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`"r``"`Y`G° ;" ��CONSTRUCTIO'� '�" <br />everett P�ERMIT PERMIT NO. 12795 <br />CITY MALL 25987d5 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRE55 CITY ZIP PHONE <br />DENNIS DIEDRICH 5512 S lst Everett lVA 98203 252-6339 <br />MRGnITELT OR DESIGNER MAIL ADDNESS CiTY 21P PHONE <br />GENERFL GONTRNCTOR MRII ADDRESS dTY ZIP FMONE LILENS[ � <br />MECHANIGRL CONTRRCTOF MAIL ADORE55 CITY ZIP PHONE LICENSE M <br />PWMBING CONTRAGLOR MAIL AD�RE55 GITY ZIP PIIONE LIGENSE ♦ <br />❑ NEW ❑ ADDITION ❑ ALTERATION �'� REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVfJFIREPLACE INSERT <br />VALUATION OF WORK <br />575.�� <br />DESCNIBE WORN <br />New porcli over existing steps <br />PROPOSED USE OF BUILDING <br />Residence <br />L[GRL DESCRIPiION OP PROPERTY ISMOW BELOW OR ATTACM FOUR CI <br />3F,4 31 Lotaell <br />LOT_BLOLH_OF <br />JOB ApOP[55 <br />5512 9. let <br />PLUMBIN6 <br />N0. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUO <br />LAVATORV�WASH BASIN) __ _ <br />SHOWEFi <br />KITCIiEN SINK 8 DISP. <br />DISMWASNER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINI <br />SINK �SERVICE — BAF. <br />SUB i0' <br />PEflMIT <br />TOTALI <br />1. ENVIFONMENTAL CHECK L15T <br />2. BUILOING PLANS <br />7. FIPE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GfiADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEN <br />B.HEALTH DISTRICT <br />APPLICATION ACC.BY PLANS <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS�ONS 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 />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OF <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIG A RE OF CONTRAGiO\R OR AU7HIORIZED AG/E/NT o DnATE <br />X �InAli/� 1�� i.(1� SI 1.2/U/03 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNI75 — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.i.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAI FIREPLACE 8 CHIMNEY <br />fIREPIACEINSERT <br />HEAT PUMP <br />� <br />t <br />f <br />REAR YARD 5 <br />VACANT SITE <br />'.:YES :-NO <br />NO.OF DWEL <br />MA%. OCC. LC <br />FIRE SPRINKI <br />REOUIRED <br />VES NO <br />SUBTOTAL f <br />PEPMIT S <br />TOTAL FEE S <br />: NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />575.00 <br />FEE <br />RECEIPT NO. <br />FEE <br />TOTA� I � � <br />PI'AMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI$SRq�EJ THIS j� �(��H1P�HMIT __� �.1 <br />>�u� au vuu � <br />r�- - <br />��. � <br />• �:".�';=1PT� . <br />FOR ISSUANCE BV <br />i <br />, i l. <br />LNC <br />ADDRF55 FIL[ <br />- ..-t, : - <br />