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rhi• E��rr;rren � O N ST R U CT I O N <br />c�rr Ov � <br />everett � PERMIT PERMIT N0. 1�9s7 <br />CITV HALL 259�674i <br />EVERETT, WA98201 � COMBINATION � BUILDING ❑ MECHANICAL CJ f' UMBING <br />OVINER MAiL AD�RE55 CITv ZiP PNONE <br />Dale Peters 409 S9ood Place Everett 252-7509 <br />ApLM4EGT OR OESIGN[P MRIL ADORE55 CiTY ZIP PMONE <br />GENERAL GONTPAGiOR MAIL AOOR[55 CITY 2�P FHONE LICENSE � <br />Kipperberg Construction 12706 48th Drive Marysville 96272 653-1673 <br />MECHANICAL CONTPAGiOR MAIL AODFE55 QTY 21P PHONE LIGENSE • <br />HA BE RC C272JE <br />PLUMBiNG GONTRRGiOP MAiL ADOAE55 GTV ZiP PMONE L�CENSE � <br />O NEW �]{ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 5,000.00 <br />construct sun space and nook <br />residence <br />ior � o�ucrc O115{npic View <br />JOB AO�RESS <br />PLUMBING <br />NO. TYPE OF FIl(TURE OR <br />W ATER CLOSET (TOILET) <br />BATMTUB <br />SMOWER <br />KITCHEN $INK 8 Di$P. <br />DISHWASMEfl <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />IYATER MEATER <br />URINAL <br />ORINKING FOUNTPIN <br />FLOOR �RAIN <br />VALUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETQ) <br />SUB TOTAL <br />PERMIT <br />iOTAL FEE <br />SI�[ OF BLDG. <br />1. ENVIRONMENTA� CHECK LIST <br />2. BUILDING PLANS <br />7. FIRE HVORANT <br />a. FIPE PROTECTION SVSTEM <br />5. GRAOING <br />6. ORAINAGE <br />L ENVIRONMENTAL IM1IPACT STAT <br />B. HEALTH <br />FEE <br />5 <br />S <br />f <br />VES NO <br />OCC.LOAD <br />NO <br />OATE <br />FOR ISSUANCE 9V <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRE�T. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERilING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PER O MAN E OF CONSTRUCTION. <br />SIGN U O C TRACiOR OR PUiMOriZE� AGENi DATE <br />X r ; �.I.�. �.. � _ __-. 9�28�84 <br />MECHANICAL ��/ �� � <br />NO. TYPE OF EOUIPMENT <br />AIR COND. 11N1T5 — H.P. EA. <br />REFPIGERATION UNITS — MP. EA. <br />BOILERS — N.P, EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FOPCED AIR SVSTEMS — B.T.U. M EA. <br />WALL MEATER$ — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />ClOTh1E5 DRYER.^� <br />VENTILATIOIJ FAN <br />RANGEHO00 <br />AIR MANDLING UNIT — C.F.M. <br />srove — w000 <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPLACEINSERT <br />PLAN CHECH NU� <br />84/13987 <br />FEES <br />9UILDING <br />PLUMBING <br />MECMANICAI <br />OTHER <br />PENALTY <br />SUBTOTAL f <br />PEflMIT S <br />TOTAL FEE S <br />FEE32.83 <br />VALUATION <br />UBC <br />SEC. 309 <br />RECEIPT NO. <br />50 I 50 <br />TOTAL I I SO I SO <br />PERMIT VAlIOATION <br />WMEN PROPERLY VALIDATED �IN THIS SPACE� TMISJS YOUJ�i PERMIT j•— <br />. _ � ' i l�. .r � '— (7,�'i <br />6' <br />�•: <br />; . <br />,\DUk!:`�.'� f J:- <br />�` <br />y '_ <br />H � <br />�' f <br />O <br />C �� <br />[7 ` <br />Oi <br />�: <br />C: <br />� ' : <br />H ' <br />� <br />O <br />� <br />r7 <br />a . <br />� <br />