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16e f.cPrCrrrn <br />e�erett �� N ST � U CT I O(�� <br />PERM�T PE�M�TNo. �`�� <br />CITY MALL 253-HiaS <br />EVERETT.\'JA96207 [� COMBINATION ❑ BUILDING �J MECHANICAL ❑ PLUMBING <br />owN[a iana nooeEss arr z�v anor�E <br />Chalene Engler 3732 Rockefeller Everett 98201 <br />ARCnRWi OR DESIGNEP MAIL AOURE55 CITY ZiP PMOhE <br />GENERAL �OHTRACTOR MAIL ApDRE55 GTY ZiP PMGNE LICENSE • <br />MEGHPNICFL CONTRAGTOR IdAiL /�OPE55 pTY 21P PMONE LICENS[ • <br />Natural Gns Equipment 1625 East Marine View Drive Everett 98201 258-2941 <br />PLUMBiNG CJNTRACTOP MAII AODRE55 CITY ZIP PMONE LICENSE � <br />S <br />❑ NEW ❑ ADDITION ❑ ALTE(iAT10N ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />IBE WORK <br />Install Cirwlating Heater <br />LOT _ OLOGK _OF <br />�ra nooeess <br />3732 Rockefeller <br />PLUMBING <br />TYPE OF FIXTURE OR <br />1YAiERCLOSET�TOILEn <br />6ATHTUO <br />LAVATORY�WASHBASIN) <br />SHOWCR <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETQ) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />AREA <br />FIRE ZONE <br />APPROVALS <br />1. ENVIRPNMENT4L CHECR LIST <br />2, (iUILDING PLANS <br />3. F:RE HYDRANT <br />a. FIRE PROTECTION SVSTEM <br />5. GRAL'ING <br />6. DRAINhGE <br />7.FNVIRONMENTALIMPAGTSTATEMENT <br />8. HEALTH DISTRICT <br />FEE <br />S <br />5 <br />5 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING iHIS TYPE OF WORK WILL RE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN UR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT[ <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW RE6ULATING CONSTRUCTION OR THE <br />PERFORMA OF CONSTRUCTION. <br />sicr+aruneo o r �r oa urn ar onueriT unre <br />X 12/19/8 <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS - H.R EA. <br />REFRIGERATION UNITS - N.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.Q UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.II. M <br />UNIT HEATERS - B.T.U. N Q SO <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UHIT - C.f.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB 707AL E 4 50 <br />PERMIT S LO OO <br />TJTAL FEE 5 � <br />REAR YAPD SEi�ACK PLAN CHECK NUMBER I I <br />` FEE <br />VACANT SITE -- <br />..VES . NO FEES VALUATION <br />NO. OF DWELLING UNITS <br />�UILDING $ <br />MA%.00Q LOAD <br />RECEIPT NO. <br />FEE <br />PLUMBING <br />RESPRINKLERS MECHANICAL LQ SO <br />°OUIFED <br />YES NO <br />3Y OATE OTHER <br />PENALTY U.B.C. <br />— SEC. JD3 (a) <br />TOTAL 14 ��� <br />PERMIT VALIDATION � I � � - "- <br />WMEt1 PROFERLV VALIDATED �M TMIS SPACEI tMIS IS YOUR P�ERMIT Lh7 <br />� <br />N <br />i �� <br />� <br />APPLICATIUN ACC.BV PLANS CHECKED BY IAPPR,FORISSUANCE 9Y <br />1 <br />0 <br />--1 <br />ti <br />m <br />1T <br />..� <br />cn x <br />m <br />0 <br />c O <br />iTt O <br />n <br />-i C <br />O 3 <br />m <br />--i z <br />S -i <br />n <br />.O � <br />C <br />a -� <br />rx <br />�� <br />< <br />T <br />O A <br />T � <br />-i m <br />2 <br />m �-. <br />� <br />O <br />o r <br />� m <br />c cn <br />,- N <br />m <br />z t"� <br />-� r <br />• m <br />a <br />A <br />—� <br />S <br />D <br />Z <br />� <br />2 <br />N <br />2 <br />O <br />� <br />["> <br />m <br />