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rhe Evergrten <br />�ITY OF <br />ev�rett <br />CITY HALL 2588715 <br />EVERETT, WA 98Z07 <br />� �ONSTRUCiION• � <br />PERMIT PERMIT N0. 16073 <br />❑ COMBINATION f(�, BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEq MFIL AO�HE55 CITY ZIP CHONE <br />MR. JOHN PWAKA 1018 - 35th St Everett WA 98201 <br />APCHITECT OR DESIGNER MAIL A�DRE55 CITY ZIP PHONE <br />GENERAL CONTRqCTOfl MFIL ADrqE55 CITY ZIP PHONE LICENSE Y <br />G& W ROOFING i0226 Uld Hwy 99 Marysville WA 98270 553-6?19 <br />MeCMhNICAL CONTqACTOR MAIL AUDHESS CITY ZIP PNONE LICENSE M <br />G�R00159K0 <br />PLUMBING CONTRALTOF MOJL AODRESS CITY 21P PMONE LICENSE u <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O DEMOLITION ❑ FENCE C] ;�IGfJ ❑ WOOD STOYE/FIREPLACE INSERT <br />VALUATION OF WORK - <br />f �Q0�.�0 <br />DESCHIBE WORK <br />Reroof <br />�c�..� ow�r.irn�n �r rn�rtni i �snuW tltLOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK_OF <br />JOB A�DRE55 <br />1018 - 35th <br />PtUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />WATERCLOSET�TOILEn � <br />BATHTUB <br />LAVATORY!WASHBASIN) � <br />ShOWER <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />W ;TER HEATER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ET0.) <br />SUB <br />ITAL S <br />' S <br />FEE f <br />!_YES �NO <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWEL <br />SIZE OF BLDG. NO. OF STORIES MAX. OCQ L <br />FIRE ZONE BASEMENT FIRE SPRINK <br />REOUIRED <br />i.:YES :�;NO <br />APPflOVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIPE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />S. GRADING <br />o". ORAINAGE <br />>.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPUCATION ACC. BY PLANS CHECKED 81' I 4PPR. FOR IS! <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PHOVISIONS OF LAWS AN� ORDINANCES <br />GOVERNING TF{IS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GPANTING OF A <br />PERMIT 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 />PERFORMANCE OF CONST UCTION. <br />$IGNAT�ONT���qIZE'/,���=j�,DjT�/ DATE <br />X ,"�/.� 2/14/86 <br />��.s i <br />........_. i <br />NO. <br />AIH COND: UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P, EA. <br />601LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCE� AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT MEATERS — B.T.U. M <br />EV4PORATIVE COOLERS <br />CLOTHES DFiYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR iIANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />��E7BACK PLAN CHECK NUh <br />FEES <br />LING UNIT$ <br />BUILDING <br />OA❑ <br />PLU`.1BING <br />LERS MECHANICAL <br />�ATE OTHER <br />PENALTY <br />TOTAL <br />SUB TOTAL S <br />PEHMIT S <br />TOTALFEE t <br />PLAN CI <br />FEE <br />VALUATION <br />S 1000.00 <br />RECEIP7 NO. <br />FEE <br />17 <br />�% <br />PENMI7 VpLIDA710N <br />NlHEM PROPERLY VALIDATE� (IN THIS �I �C�) iH15 }$xO�JR�PFH�1T _�,",-� <br />�U I I 7 <br />r � <br />.. n �irrr�r:�'. , <br />: 1 ,�U <br />� ;�J �� <br />ADDRli55 FILE <br />