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f <br />drr Evcrxrrrn ^, p N ST R U CT I O f� <br />cirv oc � <br />everett PERMIT PERMIT NO. 12OgO <br />GTY HALL 259-P7d5 <br />EVERETT, WA 98201 � COMBINATION ❑ BUILDING �(J MECHANICAL ❑ PLUMBING <br />OWN[R MAIL AD�RESS CITY ZiP PNONE <br />ARGNITEGT OR DESIGNER MAIL AOORE55 <br />GENERAL CONiRAGTOP <br />MAIL AODRE55 Gltt ZIP PMONE UGENSE � <br />MECNANICNIGONiRAGTOR MAILADDRE55 GTV 21P PMONE LICENSE� <br />WASHINGTON NATURAL GAS 118 SE EVERETT MALL WAY 355-3331 <br />PLUMBING GONiRALT�R MAIL FD�RE55 GITY ZiP PNONE 4GENSE � <br />UL- <br />S <br />�or <br />❑ NEW ❑ ADDITION J(� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD SiOVE/FIREPLACE INSERT <br />lnut <br />PLUMBING <br />N0. TYPE OF FI%TURE <br />BAiHTUB _ <br />LAVATORY�WASHBASIN� <br />SMOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASMER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER ME�TEP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUAIBREAKERS <br />ROOF ORAINS — RAINLEADEfiS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEPMIT <br />TOTAL FEE <br />iICE <br />FIFE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. GRAOING <br />6. DHAINAGE <br />7. ENVIRONMENTAI IMPACT STATEh <br />B.HEALiH DISTRICi <br />nooi irennr� ACG BY PLANS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AtdD KNOW THE SAME TO BE TRUE AND <br />coaic,i pORRECT. 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 V�OLATE <br />— OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />�GNAJkRFOFCOry1�4�i�TMORI2EDAGENT 6/14/83 <br />/ ✓ �/L <br />FEE N0. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNIiS — H.P. EA. <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.i.LL M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.�. M <br />EVAPORATIVE COOLERS <br />CLOTMESDRYEHS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERi <br />HEATPUMP <br />0 aas line 4 <br />� <br />S <br />f <br />REAR YARD S' <br />VACANT SITE <br />YES . NO <br />NO, OF DWEL <br />MA%. OCG LC <br />FIRE SPRINKI <br />REOUIRED <br />VES NO <br />APPfl. <br />SUB TOTAL t <br />PERMIT S <br />TOTALFEE f <br />CMECK NUMBEN �`^^ """"" " <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING s <br />PLUMBING <br />MECMANICAI �Q OO <br />OTHER <br />U.B.C. <br />PENAITV SEC. �03 (a) <br />14 00 <br />TOTAL <br />PEflMIT VALIDATION <br />WMEN PROPERIY VALIDATED �IN TM81S'SiA? E) THI$ IOS V�O�R POER�MIT (") <br />� p wi <br />� <br />N <br />YOUR RECEIPT � <br />�r;,anK You <br />ApD'n'[55 HLE <br />I 4 � 83 <br />