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rht Ccercreen <br />,.�: �oNsrRucTior ° <br />everett PERMIT PERMIT NO. 14383 <br />QiY HFLL 259�P745 <br />evc�err.e;n9B701 � COMBINATION ❑ BUILDING $X MECHANICAL ❑ PWMBING <br />Ly�ry[q I.IAILl�D�RE55 CITT Zi� pHONE <br />Paul Gadbois 3312 Wetmore Everett 98201 <br />qRCNttF.GT OR OESIGN6H MFIL ADUPESS GIiY SIP PMONE <br />GENERAL CONTRACTOR MAII AODRE55 Qtt :'�H CNONE IICENSE • <br />MECMRNIUI GOMRACTOR MnIL ApDAE55 C11Y :�� NMOYE LICENSE Y <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 256-2441 <br />PWMdING CONTRAGTOfl MAII FODPESS CITV 21P PMONE UCENSE � <br />V O NEW ❑ ADOITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WO00 STOVEIFIREPLACE INSERT <br />OF WORN <br />f <br />LO? _ Hi OGN _OF <br />3312 Wetmore <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET �TOIIET� <br />pATNTUIf <br />LAVAiORV�WASM BASIN� <br />SHOWER <br />KITCMEN SINK 8 OISP. <br />�ISMWASHER <br />LAUNDRYTFAY <br />CLOIHES WASMER <br />WA1ER HEATEH <br />URINAI <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />USE ZONE <br />TYPE OF CONST. <br />BLDG. <br />SUB TOTAL <br />aM1T <br />'OTAL FEE <br />6ASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLAN$ <br />�. FIPE H'IORANT <br />4. FIPE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />Z ENVIRONMENTAL IMPACT 5T.4TEMENi <br />B.HEALTH DISTFiCi <br />APPUCATION ACC. BY PLANS CNE <br />I HEREBY CEfiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br />CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br />GGVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN4 ll [ OF CONiRnCTOR OR AUTNORIZEO AGENi RT� <br />x �r,�-L, r F�i�ha�ti-t. I-'� <br />MECHA ICAL <br />FEE N0. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEflATION UNITS — H P. EA. <br />BUILERS — H.P. EA. <br />GAS FIRE� AA. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — 0 T.U. M EA. <br />WAIL HEATERS — B.T.U. M <br />UNIT HEATERS — D.TL. M <br />EVAPORATNE COOLEHS <br />GI.OTHES DRVERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR HANDLING UNIT — C.P.M. <br />STOVE — �dOOD <br />METAL fIPEPLACE 8 CHIIdNEV <br />FIREPLACEINSERT <br />HEAi PUMP <br />�f <br />aEAR VARD SETBA� <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING <br />MA%.00G LOtD <br />FlRF SPRINKlEHS <br />REOUIRED <br />YES NO <br />BY DATE <br />APPR. <br />BUILDING <br />PLUMBING <br />IdECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL f <br />PERMIT S <br />TOTAL FEE S <br />PLAN C <br />FEE <br />S <br />4 <br />RECEIPi NO. <br />VALUATION I FEE <br />SEC. �.^3 lal <br />14 �50 <br />TOTAL I I 14 ISO <br />PERMIT VAIIDATION <br />1YHEN PROPEf±LV VALIDATED �IN THIS SPACE� THIS IS VOUR �'EpMIT .-'r. - <br />t ,', <br />BY <br />p,��.:,c`,c f-iIP <br />, y <br />I <br />z <br />U <br />�--I <br />c� <br />m <br />--� T <br />n.� y <br />V1 2 <br />m <br />0 <br />�o <br />m� <br />O 3 <br />—1 z <br />S —1 <br />m <br />.. <br />CZ <br />r S <br />r-. .. <br />�-�1 tn <br />< <br />T <br />O A <br />�n <br />3 <br />=m <br />m .- <br />O � <br />or <br />c� m <br />C f/� <br />3 N <br />f*1 <br />2 f� <br />-�1 1— <br />• m <br />a <br />� <br />�-i <br />2 <br />V <br />z <br />C <br />� <br />(' <br />m <br />