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rnee�e.�.�r� �ONST��1CT10� • <br />CITV OF � <br />everett PERMIT PERMIT N0. 165H3 <br />GTY HALL 25P87a5 <br />EVERETT,WA98201 ❑ COMBINATION X❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBINa <br />��ER M�ILADORE55 CITY ZIP PHONE <br />Robert Moore 6329 Svcaaare Everett WA 98203 353 6807 <br />�RCNITECT OR DESIGNER MAIL ADORESS CITY ZIP PNONE <br />GENER�L GONTR�CTOR MAIL AODNESS CITY ZIP PMONE LICENSE 1 <br />Everett Builders, Inc. 5606 Everareen Everett WA 98203 353-'1161 EVEREB31 i3 <br />MECNANICAL CONTRACTOF MRIL RDORE55 LRY ZIP PHONE LICENSE • <br />PLUMBING CONTR�CTOR MRIL RDpRE55 QTY ZIP PHONE UCENSE � <br />❑ NEW ❑ ADDITION GZ ALTERATIOh ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s1458.a� <br />Bathroom <br />.cun� v�a�nmuvn or rnurenn �SnOW 9ELOW OR RTTqCH FOUR COPIES� <br />�oT 58 BLOCN_OF Highland Estates <br />Blk 000-D-00 <br />6329 : <br />PLUMBINO <br />NO. TYPE OF FI%TIIRE OR ITEM <br />WATER CLOSET (T04E7) <br />BATHTUB <br />BAiIN) <br />SMOWEH <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />WATER HEATER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — �AR, ETC.) <br />TOTAL <br />TOTAL <br />SIZE OF BLDG. NO. OF ; <br />FIqE ZONE OASEME <br />APPp0VAL5 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />9.FIREMVDRANT _ <br />1. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEA <br />B. HEAL'H JISTRICT <br />A�PUCATION ACC.PY PLANS <br />� <br />S <br />f <br />REAR YARD SETI <br />VACANT SITE <br />YES 'NO <br />NO.OF OWELLIN <br />MAX.00C.LOAD <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />qooLICATION AND KNOW THE SAME TO BE TRUE AND <br />COH'ECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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 PROVISInNS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGNR�URF��F CONiflAGT,OQpR qUTNORIZED AGENT . DFTE <br />MECHANICAL <br />TYME OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />e01LEPS — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNI( — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />SUB TOTAL S <br />PERMIT f <br />TO <br />CK PLAN CHECK NUMBER � PLAN CI <br />�16� , <br />FEES b TION <br />L . <br />uNirs Huildina Code Surc aa�u eo a <br />BUILDING <br />PLUM9IN� <br />MECMANICAL <br />OTHER <br />PENALTY <br />a1458.00 <br />LLB C. <br />SEC. 3031a1 <br />FFF <br />RECEIPT NO. <br />FEE <br />TOTAL I I Z6I�� <br />PERMIT VAIIDATION <br />WHEN PROPERLV VALID4TED (IN TH�S SPACE) THIS IS YOUR PERMIT (� <br />� <br />� <br />i.� <br />�--i <br />ADDRESS FILE <br />