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�heEveCrg`eeF �-� �NSTRUCTION � � <br />everett PERNiIT PERMIT N0. �-5587 <br />GTV M.\LL 719A7d5 <br />EVERE�?, v�A 98201 ❑ COMHINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER iuqiLADDRE55 CITY ZIP PHONE <br />Sandy Barnett 5309 S. 3rd Ave Lverett 98203 <br />RPCNITECT ON OESiGNER MAIL AODRESS GiTY ZiP PNONE <br />GENERPLGONTRACTOR MPILFDDRESS CITY 21P PYONE ULENS[� <br />Tisdel Construction 15608 2ud P1 SE Lynmaood 93037 743-3984 <br />MECMRNICRI CO.'QRFCTOR MAR ADDPESS GiTY ZiP rnvrvc c• <br />CCO1-TISDEC*153M6 <br />PLUM8ING CONiPACTOR IAAIL RO�RE55 GiY ZIP PHONE LICENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION &I REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ N'OOD STOVEIFIREPLACE INSERT <br />= 6,600.00 <br />DESLRIBE WORN <br />Tearing off old roof and <br />PROPOSED USE OF BUIIDING <br />Singlc family residence <br />�EGAL DESCRIPTIUN OF PFOPENTV �SMOW BEL01Y <br />LOT_dLOCN_OF <br />JOB ADDRE55 <br />5309 5. 3rd Ave <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITI <br />WATER CLOSET �TOILEn <br />BATHTUB <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTMES WASHER <br />WATEfl HEATER <br />URINAL <br />Df'INKING FOUNTAIN <br />FIOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SENVICE — OAR, ETC.) <br />SUB TOTAL S <br />PEPMIT f <br />TOTAL FEE S <br />FIRE 20NE BASEh <br />APPROVALS <br />L ENVIRONMENTAL CMECK LIST <br />2.9UILDINGPLANS <br />7. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />S.GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT SiAI <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLA <br />��. r�. <br />�a i th <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS �ND ORDINANCES <br />GOVERNING THIS TYPE OF WORR 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 OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNFtUPEOFCONTRACiORORAUTMORIZGtieCR � I.4.7 �ATE <br />X F � 10/16/85 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — QF.M. <br />STOVE -- WOOD <br />METAL FIREPLACE 8 CNIMNEY <br />FIflEPLACE INSERT <br />HEAT PUMP <br />YES . NO <br />YES <br />BY IAPPR.FOR <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />FEE <br />S <br />f <br />5 <br />FEE <br />K FEE <br />RE�EIPT NO. <br />FEES I �A�UATION � FEE <br />BUILDING S 6, 600.00 62 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY I SEC�307 �a) <br />TOTAL I I 6Z.�SU <br />PERMIT VALIOATION <br />WHEN PROPERLY VALI�ATED pN THI'' IP8 �1 Tr115150 U�PJRGIT � <br />U <br />I+ • <br />i <br />l, n- > <br />:,�_�� r.�c-i��� <br />- � q �.I!' "L� �� <br />� . � : : n i <br />I (, c�T � � <br />ADDRESS ilL'c <br />