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� <br />d,r Err..ereen <br />°„+�°*: � CONSTRUC �"�G.+I <br />eveTQl.l. PERMIT PERMIT NO. 12312 <br />CITY HALL 259-8745 <br />� EVERETT.VJA56201 � COMBINATION �t BUILDING � MECHANICAL ❑ PLUMBING <br />Ow tH AIAIL AODRE55 �ITY ZIP PHONE <br />Robert O'Br.ien 5509 South 2nd Avenue Everett 98201 259-931? <br />FRCMITECT OR DESiGNER MAiL AD�RESS CITY ZIP PHONE <br />GENER4L CONTRqGiOii MAIL AODRE55 CITY ZiP PHONL LIGENSE � <br />MECMFNICAL CONiRAGTOR MAIL ADDRE55 CITV 2iP PMONE UGENSE M <br />Gas Equipment Contractors 2221 120th N.E. Bellevue 98005 455-9320 <br />PLUMBING GONiRACTOR MAIL ADORE55 „ITY ZIP PMONE 4CENSE � <br />. GA SE QC 256NF <br />❑ NEW ❑ A�DITION O AITERATION ❑ REPAIR ❑ DEh10LITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLAf,E IKSERT <br />s496.00 <br />DESCRipE\VORN <br />5509 South 2nd Avenue <br />PR�POSED USE OF BIIILOtNG <br />�oT_eiocrc_oc <br />5509 South 2nd Avenue <br />PLUMBING <br />NO. TYPE OF FIXTURE Ofl ITEM <br />WATER ClOSET (TOILEn <br />BATNTUB <br />SH01NF.q <br />KITCMEN SINK 8 UISP. <br />DISHNASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATEfl MEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM 6REAKERS <br />ROOF DRAINS — RAINLEADEPS <br />SINK �SERVICE — UAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />NO. <br />1. ENVIRONMENTAL CHECK LIST <br />I 2. BUIl01NG PLANS <br />- 3.FIREHYDRANT <br />d. FIHE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.MEALTM DISTRICT <br />APPUCATION ACC.BY PLANS CHECKED <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />l.PPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINu OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL TNE PRpVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACiOF OR AUiMORIZEp AGEN7 DATE <br />X Check N9565 8/10/83 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT FEE <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEFS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />\NALL MEATERS — B.T.U. M <br />UNITHEAiERS—�.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />�f <br />flEAR YARD SETBP <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />RE�UIRED <br />YES NO <br />BY OATE <br />a <br />RANGEH000 <br />AIR MANDLING UNIT — f �.tA. <br />STOVE — WO00 <br />NETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />NUMBER <br />SUBTOTAL S <br />PERMIT f <br />TOTAL FEE s <br />FEE I RECEIPT NO. <br />FEES I VALUqTION I FEE <br />BUILDING <br />PWMBING <br />MECMANICAL <br />OTHEfl <br />PENALTV <br />S <br />U.9 C. <br />SEC. 303 �a� <br />17�50 <br />TOTAL I I ]. % I$ O <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN TMI$ SPAC�t) THI$��Yqll� ppHytR ��\, <br />us�iv y I � yU 4 <br />YOUR RECEIPt� <br />���.�r.K You <br />� �l hUC ii i <br />� <br />