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!hr EverRrecn <br />Giv OP <br />everett <br />GTV HALL 259�87d5 <br />EVERETT. V!A 9gyp1 <br />'� 10NSTRUCTIOf�' <br />PERMIT <br />❑ COMBINATION X� BUILDING ❑ MECHANICAL <br />li <br />PERMIT NO. 13�84 <br />❑ PLUMBING <br />OWNEfl MAILApORESS dTY 21P PMONE <br />; DARYL HARTLEY 9705 - 24th Ave SE EVERETT <br />FRGdITECT Ofl pE51GNEH MAI� qO�RESS QTY 21P PNONE <br />GENER�LCONTR�CiON MAIL ApORE55 CIT' 21P PHONE 4CENSE/ <br />Star Home Improvement 5314 - 2nd Lowell Everett STARHI177RB223-01 <br />IAEGN�NIC�L CONTNACTOR MAIL A�OREEi CITY ZIP PMONE UCENSE 1 <br />PLUMBING CONTRACTOR MqIL NODRE55 GTY ZIP PHONE LIGENSE I <br />GU55 OF WORK <br />❑ NEW ❑ ADOITION � ALTERATION IpJ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S ��UVU. <br />• <br />OESCRIBE WORN <br />Masonry block foundation <br />Residence <br />.F.GRL �ESCRIPTWN OF PROPERTY �SHOW BEl <br />�oT 4 s�ocrc 314 oF Everet <br />ioa nnoatss — <br />1510 Walnut. <br />PLUMBINO <br />N0. TVPE OF FIXTUHE OR <br />SHOWER <br />KITCMEN SINN 8 DISP. <br />DISHWASH[R <br />LAUNDRYTPAY <br />CLOTHES WASMEP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRqINS — RAINL[ADERS <br />SINN ISFRVICF — RAP FT(:1 <br />SUB TOTAI <br />PERMIT <br />I HEREBY CERT:FY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 7RUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PER�ORMANCE OF CONBTRUCTION. <br />OF <br />�• <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. U:�TS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EF. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M E <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />� CLOTHES DRYERS <br />f <br />VES , NO <br />SIZE OF BLDG. NO. OF <br />APPROVALS <br />1. ENVIRONMENTAL CHECK IIST <br />2. BUI�DING PLANS <br />3. FIRE HYDRANT <br />�. FIqE Pi70TECTION SYSTEM <br />5. GRADING <br />B. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATeMENT <br />8. HEALTM DISTRICT <br />APPUCATION ACC,BY PLANS CHE <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACEINSERT <br />C.F.M. <br />SUBTOTAL S <br />PENMIT f <br />TOTAL FEE f <br />;NUMBER PLAN C <br />FEE <br />FEES VALUATION <br />BUILDIN� <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />53000. <br />DATE <br />3/8/84 <br />RECEIPT NO. <br />FEE <br />�� <br />��� <br />PERMIT VAIID�TION <br />WHEN PROPERLY VALIDATED (IN TMISg P�A�?THIS I$ YoOIIRpERMlT —�� <br />o I D J8 5U <br />0 <br />M <br />�: .JR Rci.EIPI'`� <br />� ; ;F�,�.!e You <br />ADDRE55 FILE <br />- �' Ili�R G �I <br />