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ihe Evergnen <br />41IY OF <br />eyerett <br />CITV MALL 25BE7�5 <br />EVERETT. WA 982�11 <br />� rCONSTRUCTlO� � <br />PERMIT PERMIT NO. 15H31 <br />❑ COMSINATION ❑ BUILDING L� MECHANICAL ❑ PIUMBINO <br />OWNER � MAILADOPESS GTV 21P <br />C�tI�TIN CLAREY 2526 - Slat St SW PHONE <br />Everett WA 98�J3 353-7296 <br />ANCH ECTOq ESI NEfl MAILADDPES$ ��Ty <br />Z�P PMONE <br />GENERqL CONTRACTOP MAIL AD�RESS CITY <br />Sa[112 Z�P PHONE LICENSE • <br />MECHANICAL CONTqACTOR MAIL ADDRESS ��T� <br />Z�P PHONE �ICENSE I <br />PLUMBING CONTRACTON MqIL AOURESS CITY 21P PNONE LICENSE M <br />O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN 61( WOOD STOVE/FIREPLACE INSERT <br />VALIIATION OF WORK <br />f <br />DESCRIBE WORN <br />Inatall woodstove <br />LOT__BLOCK__OF <br />PLUMBING <br />OF <br />- 518t $t. $W <br />OF FIXTURE <br />WATEF CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK fl DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERVICe — BAR, ETC.1 <br />� <br />PEqM1T <br />TOTAL FEE <br />S <br />S <br />S <br />::YES ;.:NO <br />I ;:;YES ❑NO <br />APPROVALS 8Y DATE <br />1. ENVIRONMENTA� CHECK LIS7 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING — <br />6.DRAINAGE — <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY qPpq, pOR ISSUAN� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />4PPLICATION AND KNOW THE SAME TO BE TRUE AND <br />C:ORRECT. ALL PFiOVISIONS OF LAWS AND ORDINANCES <br />G�VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />VlHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PcRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE� E-OF CONSTRUf'�10� <br />�mATURE O NTR q1 T p�j� p DATE <br />�.� 12/17/85 <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT <br />AIR COND. UNITS — H.P. Eq, <br />REFRIGERATION UNI7S — H.P. FA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UIJITS — 70NNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEqS <br />VENTILA710N FAN <br />RANGE HGC3D <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S <br />PERMIT s <br />TOTAL FE� S <br />( NUMBER PLAN C. <br />FEE <br />FEES VALUATION <br />BUI�CING <br />PLUAI6ING <br />MEGHANICAL <br />OfIiER <br />PENAI.7Y <br />S <br />RECEIPT NO. <br />FEE <br />TOTAL <br />. 17 50 <br />PERMIT VALIDATION <br />WHEN PROPEFiLY 4ALIDA7ED pN THIS $P�.GE��HIS I�YQUp �F�11� _ V y^ <br />6 ( U I J �E <br />. Y <br />(�Y <br />sv . '.; 2 �tECcIP� <br />i . � �. i `� �. �I �, � U <br />I 7 L�� 8 � <br />ADDRESS FILE <br />