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lhcEcer,�rePn - ^ONSTRUCTIO�' <br />CITv OF � <br />everett PERMIT PERMIT NO. �-2059 <br />CITV HALL 259-B7d5 <br />eVERETT, WA 9820t ❑ COMBINATION ❑ BUILDING C�{ MECHANICAL CJ PLUMBING <br />OWNER MniLRDDFE55 CITY 21F PNO:�E <br />Kevin Fisher 2005 Virginia Everett 98201 <br />ARCNRECT OR OESiGNER MA�L RDDRE55 GiTY 21P PnGvf <br />GENERAL COMFPLTOR MRII AODRE55 CITY ZIP PNONE LICENSE � <br />MECHANiGRICONTPAGiOR MAiLApDRE55 CITf ZiP PHONE UGEN]E� <br />Natural Gas Equipment 1625 East Marine View Drive 98201 258-2441 <br />PWM3ING GOhTPRGtOR MAII ADDPE55 CITv ZiP PHONE LIGENSE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />RLUATION OF WONK <br />5 <br />ESGR�FE WOFN <br />ROPOS[0 USE OF BUR�iNG <br />EGNL DESGRIPTION OP PROPEPTY I51 <br />lOT _ BIOCN _OF _ <br />10� /•�DRESS <br />2005 Virginia <br />PLUMBING <br />TYPE OF FIXTUi <br />WA1ER CLOSET �TOILEn <br />BATF�TUB <br />LAVATORY(WASH BASIN� <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />IAUNDflYiflAY <br />CLOTHES WASHER <br />WATEF MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />VACUUM BflEAKERS <br />ROOF DNAINS -- RAINLE <br />SIiJK �SERVICE — BAR, E <br />OR ITEM � FEF <br />SUB TOTAL S _ <br />FERMIT S <br />TOTAL FEE f <br />STREET SETBACK REAR YARD SE1 <br />LOT AREA VACANT SITE <br />YES NO <br />OCCUPANCV GROUP NO. OF OWELLII <br />NO.OF STOAIES MA%. OC4 LOA' <br />BAS[MENT FIRE SPRINKLEI <br />REOUIRED <br />YES NO <br />APPHOVALS <br />1. ENVIRONMEN7�L C•HECK LISi <br />2.BUILDINGPLAN3 _ <br />3. FIRE HYDRANT <br />4. FIRE PROTECTIO�i SVETEM <br />5. CRADING <br />8. DRAINAGE <br />7. ENVIRON MENTAL I MPACT SiATEF1ENT <br />B.IIEALLH DISTRICT <br />eooi ICATION ACG BY PLAN$ CMECKED BY <br />FOR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCFS <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. ThiE GRANTING OF A <br />PERMIT DOES NOT PFESUME TO GIVE AUT40RITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIf,N1TtlRE OF CONTRACIOR OR AIIiHORIZED AGENT OATE <br />X ( <br />MECHANICAL <br />), TYPE OF EDUIPMENI <br />AIR COND. UNITS - H.P. EA. <br />REFNIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIREO A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALI. NEATERS - B.T.0. �� <br />UNIT HEATERS - e.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAH <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL RHEPLACE 8 CHIMNEY <br />PIREPLACE INSERT <br />NEAT PUMP <br />1 i Water Heater <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />�HECK NUMDEP F <br />FEE <br />FEES VALIIATION <br />EUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />S <br />90J <br />6/8/83 <br />= 4 5 <br />f 1� � <br />f 14 S <br />CMLCNFEE <br />RECEIPT NO. <br />FEE <br />14 S <br />TOTAL I I l4 I S 0 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN TMIQ$pq�) THIS�S/�'�M1PQipIT��.. Q� <br />/E6! �U 9 J� <br />� <br />ypLIR RECEIPt.� <br />7HANK YOU <br />ADDRESS FILE <br />- g .n�+ 8 3 <br />_� <br />