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� 'h�E"����° � ^.ONSTRUCTIOI�' <br />everett PERMIT PERMIT N0. 11g6O <br />CITV HALL 759�87d5 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL PLUMBING <br />CITV ZIP PMONE <br />OW NEA MAR RODRE55 9 g 2 0 3 <br />Chris Brown 1014 Slst SW Fverett p��ONE <br />niv Z�P <br />GE'IER�L CONTRRGTON MAIL �D�RE55 <br />Cnzis Mobley Construction 3731 lOBth Place S.E. Evn_rett ZP982J4 3P oNEs�� ��cense. <br />MEiMANICALCONtRACTOA <br />MAIL ADDRE55 �� Y <br />— _ .......,c uCEHSE 11 <br />[ <br />❑ NEW ❑ ADDITION ❑ ALTERAiION ❑ REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGM �{}j( WOOD STOVFJFIREPLALE INSERT <br />3 <br />iCRIBE WONK `18C0 <br />install wood zero clearance fir• <br />Lot__BLocn�oF <br />IOB ADDRESS <br />5118 Socnd Avenue <br />PLUMBINO <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER ClOSET (TOILEn <br />BATHTUB - <br />LpVAtORV�WASH BASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNORYTPPV <br />CLOTHESWASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BFIEAKERS <br />ROOF �RAINS — RAiNLeADERS <br />SINK (SERVICE — BFF. ETC.) <br />SUd TOTAL + <br />PERMIT s <br />7,1TAL FEE S <br />1. ENVIRONMENT: L CMECK LIST __ <br />2. BUIL�ING PLANS <br />3. FIRE HYORANT <br />4. FIRE PFOTECTION SVSTEM <br />5. GFAO�NG <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRIGT _ _ <br />I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br />APPLIGATION 4ND KNOW THE SAME TO 6E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />ERMITDOES UITIPR SUMETOGIVEAU HORITYTOVOLATE <br />�OCAL LAW HREGU�AITINGSCONSTRUCTTIONSOR THE <br />PERFORMANC OF CONSTRUCTION. oaTE <br />SIGNATUREOF�TO�iH°12 PGENL ��6/83 <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UMTS — H,P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 10NNAGE EA. <br />FOPCE� AIH SYSTEMS — A T.U. M EA. <br />WqLL MEAiERS — B.LU�� M . <br />— UNIT MEATERS — B�T��� M <br />EVAPORATIVE COOLERS <br />CLOTMES DFYERS <br />VENTILATION FAN <br />RANGEHO00 <br />AIR MANDLING UNIL — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEY <br />1 PIREPLACEINSERT _ <br />MEAT PUMP <br />YES NO <br />MA%. OCQ LOAD <br />SUBTOTAL s � <br />PERMIT = lO <br />TOTRL FEE s �� <br />.NUMBEF PLAN CMECK PEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILOING <br />PLUMBING <br />MEGHANICAL <br />OTHEF <br />PENALTV <br />TOTAL <br />E <br />303 (a� <br />17 I50 <br />.+ <br />17 I50 <br />PERMIT V�LIUninin T,4����� TMI�IOV�I� F�f�1�L— � <br />WHEN PROPERLY VALIDATE. �' y <br />� <br />YO'U R RECEIPT ��-e <br />BY ZF{nNK YOL" <br />ADCRE55 FILC <br />. _6�nv 83 <br />