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�•. <br />�h�- !(rrren�r�i <br />ev �rett <br />CITY HALL 25':87a5 <br />C�)IVSTRUCTIO; � <br />PERM�T <br />PERMIT NO. 1���g <br />evEaerT. wn �eaui � COMBINATION �X�c BL'ILDING �� !dECHANICAL ❑ PLUMBING <br />O\YNEP MAtL Ap�RE55 GIiY 21P PnONE <br />Ronald flaley 8804 White Chuck Drive Everett 96204 337-8804 <br />AHGlIIIEGi OR OE9GNEN MAIL ApDRESS CIiY ZIP PHONE <br />GGNEl1aL 60NiRpGTOR MAi. ADDRE_S GITY 21P PMONE LICENSE • <br />�ver=tt Builders Inc. 5606 Evergreen taay Everett 98203 353-7161 <br />MEGMqNILAL CONTRAGiOR MAIL ADORE55 CITY ZIP PHONE UCENSF. � <br />EVEREB*301 PH <br />PLUMPING GONTRAGTOR idAR pDORE55 GTv ZIP ���ONE lIC[NSE • <br />CU55 OF lYOR' <br />❑ NBY ❑ 4DDITION ❑ ALTERATiGN %E3REPAIR ❑ DEMOLI710N ❑ FENCE ❑$IGN � WOOD STOVEFIREPLACE INSERT <br />% 1�24.0� <br />r=-roof <br />�or_n�ocn_oF <br />9EL01Y OR ATTACM FOUR GOPIE51 <br />4319 000 074-0009 <br />8804 47hite Chuck Drive <br />PLUMBING <br />N0. TYPE OF FI%TUPE OR ITEM <br />WATER CLOSET �iOILLn <br />BATHTUB <br />LAVATORV (\NASH BASIN� <br />SHOWEF <br />HITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTMES\YASHER <br />WATER MEAiER <br />URINA� <br />DRINKING FOl1NTAIN <br />FLOOfl DRAIN <br />VA�:IUM BfiEAKERS <br />ROOF DRPINS — RAINLEADERS <br />SINK �SERb'ICE — BAR. ETC.) <br />TYPE <br />SIZE OF BLDG. <br />TOTAL FEE <br />ENT <br />APPNOVALS <br />1. ENVIRONh7GNTAL CHECK LIST <br />2. BUILDING PLANS <br />7. FIRE MVDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. CRADING <br />6. DRAINAGE <br />L ENVI RONNENTAL Ih1PACT STAiEMENT <br />B.HEALTH DISTRICT <br />I HEREBY CERTIFY THAT I�HVE READ AND EXAMINED THIS <br />APPLICATION AND KN(;N/ TtiE SAME TO BE TRUt AND <br />CORRECT. ALL PROVI;IONS OF LAWS AND ORDIN.4NCES <br />GUVERtvING THIS TYPt OF WORK N9LL 6E COMPUEU WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL�� iE <br />OR CANCEL THE PROVISIONS OF ANY OTHFR STATE C�i <br />LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br />PERFO�ANCE OF CONSTRUCTION. <br />SiGN U CfCpNiRAC1�ORA' M iZEOlGENT �ATF <br />X M �� 7/10/84 <br />MECh�ANICAI. <br />FEE N0. TYPE OF EOUIPMENT <br />AIR CONO. UNITS — M.P. EA. <br />(7EFRiGERATION UNITS — H.P. EA <br />BOILEflS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCE� AIR SYSTEM1IS — B.T.U. M EA. <br />Y:..LL HEATERS — d.T.U. M <br />UNIT MEATERS — B.T U. M <br />EVAFORATNECOOLERS <br />CLO7NE5 DflYEFS <br />VENTILATION FAN <br />PANGEHOO� <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />�S <br />RcAR VARD SEiBACK <br />VAC4NT SITE <br />icS NO <br />N�. CF �WELLING UN <br />MA%. OCG LOAU <br />FIRE SPPINKLERS <br />REOUIRED <br />YES NO <br />BY DATE <br />CMECKED BY IAPPR.POR <br />SUB TOTAL <br />PEHMIT <br />TOTAL FE'c <br />FEE <br />S <br />5 <br />f <br />CHECR FEE <br />PECEIPT NO <br />FEES I VALUATION I FEE <br />BUILDINC ! 1%ZQ. 29 50 <br />PLUM1IBING <br />L__ <br />IdECH4NICAL <br />OTMER <br />PENALTY UBC <br />SEC �] a� <br />rorn� 29 50 <br />PEflM1T VA�IOATION <br />\NHEN PROPERLY VP' `ATED pN T415 SPACE� 7HI$ IS YOUR PERMIT �T} <br />�''; �'�29.50-��k� <br />�. <br />�,'. <br />� r<��i ,: ;. . <br />� �/ . . <br />�, .� � <br />'�DDRE �.`, i�IL:� <br />