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dtr Ll•er,�reen <br />everett � �ONSTRUCTIOP� <br />CITYHqLL259�87a5 PERMIT PERMIT NO. 14030 <br />EVERETT, \NA 98201 [] COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEN <br />MRIL AppRE55 ��iY ZiP <br />John A. Bosch 5732 Sound Avenue PNONE <br />Everett 98203 355-6525 <br />RRGHITECT OH DESIGNER MRIL ADORE55 <br />GRY 2iP PNONE <br />GENEPAI CONTRRGTOR MAILADORE55 <br />SEQIe CITY ZIP PNONG LICENSE � <br />MEGM�NIC�L CONiR�CTOR MAIL qDDRE55 <br />CITY ZIP PHONE LICENSE � <br />PLUMBING CONTRACTOR MRIL ADpRESS <br />CITY ZIP PMONE LICENSE � <br />❑ NEW ❑ pODITION O ALTERATION G REPAIR ❑ DEMOLITION ❑ FENC'c ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />.U�TION OF WpRN <br />s 6,000.00 <br />Construct 24'x34` Carport <br />single family reaidence <br />�o�� eiocK 1 oF Dridle Park <br />JOB�ODRE55 <br />5732 Sound Avenue <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILEi) <br />BATMiUB <br />LAVATORY (V✓p5H BASIN) <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />LAUNDRYTRAY <br />WnTEH HEATER <br />URINAL <br />ORINNING FOUN <br />FLOON DRAIN <br />ROOF DRAINS — RAINI <br />SINK (SERVICE — BAR, <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />n <br />t. ENVIRONMENTAL CNECK UST <br />2. BUILOING PLAN$ <br />3. FIRE MYORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAi <br />B.HEALTM DIS�RICT <br />APPLICATION ACC. BY p�qp <br />EB <br />JEF <br />BV <br />i <br />f <br />f <br />YES �O <br />0 <br />occ. <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANG KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br />WHETHER 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />ovoc�n....�..� ..� .._.._'_'"__. _ <br />FEE NO. TYPE OF EOUIPMENT <br />AI �(ij:p. UNITS — H.P. EA. <br />REFRiGEF1ATION 11NlT5 — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIflEO A.C. UNITS — TONNAGE EA. <br />FORCED AIA SYSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.T.U. 6• <br />UNIT NEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />MEtAL FIREPLACE 6 CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />DATE <br />a�, <br />SUB TOT�L s <br />PERMIT f <br />TOTAL FEE s <br />iCK NUMBER PLAN CHECK FEE <br />84/14030 � EE ZS.�j RECE�IPwT�N^O. <br />FEES � VAIUATION ���1!!" <br />9UILDING <br />PLUMBING <br />MECHAN'CAL <br />OTNER <br />PENALTY <br />S 6,000 <br />SEC. 303 <br />56 <br />totq� 56 <br />PEqMIT VALIDATION / <br />WMEN PROPERLY VALIDATED iIN THIS SPACE�LMIS Ib� YOU�i VERMIj <br />BV <br />' T. <br />.1DDRESS FILE <br />50 <br />6� <br />