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`'"�`"�`;`�°' � CONSTRUCTIO"� <br />everett PCRMIT PERNIIT NO. 15 '' 6 <br />CITV HALL 259�87<5 <br />EVERETT,WA98201 � COMBINATION � BUILDING ❑ MECHANICAL Cy� PLl1MBING <br />OWNER MAILAODRE55 qTV ZIP FMONE <br />Loran Hamlin 1912 Virginia Everett 98201 252-3738 <br />RRCNITECT OR DESIGNER MAR ADDRESS GITY ZiP PMONE <br />GENEPNL WNTRRCTOR MAIL ADDRE55 CIiY 21P PMONE LIGENSE � <br />Nalbach Construction 2132 Highland Everett 252-7450 NALBAC"2300H <br />MECMRNICRL CONTRRGTOR MAIL ADDRE55 CITY LIP PHONE LICENSE � <br />Dave Beames Plumbing 3411 Kromer Everett 259-2980 <br />PLUMBING CONTRPCTOR MAIL AO�RE55 GITY 21P PNONE LICEHSE � <br />O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ NI�O� STOVFJFIREPLACE INSERT <br />s 4.375.00 <br />Reroof, insulate <br />residence <br />�o��52fle�ocn3flb_ov <br />1912 V <br />PLUMBINO <br />). TYPE OF FI7(TURE OH ITEM <br />W ATER CLOSET �TOILFn <br />1 BATMTl1B <br />1 LAVATORY�WASMBASIN� <br />SHOWER <br />�ISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINNING FOUNTAIN <br />FlOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAUERS <br />SINK (SERNCE — BAR, ETQ) <br />SUB TOTAL <br />PEflM1T <br />TOTAL FEE <br />APPROVqLS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILOING PLANS <br />7. FIRE MYORANT <br />1. FIRE PROTECTION SYSTEM <br />S. GRADING <br />6.ORAINAGE <br />7. ENVIRUNMENTAL IMPACT STAiEMENT <br />B. HEALTFI DISTRICT <br />APPLICATION ACC. BV PLANS CMECKED BY <br />M.M. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� CORRECT. ALL PROVISIONS OF I.AWS AND ORDINANCES <br />. n'�- 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 PROVISIO�'S OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTAUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREOFCONTRALIOROPAUTMOR12EDRGENT DRTE <br />X %�s�e5 <br />MECMANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />2 OO REFRIGERATION UNITS - H.P. C-A. <br />Z BOILERS - M.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGF. EA. <br />FORCED AIR SVSTEMS - B.i.U. M EA. <br />WALL MEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - wOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />f <br />S <br />f <br />REARYARD SETBACK PLAN CMECK <br />VACANT SITE <br />VES NO F <br />NO. OF DWELLING UNITS <br />ouaou+c <br />Mnx.occ.�ono — <br />PLUMBING <br />FIPE SPRINKLERS MECHANICAL <br />REOUIRED <br />YFS NO <br />BY DATE OTMER <br />PENALTY <br />N/A � L.C. <br />SUB TOTAL S <br />PERMIT f <br />TOTFLFEE f <br />PLAN CI <br />FEE <br />VALUATION <br />g 4,375.00 <br />FEE <br />RECEIPT NO. <br />FEE <br />50 <br />16 <br />TOTAL � � 66 <br />PENMIT VALIDRTION <br />WMEN PROPERLV VALIOA7ED �IN THIS SPACE) THIS IS VOUR PERMIT <br />CHIP REHAS. <br />ADDRESS IILE <br />� <br />H <br />� <br />