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Jir !_l�er�;rmn �� � ST R U CT I O t`, <br />��,,�� ; <br />everet� pERMIT PERMIT N0. i.���«�° <br />CITY HALL 259�87d5 <br />evea=_rT, wn sezo� ❑ COMBINATION ❑ BUILDING �tX MECHAiVICAL ❑ PIUMBING <br />owr+ee mhomas Borg or Mti��aooaess t Street�TY ��P vnoNe <br />Na%itXll2X�7f1GX&d�M3pid➢iMX P 388X&7f1SXXMxBYit�XYY�4tX�X5Xff Everett 98201 <br />qqGMItEGi OF DESIGNER L1FIL ApORE55 CITY TIP PMONE <br />GENERAL CONiRAGTOF Idf.IL ADOPE55 CIiY ]IP PHONE LIGENSE � <br />Natural Gas Equipment 1625 East Marine View DRIVE Everett 98201 258-2941 <br />MECHANICFL GONTRAG70H ��AIL AOORESS CITY ZIP PMONE LICENSE � <br />PLIIMBING CONTRACTOR MAIL AODflESS CRY ZIP PMONE LICENSE � <br />❑ NEW ❑ AODITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLItION ❑ FENCE � SIGN ❑ NJOOD STOVEIFIREPLACE INSERT <br />5 <br />LOT_BLOCH__OF <br />615 35th Street <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />6VATER CLOSET (701 LEn <br />BATHTUB <br />LAVFTORYQNASH BASIW <br />SHOWER <br />KIT(:HFN SINK 8 DISP. <br />DISHWASHER <br />.AUNORYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />F�OOR DRAIN <br />VACUUM OREAKEFlS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BHF, ETG) <br />SUB TO7AL <br />PERMIi <br />TOTALFEE <br />APPROVALS <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />S. FIRE PROTEC710N SYSTEM <br />S.GRADING _ <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPI ICATION ACC. BV PLANS CHE <br />� <br />BY <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS <br />NPPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK NIILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHONITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO ANCE OF CONSTRUCTION. <br />SIGNATU E 0 N�TO 0 A MORREO AGENT 1O�7�BStE <br />X � �� <br />MECHANICAL <br />N0. TYPE OF E�UIPMEN �� FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. E4. <br />BOILF.RS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. _j� <br />NlALL HEAiERS — B.T.U. M <br />UNIT HEATERS — B T.U. M <br />EVAPOHATIVc COOLERS <br />CLOiHES DRYERS <br />VEtJTILATIUN FAN <br />RFNGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — VJOOD <br />ME7AL FIREPLACE 8 CHIMNF.Y <br />FIREPLACEINSER7 <br />HEA7 PUMP <br />1 Water Heater 4 5C <br />a <br />5 <br />S <br />REAR YARD SETBACK P�AN <br />VACANT SITE � <br />,.YES .�.NO <br />BY <br />OCC. <br />FOR <br />B'f <br />SUB TOTAL 5 <br />PEPMI7 f <br />TOTALFEE 5 <br />PLAN C <br />FEE <br />VALUATION <br />BUILDING 5 <br />PLUMAING <br />MECHANICAL <br />GTHER <br />U.B.C. <br />PENAL7Y SEC. �031a1 <br />_—�0 50 <br />K FEE <br />FECEIPT M1O. <br />FEE <br />20 50 <br />TOTAL I I ZO I SO <br />PERMIT VALIDATION �9 e � ��� �� _ � <br />WHEN PROPEPLY VALIOATED (IN TM�.S A Ej THI I IT _ <br />;\DGRESS FILE <br />P � i. . <br />.. .. ,... _ ;=11'1 c i <br />i��....... �i�l_)U <br />—��.l,7CJ <br />