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p <br />�hr l:cercrrrn <br />everett � �ONSTRUCTIOI� <br />PERMIT PERMIT NO. 120�4 <br />GTY HRLL 2i9�8�d5 <br />evEaerT,wavszoi ❑ COMBINATION �xBUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL AO�PESS GiY ZI� PMUNE <br />TOM LEWIS 4701 South 3rd Everett WA 9i1203 <br />ARLNITECI O�� OESIGNtfI MPq qDCNESS CIiY ZIP PH�NE <br />GB1EPnlGONiRAGiOR MAILApDRE55 G�TY :�P PNONE LICENSE� <br />Wayne's Construction 5317 South 2nd Everett WA 98203 WA YN ES C319J8 <br />MECMAHIGALWNiRAGTOR MAIL ADORE55 qTV ZiP PHONE IICENSEI <br />PLUMB�6P WNTR6QOR MNIL ND�RESS CITY ZIP PMONE UCENSE • <br />❑ NEW O ADDITION L�I ALTERATION ❑ flE(AIR ❑ OEMOUTION ❑ FENCE ❑ SIF : CI WO00 STOVEIFIREPLACE MSERT <br />Wdl <br />Gara <br />`0,31=3����-40 �1 k 6 Lowel l Div A <br />4701 S. 3rd <br />PLUMBING <br />NO. TYPE OF <br />RE OR ITEM <br />LAVATORV pNASM BASIN) <br />SHOWEF <br />KITCMEN SINK h DISP. <br />�ISNWASHER <br />LAUNpRYTRAY <br />CLOTHES WASMER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfi DRAIN <br />VAGUl1M BREANERS <br />ROOF ORAINS — FAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />PERMIT <br />'OTAL FEE <br />VARD <br />APPROVALS <br />L ENvIFONMENTAI CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVORANT <br />4. FIREPROTECTION SYSTEM <br />5. GPADING <br />6. DRAINAGE <br />LENVIRONMENTALIMPACTSTATEMENT <br />8 MEALTHDISTRICI <br />APPLICATION ACC. BY PLANS CHECM <br />f <br />S <br />YES iJ0 <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO1N THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIMANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEH SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PER�AIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE <br />OR CANCEL THE PFOVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGUTATING CONST�iUCTION OR THE <br />PERFORMANCE OF CO�$ TRUCTION. <br />sicr+ntuae ov co�+rnacioa oqdujroaizeo y�;Ervr � %onre <br />TYPE OF EOUIPMEN7 <br />AIR COND. UNITS — H.P. EA. <br />REFqIGEflATION UNITS — H °. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 10NNAGE EA. <br />FOFCED AIR SYSTEMS — D.T.U. M EA. <br />NALL MEATERS — B.T.U. M <br />UNIT HEAi ERS — B.T.U. M <br />EVAPOPATNE COOLEBS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HFNDLING UNIT — GF.M. <br />STOVE — WOOD <br />METAL PIREPLACE d CHIMNEY <br />FIREPLPCEINSERi <br />NFATPUMP <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFEE f <br />PLAN CMEGK NUNBER PLAN G <br />FEE <br />FEES VALUATION <br />Bl11LDING <br />PLUMBING <br />MEGHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />FEE <br />R@GEIPT N0. <br />FEE <br />�� <br />PEHMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN TMI �S�P,�C� LHIS �xO�/f�PF�i1(�IT_� � <br />U I U U U <br />� <br />N <br />av ;C;UI: RECEIPT�-I <br />�1�; ','\!'.'.\' v0 U <br />..... i�r'_ : !. I . <br />n <br />— p ..�_'.1 U 5 <br />