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Ute £verX�een C 0 N ST R U CT I O'� I <br />C,iv OF I <br />everett P E R M IT <br />CITV HALL 259�87d5 <br />EVERETf, N!A 982C7 �X COMBINAI�ION ❑ BU�LDlNG ❑ MECHANICAL <br />PERMIT NO. 13565 <br />� WLUMBIM�d <br />"'""`" JAMES RRNEL "" - <br />430 - 50th SW Everett WA 98203 252-'698 <br />nRCHITECT OF DESIGNER NAIL AODPE55 CITY ZIP PMONE <br />GENEFIAL COPIiflACTOR MAIL AO�RE55 CITV ZIP FMUNE ! �CENSE M <br />PLAN FORMATION 6822 211 th PL Arl i rnton 98 3 4a5 3F(19 PI ANFII2ROOF <br />MEGMINI:AL CONTRPCTUR MFR ApOPESS CITY 21P PMONE LICENSE I <br />PLUTAdIHG CONTFACTOR fAAIL ADDRESS CITY ZIP PHONE LICENSE I1 <br />❑ NEW ❑ ADDI710N �( ALTEFlATION ❑ REPAIR ❑ DEMOLITION ❑ fENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSEHT <br />.UATIOIi OF �1'JRK <br />S Z�J��.O� <br />Rernove garage door and partition off to bedroom <br />USE OF BUILOING <br />Si ngl e fami�y residence I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LOT �? BLJCK_OF <br />JOB ADORESS <br />aso - 5otn sw <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATERCLOSET(701LEn <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLO7HE5 WASHER <br />WATER HeATER <br />URINAL <br />DRINKING FOUNTAIN _ <br />FLOOR �RAIN <br />VACUUM BREAKERS <br />FOOF DRAINS — RAINLEADERS <br />SINK ISERV�CE — BAR, E7Q) <br />SUB 70TAL <br />PERMI7 <br />TOTAL FEE <br />I <br />5¢E OF 6LDG. � NO. OF eTORIES <br />BASE1.tENT <br />APPBOVALS <br />t. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS "' <br />3.FIREHYDRANT ��� <br />7. FIRE PROTECTION SYSTH�4 <br />5. GRAUING <br />6�DRAINAGE. ,.,� <br />'I.ENVIRONMENTALIMPAQT9TATEMENT <br />iCPPLICATION ACC. BY PLANF <br />Co _ .. . ;� <br />+ stg :__ -- � Jf <br />_ -r� <br />_ � <br />':� <br />COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANT!NG OF A <br />PERMIT DOES NOT PRESU�AE TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW 9EGULATIN� CONSTRUCTION OR T�iE <br />PE -0RMANCE OF CONSTHUCTION. <br />SIG ATU�E OF CONTRAG� R, �Ry TMORIZED AGENT DAiE <br />X ��� /.//r///��..,�1,vr-� 6/28184_ <br />HANICAL " <br />FEE NO. TYPE OF E�UIPMENT rEE _ <br />i AIR COND. UYITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. � <br />GAS FIRED A.C. UNITS — TUNNAGE EA. <br />FORCED AI9 SYSTEMS — B.T.U. M EA. <br />WALI HEATERS — 6.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />Z OO CLOTHES DRYERS <br />VENTILATInN FAN <br />RANGE HOO� <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIRE��CE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />S L <br />f <br />S 2 <br />REAR V?RD SETBI <br />VAI.A:: f SITE <br />YES NO <br />NO. OF DSVELLING <br />MA%.00C.LOAD <br />FIRE SPAINKLEPS <br />YES NO <br />BY DATE <br />FOR <br />SUB 707AL 5 <br />PERMIT S <br />TOTALFEE S <br />PLAN CHECK NUM6EFi r�hn �n��.n rco <br />84/13565 FtE 25.03 70fi�OEIPTNO. <br />� FEES VALUA710N FEE <br />BUILDING 525�0.�� 3$ 5Q <br />PLUId81NG Z OO <br />tdECHANICAL <br />OTHER <br />PENFLTY U.B.C. <br />SEC. 303 �al <br />TOTAL GQ 5Q <br />PERMIT VALID.4TION <br />WHEN PROPERLY VAUDATED (IN THIS SPACE� THIS IS YOUR PERMIT �« <br />?i'1 G,f138.5� S',� <br />�r� <br />(Y3 <br />. . .. _, ' I �i'�'.r'i <br />, . i� <br />ADDRESS F'L` <br />. 1 <br />� � "i <br />� <br />C.: <br />� <br />Hf <br />C7 <br />H F <br />H F,_ <br />H F-, <br />� ' <br />OCr <br />[�J � <br />y c <br />O F. <br />Cil ~ <br />H <br />� :_ <br />H F <br />� Vi <br />OY <br />f. <br />� .. <br />b: <br />� _- <br />� f' <br />