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d��� �.,<•,.,�•�•„ <br />everett <br />C(�NSTRUCTI�''I <br />PERMIT <br />PERMIT NO. ��1�g <br />GTY HALL 259�8745 <br />evenErT. wn sezoi ❑ COMBINATION �i BUILDING �t MECHANICAL ❑ PLUMBING <br />VP'L PppPE55 CITY Z�P PMONE <br />OV/NEA <br />Brian Chavez-Ochoa 4962 Vista Place Everett 98203 252-1269 <br />nRGNIiECT GR OLSiGNER <br />N.hll AD�AE55 GTY ZIP PMONE <br />GENERnLCONiRACTOP <br />MAR ApOAE55 Gilv Z�V PNONE UCLrvSE � <br />MEGHFNICAL LONIRPGTOR <br />6�RiL AODPE55 dTY ZiP PMONE IICCr.SE M <br />Same CITY ZiP PHCNE L�GENSE • <br />�WMBW4 COi�iHnCiOP MNII RDOAE55 <br />O NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN � VdOOD STOVFJFIREPLACE INSERT <br />VPLL <br />3 <br />burn <br />�pt __BLOCK._OF <br />�oe nooness - <br />49G2 Vista Place <br />PIUMBING <br />NO. TYPE OF <br />WATER CLOSET (T� <br />BATHTUB <br />LAVATORYpNASN <br />SMOWER <br />KITCMEN SINK 8 0 <br />OR ITEM <br />� IAUNDRYTRAY <br />CLOTHES WASNER <br />WALEH HEATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DHAINS - RAINLEADE <br />SINN ISERVICE - BAR. ETC.) <br />SUB TOTAI <br />PEflMIT <br />TOTAL FEE <br />SiZE OF BLDG. NO. OF <br />FIF�L <br />APPROVALS <br />1. ENVIRONMENTAL CMECK �IST ___ <br />: BUILDING PLANS <br />3 FlRENYDRANT <br />4 FIREPROTECTIONSVSTEM <br />5 GRADING <br />6. DRAINAGE <br />7. [NVIRONN�ENTAIIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPUCATION ACQ BY PLANS CHECKED BY <br />� <br />S <br />S <br />iEAR YARD 5 <br />VACANT SITE <br />YES NO <br />NO. �F DWEL <br />Mnx occ. u <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 ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFI�D HEREIN GR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR C�AN�E�M?H F�RqVLSINGs/AG,�1$j�RUOCTtONSOR THE <br />GU lMll <br />MECHANICAL <br />PlH COND. UNIT$ — MP. EA. � <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOPCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATER� — O.T.U. M <br />UNIT HEATERS — BT.U. M <br />EyqPppATIVE COOLERS <br />GLOTNES DRYEHS <br />VENTILAiION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE R�SERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />INUMBEF PLAN <br />FEE <br />FEES � VALUATION <br />BUIIDING <br />PLUMBING <br />MECHANICAI <br />OTHER <br />PENALiY <br />4 <br />SEC. 307 <br />DAiE <br />t1�15�84 <br />FEE <br />i <br />f ! <br />s 10 <br />f 17 <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />TOTAL -� I 17 I50 <br />PERMIT VALIOATION <br />WHEIJ PROPEi7L\' VALIDATED �IN THIS SPAC£i THIS'IS YOUR PERlAIT_.__ aj <br />io <br />.-a <br />d' <br />, , , .-i <br />BY <br />;��.C;`CLJ., Plli. <br />C <br />� <br />f. <br />C <br />r� f- <br />H� <br />ri � <br />�� <br />VC <br />�J S <br />� `: <br />� F <br />�b� <br />[' :: <br />H � <br />�7 r <br />J <br />O� <br />�] ; <br />�� <br />h7 ' <br />� <br />r, <br />c ' <br />� <br />