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Ilte Llrrgrern ^O N ST R U CTI O N <br />CiTv OF / <br />everett PERMIT pERMIT NO. 10423 <br />CIIY HqLL 259�B7��v <br />[��� r�err, :vn ?ezoi ❑ COMBINATION ❑ BUILDING ❑ MEi:HANICAL � PLUMBING <br />U'iJliEq MAILNUfIiI!55 OIY :Iv PHCN! <br />Danny Dfani� 24728 47th Avenue N.E. Arlington 96226 q35-4129 <br />nqO�rt[Q Ot� UCSiGNE�� !�AiL 40DRE55 Ciiv Tm PHp4[ <br />GCNfRAL CANiRPCiOR A�AIL ApDRE55 ❑P! ZIP PHONE LIGf_NSE • <br />AiEC��nNICALCO�+iqnC10P AIAiLAp�HE55 CrtY Zio pHONE UCENSEr <br />�LU!'.pMGCONiMCiOR ��.nIlA0�RE55 CIiV IIP PMONE LICEN5F1 <br />Everett Builders Inc. 5606 Evergreen Way Everett 96204 353-7161 <br />aass or wonrc <br />❑NEW ❑ADDITION .�.LTERATION ❑REPAIR L�DEMOLITION ❑FENCE ❑SIGN E�]LFq,��,$II 3OIPH <br />E <br />OESCRIpE WORK <br />,� :;�.� ocscau�nor� or anoe[nr <br />�"�_ aioca 13oc <br />30 29 5 <br />iS��OW BELOW OP �iiACM POl1R COPiLS� <br />Friday's lst <br />�ooi.co�Ess <br />3'10 Rucker <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />1 IVATER CLOSET ITOILETI <br />1 �nT1iTUB <br />1 LAVAiORY (WASH BASIN) <br />SH01VEF7 <br />1 KITCHEN SINN d DISP. <br />1 DISHWASHER <br />_-- LAUNDRV TRAY — <br />1 CLOTMES WASHER <br />1 V.'AT[R HEATEP <br />UI?INAI <br />DRINI;ING FOUNTAIN <br />FLOOH URAIN <br />VACUUM BREAKERS <br />ROCF DRAINS — RAINLEAOBRS <br />SMK ISf.RVICE — BAR ETC 1 <br />_ Z Q��S+bc <br />_s <br />� I c 1'ARD <br />UEL ZONE <br />t v1'e OF G <br />SiLO OF BL <br />I-�uL ZON[ <br />PERMIT <br />TOTAL FEE <br />STREET SE1f3ACR <br />NO. <br />'�. CNVIRONMEN1AlCHECNLIST <br />'J. 13UILDING PLAN. <br />3 FlREH�DRANT <br />. r,. FIRE PROTECTION 5�572p <br />_ �_ <br />S.GRA7WG f pp <br />G. DR�.INA(7� "\ <br />__.i_' <br />L EtNlnnNb�A71<'_ IMPl�i:T�TATEMENT <br />GROUP <br />FEE <br />REAF YAFD �FTfiAGr. <br />VACANT SITB <br />�.'�.Y'FS I:NO <br />NO. OF UWELLING UI <br />MA%.00C LOAD <br />FIFE SPHINKLERS <br />F?EOUIFED <br />�vES �'!NO <br />9Y I OATE <br />�APPI ICAf7CAJ /R`�i . �Y WNS CHECKGD BV APPR FOR ISSUANCE D'I <br />n� <br />o° -{ C) <br />C) m <br />_ �-- _ <br />I HEREBY CERTIFY L IAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFlED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIGLATE OR CANCEL THE PRO� <br />VISIONS ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONST ION OR THE PERFORMANCE OF CONSTHUCTION. <br />sieunru _o�o_�menc/ro�� iu�oa�zeunce.r�r nna <br />X �i f� / ���(��V 4/12/82 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />�al� G�ND. UNITS — N?. EA <br />FEf RI[;ERATION UNIiS — fi.P. EA <br />BOILERS — H.F. lA. <br />G�5 FIRED A.G UNITS — TONNAGE EA. <br />FORCFO AIR SVSTFMS — P T 11 61 EA � <br />UNIT NEAiERS — B.1.J. <br />RFNGEHOOD <br />AIR HANDLRJG UNIT — C.F. <br />SUB TOTAL 5 <br />PERMIT f __ <br />TOTAL FEE S <br />FEE HLCCIP: n:• <br />VA�UATION FEE <br />F <br />���mo��.� 21 00 <br />MECHANICAL Z 2 S O <br />PENALTV U.�.0 <br />SEC. 303 �a) <br />43150 <br />PERMIT VALIUATION <br />CJNCN PqOPERIY VAUD4TED pN 7H15 SPACE� iH1515 YOUq pERMIT <br />1068 5021.Q0- ,��', <br />� <br />!��J�l��i2 ��E-(:;EIPT � <br />` Trl}A(Jd 1'OU <br />� ' <br />I , <br />i <br />