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rr.r !.. ��,<rri,: <br />f�����°+° �� �� CfJNSTRUCTIC�N ��� <br />evei'�.�C PERMIT PERMIT NO. 14020 <br />CITY HALL 259�87a5 <br />EVERETT,WA98207 [� COMBINATIQN ❑ BUILDING �MECHANICAL ❑ PLUMBING <br />OWNER MAILAOORESS CITY ZIP PMONE <br />Louise L. Walter 609 54th S.W. Everett 98209 355-9245 <br />ARCHITECT OR OESIGNER MAI� AO�RESS CITV 21P PHONE <br />GENEPAL CONTRFLTOfl MFIL ADDREPS CITY ZIP PHONE LICENSE M <br />Seniar Services 3404 lllth S.W. Everett 98204 <br />MECMANICAL CONTRACTOR MAIL A��RE55 CITY Z�P PHONE LICENSE M <br />SENIOS 52430H <br />PLUMBING GONiFACTOfl MAIL RDDFESS CITY ZIP PMONE LICENSE N <br />O NEW ❑ AODITION ❑ ALTERATION ❑ REPAIF ❑ DEMOLITION O FENCE ❑ SIGN }[� WOOD S70VEIFIREPLACE INSERT <br />f <br />LOT_BLOCN_OF <br />G69-54th S.W. <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET�TOILEIj <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHcN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.1 <br />SUB TOTAL <br />TOTAL FEE <br />STORIES <br />FI <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ f:ND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRJVISIONS 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 PROVISIONS OF ANY OTHER STPTE OR <br />�LOCA LA'W,/ REGULATING CONSTRUCTION OR THE <br />Ni,Spt�CE OF COpISTRUC7IOI�.� �. DATE <br />,e�NAT EOP�C}7NTRACT09,01�y4i�H0A1fdAC�j(�� <br />FEE O. TYPE OF EUUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GPS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />]_ STOVE — V:OOD <br />METAL FIREPLACE 8 CHIMNcY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />S <br />S <br />REAR YARD SETF <br />VACANT SITE <br />YES LNO <br />N0. OF DWELLIN <br />MAX.00C.LOAD <br />FIHE SPRINKLER: <br />FEOUIRED <br />CYES ;'NO <br />BY I APPR. FOR ISSl1ANCE BY <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />FEE <br />SUB TOTAL S 7 <br />PERMIT S lO <br />TOTAL FEE S 17 <br />PLAN CHECK FEE <br />FEE RECEIPT N0. <br />VALUATION FEE <br />S <br />U.B.C. <br />SEC. 303 <br />17 <br />TOTAL I I 1� I <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDA7ED (1N TF{IS_SPACE) THIS I� Y UR gEF�M1T <br />, , ,�/..�,— <br />_ .I , . <br />ADDRC-SS FlLE <br />