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ihr tl�r.xrren - �/ 0 N ST R U CT I O � <br />(.ICV OF I I <br />everett PERMIT PERMIT NO. 12083 <br />CITY MALL 259�B7a5 <br />ever+ErT.wn9ezoi ❑ COMBINAI'ION �X BUILDING ❑ MECHANICAL PLUMBING <br />rnni� aooa[ss ci*r z�a cHor�c <br />ownEA Everett 98203 355-9730 <br />Kelvin Place 5717 Wetmorc �7Y i,o PHONE <br />qpCHITELi OR O[S�GNER MRIL ADOHE55 <br />��.v ZiP PHOnE LILEHSE � <br />GENERFLGONTRI•CiOH -� � <br />Same <br />MEGHRNICALGONiRACiOR <br />MPIL A�ORE55 GITV ZIP PIIONE UCENSE � <br />MAIL AD�RE55 <br />LIiV ].IP PMONE UCENSF• <br />PLUMB�NG GONTNRGtOP <br />❑ NEW � ADDI710N ❑ ALT[RATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />s 3,000.00 <br />addition to existing residence <br />single family residence <br />�o* 3 etocrc 4 �r <br />5717 Wetmore <br />PLUMBIN6 <br />NO. TVPE OFI <br />BATMTIIB <br />LAVATOFY(WASM <br />SMOWEfl <br />KIfCMEN SINK 6 0 <br />LAUNUFVTRAY <br />WATER HEAItH <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEPS <br />qOOF DRAINS — RAI <br />ciuK iscPVlf.F — BA <br />� <br />R-1 <br />V-N <br />Laurel Heights <br />SUBTOTAL � <br />PEPMIi f <br />TOTAL FEE s <br />20' <br />OT AREA <br />)CGUPANCY GROI <br />Add'n A-3 <br />add' n 176 Sq. �'t. 1 <br />1. ENVIROkfsENT4L CHECK LIST <br />2.6UILDING PLANS <br />3. FIRE HVDRANT <br />d. FIPE PROTECTION SYSTEIA <br />5. GRAD�4G <br />6. DRAINAGE <br />B. HEALTH <br />STG I HWM <br />20' <br />>CANT SITE <br />YES %{�10 <br />NO <br />roa iss <br />LC <br />APPLICATION ANOTKNOW THERSAME TUEBEnTI(iUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />PERM T DOES NOT PR SUME TO GIVE AU HORITY TO VIOLATE <br />LOOCAL LAWC H EGU�A'TINGSCONSTRU�CTHONSORT T�HE <br />�( R�'--� �O.LL�O^"'-'Nsllo�.tftv� �o-�CQ- onrE�/ <br />Si4rv GO t A JR P i2E� AGE �� <br />TYPE OF E�UIPMEN� <br />AIF COND. UNITS — H.P. EA _ <br />REFRIGERATION UNITS — M.P. EA __ <br />BOIlERS — H.P. EA. — � <br />GAS FIRED A.C. 11N1T5 — TONNAGE EA. __ _. _ <br />FORCED AIR SVSTEMS — B T.U. M EA. <br />JJALL MEATERS — 0 T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOFATIVE COOLERS <br />CLOTHES DRVERS <br />VFNTILATION FAN <br />pANGEHOOD <br />AIR MANDLING UNIT — CF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CMI6INEY <br />PIREPLALEINSERT <br />HEATPUMP <br />SUBTOT�L f <br />TOTALFEE s <br />83/12083 IFEE Z$.03 I PECEIPTNO. <br />BUILDING 5 j�pp0. 38 50 <br />PLl1MBING <br />MECHANICAL <br />OTMER <br />U.B.C. <br />PENAITY SEC.3031a1 <br />TOTAL <br />PERMIT �A�IDATION <br />—\YMEN PROPERLY VALIDATEO �M TNIeS� IA6E) tMI�I�Y�U�.P�F�MI? (?7 <br />O U ab <br />� <br />N <br />B� 1'OUR RECEIPT � <br />71 {,�NK YOU <br />nu��•,:.':; r��F- <br />2 1 �r,� 83 <br />