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rn,� r-;c,r.ren <br />ev�rett <br />�ONSTRU�i"IOP' <br />PERIVlIT <br />PERMII NO. ��'i �� �� �? <br />CITV HALL 259�BId5 <br />EVERETT, WA 98201 � COMBINATION ❑ BUILDING t�X� MECHANICAL ❑ PLUMBING <br />OWNER �dA'�L ADDRE55 GITV ZiP FMONE <br />Dwight Lechner 5102 Rucker Everett 98203 <br />PRGMIiECi OR OESIGNER MAIL AD�AE55 <br />GiY 21P PHLNE <br />GE�IEPAL GONTRPGTOR MAIL ADORESS <br />QTY ZIP PHON[ UC[NSE M <br />MECHANILAL CONTRhCTOF MAIL RDOPE55 CITY bP PMONE UCENSE / <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br />PLUMBING GONTRACTOF MnIL ADDFE55 GIiV ZIP PHONE LICENS[ � <br />IORN <br />O NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN WOOD STOVEIFIREPLACE INSER <br />OF WORK <br />S <br />LOT _ PLCCN _OF <br />J�Fl�DRESS <br />5102 Rucker <br />PLUMBING <br />NO. TYPE OF FI%TURE OR <br />W AT ER CLOSET (TOI LET) <br />BATHTUB <br />LAVATORI'�WASH UASIN� <br />SMCWER <br />KITCHEN SINK & DIS!` <br />DISNWASHER <br />LAUNDPViRAY <br />CLOTHESWASHER _ <br />WATEP NEATER <br />URINAL <br />DRINu�n�� �_.. . _.. <br />' ri_n0 � `vnHIN � <br />� VACUUM BREAKFR� <br />I ROOF ORAINS - RAINLEAOEHS <br />SINK �SEFi\9CE - 9AR. ETC.� <br />FIRE <br />SUB TOTAL _ j I_ <br />—� <br />PERMIT f � <br />i05PL FEF SI <br />SiREET S;�aAcn �� FEAR VARD SET2 <br />LOT AFEA OAGANT SITE <br />YES NO <br />OCCUPANCY GROUP NO. OF OWELIIN <br />NO. OF STOPIES MAX. OCG LOAD <br />BASEMENT FIRE SPRINKLER <br />REOUIRED <br />YES NO <br />pPPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. Bl11LDING PLANS <br />3. FIRE HV[1RANT <br />4. FIflE P90TECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRON MENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. tlY PLANS CHE <br />BY <br />FOR <br />DATC <br />I HEREBY CERTIFY THN�T I!�AVE READ AND EXAMINED THIS <br />APPLICATION AND KNCJ�I THt SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANG ORf11NANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI?H <br />WHETHER SPECIFIED !1EREIN OR IJOT. THE GHANTING'.JF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VI�JLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STF i[ OR <br />LOCAL LAW REGULATING CONSTRUCTION 01; THE <br />PERFORh7ANCE OF CONSTRUCTION. <br />�inuetJmc n� trIUTRAf.TOR OR AUiMORIZEO AGENT DATEI <br />r. <br />Np, TYPE OF E�UIPMENT <br />AIR COND. UNIiS - M.P_ EA. <br />R[FRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FlREO A.C. UNI15 - TONNAGE EA. <br />FORCED AIR "'STEMS - B.T.U. M EN. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPOPATIVE COOLEV:S ___ <br />� cLOTHES I;AVFAc___ _ <br />� ,r.:^:A�IuN �an <br />�RANfF!!OCC _ <br />AIR 4ANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FiPEPLACE 6 f,MIMNEY <br />FIREPIACE INSERT '� <br />HEf.T FUMP <br />1 Water i9eater <br />suaioTn� <br />PERMIT <br />i �rn � •F <br />NUMPER <br />�EE " -' <br />FEES <br />BUILDING <br />PLUM8ING <br />MECHANICAL <br />OTNER <br />PENALIV <br />S <br />� �'^ <br />FEE <br />f 4 <br />s 10 <br />s 14t <br />CHE M rte <br />RcCEIPT NO. <br />VpLUPT10N � FEE <br />LLB.C. <br />SEC. 303 <br />TOTAL I � 14 SO <br />PERMIT VALIDATION <br />WNEN PROPCRLY VALIOAiEU 0:� T��IS iPACE� TMIS 15 YC�L'[t PFRMIT _� l,� <br />-1 <br />?J.�I�.!__.� I�!��. <br />z <br />0 <br />-i <br />n <br />m <br />-i T <br />.. --� <br />�m <br />0 <br />c O <br />m o <br />� C <br />O � <br />--1 Z <br />m� <br />.O Z <br />D � <br />rx <br />� N <br />K <br />T <br />O A <br />�i 'a <br />� <br />� m <br />2 <br />mN <br />o r <br />c� m <br />C V1 <br />: N <br />2 n <br />-� r <br />• m <br />n <br />� <br />� <br />x <br />n <br />z <br />--I <br />._-� <br />� <br />2 <br />�i <br />t'� <br />m <br />