BASIN) <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />IAUNORYTRAV <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM OREAKERS <br />ROOF DRAINS — RAINLEADE <br />SINN ISERVICE — BAR, ETG) <br />PERMIT <br />TOTAL <br />S�ZE <br />FIRE <br />1. ENVIRONMENT4L CMECK LIST <br />2. DUIL�ING PLANS <br />7. FIRE HYDPANT <br />4. FIFE PRCTECTION SYSTEM <br />s. canoiNc <br />6. DRAINAGE <br />7.ENVIFONMENTALIMPACTSTATEMENT <br />P.HEALTM DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />E=�CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />�,�J GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITN <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 STATF OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />I PERFORMANCE OF CONSTRUCTION. <br />OF CONiFAC�OR Pi <br />c_�� . <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERAiION UNITS — H.P. EA. <br />601LER5 — H.P. EA. <br />GAS FIR[D AL. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.?.LL �� EA. <br />WALL HEATERS — B.T.U. M <br />UNIi MEATERS — B.T.U. M <br />EVAPORATIVE COOLEHS <br />CLOiMES DRVERS <br />VENTILATION FAN <br />RANGCMOOD <br />AIR NANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />PIREPLACEINSERT <br />HEAT PUMP <br />� <br />S <br />S <br />REAfl <br />VES NO <br />APPR. <br />LOAD <br />SUBTOTAL <br />PENMIT _ <br />TOTALFEE <br />INUMBER � <br />FEE <br />FEES VALUATION <br />BUILCING <br />P W MBING <br />MECNANICAL <br />OTHER <br />PENALTV <br />53100. <br />J03 �a� <br />on*E <br />2/27/84 <br />� <br />f <br />S <br />�MECK FEE <br />qECE1PT NO. <br />FEE <br />44 5 <br />i0'AL <br />PEflM1T VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS£57Ai F� iH15 �5 Y�O}IFi�_PE{7A}�T _� <br />a W �a4 �u <br />O <br />M <br />� _ �. ��'.� .�.��"�T� <br />BY <br />. . . �'.� <br />� �.� �.-� <br />;A�'��fv_.`�IPj� . � <br />