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U��� ErergYp�n ;. .. . ^ O N ST R U CT I O N <br />everett PERMIT PERMIT NO. 13656 <br />CITY HALL 259�8745 <br />E\'ERETT,WA9g707 � COMBINATION X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />MRIL ADDRE55 CIiY 21P PNONE <br />CITY OF EVERETT <br />ARGHrtECT Ofl pE51GNER MRIL RDDRES$ GITY ZIP PNONE <br />GENEPA� ppNiqqCiOR MAR ADOPE55 CITY ZIP PMONE IICENSE � <br />EVERETT CONSTRUCTION 7221 - 69th Avenue NE Marysville WA 98270 EVERECC248D9 <br />IAEGMANICAL CONTRRCiOR MAIL ApDRESS dTV 21P PNONE UCENSE � <br />PLUMBING CONTRpGTOfl MAIL ADDPESS CItY ilP PMONE L14ENSE � <br />❑'7EW ❑ ADDITION ❑ A�TERATION ❑ REPAIR KXDEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VAWATION OF W�,�K <br />f <br />DemolisF� single family residence <br />e fa�nily residence <br />LOT_BLOCN7�3 ov Everett <br />� nf 1.1 C]� <br />PLUMB�NG <br />OH ITEM <br />W q I tH GLOSET (TOILEn <br />BATMTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINA d DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTMES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM PREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — AqR, ETCJ <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. B W LDING PLANS <br />9. FIPE HYDRANT <br />4. FIR[ vFOTECTION SYSTEA7 <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSiATEMENT <br />B. MEALTH DISiRICT <br />BY I PLANS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />°OURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />' S 1 st Addn GOVERNItJG THIS TYPE OF WORK W�LL BE COMPLIED WITH <br />WHETHFR SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL TH[ PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />i <br />f <br />f <br />VES NO <br />FOR ISSUANCE BY <br />TYPE OF EOUIPMENT <br />t.IR COND. UNITS — M.P. EA. <br />REFPIGERATION UNITS — H.P. EA. <br />BOILER3 — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — 9.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />DATE <br />7/18/F <br />FEE <br />SUB TOTAL f <br />PERMIT f <br />TOTpL FEE S <br />NUMBEH PLAIJ CMECK FEE <br />FEE I RECEIPT NO. <br />FEES <br />SUILDING <br />PLUMBING <br />M[CHANICAL <br />OTMER <br />PENALTV <br />VALUATION I FEE <br />S <br />U.B.C. <br />SEC. 303 (a� <br />TOTAL I I oo I 00 <br />PERMIT VALIDATION <br />WMEN PROPERLY VALI�ATED �IN TMIS SPACE) TMI��IS,VBI�f PER�11L � <br />� <br />. �. . "�i�i � <br />; .. � <br />nooaEss raE <br />� <br />H <br />� <br />