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llie Ll�rrtreen <br />,,, �� <br />ever�tt <br />cirr nn�� zsse�ss <br />EVERETT.1Yn 98201 <br />�ONSTRUCTIO�' <br />PE�fVIIT <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMIT NO. 1 �� •� _! � <br />❑ PLUMBING <br />OWNER 1dFILADDNE55 CITY 21P PHONE <br />Haro]d Halverson 3315 Wetmore Everett 98201 <br />ARCNIiECT OR OESIGNER MAIL ApDRE55 pTY 21P PMOIIE <br />GENEFAL LONiRAGTOF MA�L NDDRE55 CITY ZIP PMONE UCENSE x <br />Matchett's Roofing 8328 47th Avenue N.E, hfarysville 98270 659-7877 <br />MECH�NICAL CJNTRACTOF biAIL AODPE55 CITV ZIP PMONE LICENSE � <br />r�aTCHx�esc� <br />PLUMBINGGORIPlCTOR MAILADDHESS GTY ZIP PNONE UCENSE/ <br />❑ NEW ❑ ADDI710N ❑ ALTERA710N � RE?AIR ❑ DEMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF 1YORN . <br />S 25�0�00 <br />Comp, re-roof and gutters <br />Pfi0PO5ED USE OF DUILOING <br />LOT <br />J0� ADORE55 <br />3314 Rockefeller <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATOFV�WASH BASIN� <br />SHOWER <br />KITCHEN SINK 5 DISP. <br />DISHWASHEq <br />LAUNDRYTRAY <br />CLOTHES WASNER <br />WATER HEATER <br />l'RINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK (SERVICF — BAR, ETC.) <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ATiACHFOURCOPIE51 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 />PERIviIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THC- PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULAT�NG CONSTRUCTION OR THE <br />PERFORM�NCE OF CONSTRUCTION. <br />SiGNATUR � F CONiRACTO�q /OR� AU�T�M,O/R�12ED A�GE.N/t �AT[ <br />X ��1..-�/� % / I'///�i%/%r/ 1�21�85 <br />APPROVALS <br />t, ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIFE NVDRANT <br />d. FIHE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED B'! <br />MECHANI@AL ' <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />60ILEF5 - H.P. EA. <br />GNS FIREU A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVEF� <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />ME7AL FIREPLACE H CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />5 <br />5 <br />REARVARD <br />YES NO <br />SUB TOTAL <br />I�ERMIT <br />TOTAL FEE <br />V I FEE <br />FEES I VALUATION <br />DUILDING <br />IA%. OCC. LOAD — — <br />PLUMBING <br />IRE SPRINKLERS MECHANICAL <br />EOUIRED <br />vE5 NO <br />BY DATE OTHER <br />PENALTV <br />- TOTAL <br />BY <br />b 2500. <br />303 <br />FEE <br />� <br />S <br />S <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />38 50 <br />�� <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUN PERMR r �. <br />___ <br />z <br />0 <br />1 <br />c� <br />m <br />..� <br />N 2 <br />m <br />a <br />co <br />m o <br />c-� <br />� C <br />O 3 <br />m <br />�z <br />S -i <br />m <br />,O 2 <br />C <br />D � <br />r x <br />-i in <br />< <br />T <br />O A <br />�n <br />—1 m <br />S <br />m� <br />N <br />O <br />o r <br />c� m <br />c cn <br />� � <br />z n <br />-� r <br />• m <br />r <br />z <br />-1 <br />x <br />a <br />� <br />._-� <br />N <br />2 <br />0 <br />� <br />('"> <br />m <br />