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(hrEcCrzriPn � ^O�V 1 � ■� V 1'On4 <br />everett P E RM �T <br />atr r+au zs�3-e�cs -- H$� (v1ECHRNICAL <br />evEaeTr e+%� �azo+ ❑ COMBINATION � BUILDING <br />rr <br />Teter <br />GENERALCONTNAGiOR <br />aazn South 4th <br />MRNICAL WNiFACTOR <br />Sunrise Ccnsttuction Co <br />s <br />PERMIT NO. 1421 � <br />❑ PLUMBING <br />ci <br />Everett 98203 <br />Mni� aou�ess <br />�AAIL ADDRESS GITY <br />ZIP PHONE LIGC1151:. <br />rn�,i� aooncss <br />24123 23rd S.E. <br />ui. <br />Bothell <br />98021 486-9677 <br />Z�P PHOI.E <br />SUNRIC161J@ <br />❑ NEW ❑ ADDITION ❑ ALTERA-ION ❑ REPAIR ❑ OEMOLIiION � FENCE ❑ SIGN ❑ WO00 STOVE/FIREPLACE INSERT <br />U <br />�pi__BIOCK�OF <br />4th <br />PI.UM6ING <br />NO. TYPE OF <br />WATEPCLOSET�T� <br />BFTHTUB <br />LAVATORVIWASH <br />S1i0W ER <br />HITf,MEN SINK 8 C <br />LAUNORY'RAY _� <br />CLOTHES WASMER <br />WATER MEATER <br />UR�NAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM 9REAKERS <br />ROOF DRAINS — Ap�NLEADERS <br />SINN �SERVICE — BAR, ETCJ <br />TOTAL <br />TOTALFEE <br />SIZE OF BLDG. <br />x <br />APPPOVALS <br />1 ENVIHONIdENTAL CHECK LIST <br />2 BUIL�ING PLANS <br />3. FIPE NY[1RANT <br />a FIFEPROTECTIONSYSTEM <br />5. GPADING <br />6. DRAINAGE <br />7. ENVIR04ME NTAL IMPACT STA� <br />g.NEALTH DISiPICT <br />nnoiicniiON ACC.I3V P�p <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAAIINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOP.K WILL BE COMPIIED WITH <br />P RM T DOES N ITIPRESUME TO GIVE AUTHORTv TOIV O� TE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORMANGE OF CONSTRUCTION. oqrt <br />si(.w`uat or couia4a�� (� �'o�¢En r.cEHr 12�4�84 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />' AIR CONG. UNITS — M.P. EA. <br />REFRIGEPATION �INITS — M P. EA. <br />BOILLRS — H.P. EA. <br />GAS FIRED A.0 UNITS — TONNAG <br />FORCEO AIR SVSTEMS — B.1.U. <br />WAIL MEATERS — B.T.U. <br />UNIT HEATERS — B T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEPS <br />VENTILATION FAN <br />RANGEMO00 <br />AIR HANDLING UNIT — <br />1 STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />FIqEPLACEINSERT <br />HEAT PUMP <br />S� <br />9EAR YARD SE <br />VACANT SITE <br />YES NO <br />NO. OF �WELI <br />MAX. OCC. 1.0 <br />FIflE SPFINNL <br />REOUIFEO <br />vF5 NO <br />BY <br />EA. <br />M EA. <br />M <br />M <br />C.F.M. <br />SUB TOTAL S <br />PEHMIT f <br />TOTAI FEE S <br />PLE I HECEIPT NO. <br />VALUATION FEE <br />�llIL01NG 5 — <br />PLUMBINCo <br />17 50 <br />MECMANICA'. <br />OTHER <br />U. B C. <br />PENALTV SEG 3031a� <br />, TOTAL 1� SO <br />PERMIT VALIOATION <br />\NMEN PflOPERLY VALIDATED IIN TMIS SPACEI TMIS IS Y5U�1 PERMiT -� <br />N <br />_ �' <br />i � <br />rr, <br />� : (' <br />O E. <br />� <br />� ~ <br />Cy % <br />t" � <br />H � <br />H V <br />'Z <br />O v' <br />� . <br />b <br />t <br />! <br />�r <br />. F- <br />