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ihe Everhreett <br />c�rv oF � <br />'�'ONSTRUCTION� �' <br />everett PERMIT PERMIT NO. 16347 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 � COMBINATiON ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MqILA00RESS CITY� 21p PMONE <br />LESSLEY COflSTRUCTION 18204 Bothell Ee�rett Hwy #2 Both i� Weoam � 481-RR66 <br />nRCHITECTOPDESIGNER - MAILADORE•.5 CITY ZIP VHONE <br />QENEPqLCONTqACTOR MAILADDRE55 dTY ZIP PHONE VCENSEN <br />21P PNONE LICENSE N <br />PLUM9ING CONTRACTOR NAIL FO�RESS CITY 21P PMONE LICENSE N <br />❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ FENCE O SIGN D WOOD STOVEIFIREPLACE INSERT <br />VNLUHTION OF WOflB � <br />S SO�OVY.UO <br />DESCRIBE WOPI( — — <br />Rew sinale famllv residence <br />.wn� vca�niruvn ur rnurenn ��MOW 6ELOW OR / <br />LOT�_BLUCK_OF J.Itll�...1�..�� <br />� l'1TOT 41 CC <br />IJVO � .7�SL r • <br />PLUMBINO <br />NO. TVPE OF FI} <br />WATER CLOSET(TOILI <br />BATHTUB <br />LAVATORY�WASHBA: <br />SHOWER <br />1 KITCHENSINKSDISP. <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADE <br />SINK (SERVICE — BAR, ETC.) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AN� <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHET�IER SPECIFIED HEREIN OR NOT. THE GRANTING OF n <br />PERMIT DOES NOT PRESUME TO GIVF AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMAN E OF CONSTRUCTION. <br />SIGNATURE� O/F Gf7 TRAC AUTMURIZED AGENT �ATE <br />X JL_ / l.�?Y �J� <br />MECHANICAL <br />OR ITEM FEE N0. TVPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIlERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATEPS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />AIH HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />RS ME7AL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />SILt UF 9LDG. NO. OT <br />FI BASE <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTS7ATEMENT <br />8. HEAL74 :11STPICT <br />APPLICATION ACC. BY PLANS CHE <br />stg stg <br />S <br />S <br />REAF YARD Td� <br />VAI.`A14T SITE <br />�YES "�NO <br />.OFNO �WELLING <br />MAX. Cb C. LOA9 <br />FIRE PRINKLERS <br />BY <br />FEES <br />State Bldc <br />B t�,tg Ener <br />PLUMBING <br />MECHANICAL <br />DATE O7HER <br />APPR.FORISSUANCE BY <br />lc <br />PENALTY <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />VALUATION <br />E 5hCli <br />TOTAL � i{EL'N 9:�8.00 <br />PENMIT VALIDATION �V7�� S..O�— <br />WHEN PROPERLY VALIDATED (IN A�I�'(WACE) T�JI�UR PERMIT � <br />SEW[R 430.U0 'd' <br />Basic �1228 11?1-5 's�;4.00 (�f <br />rHEC4; i671.50 � <br />�"'' <br />AP°LICANT'S COPY <br />