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,,,� �,��,"��,� �ONSTRUCTlOt�' <br />everett PERMIT PERMIT N0. �-�� 5'i'-� <br />CITY HALL `[�9-8745 <br />eveRen, e�n �azoi � COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />owruea r.�ni�.�ooaess ciTv ziv vH�r�e <br />Dianne C, [4eir 2118 19th Everett 98201 259-1521 <br />ARGHIiECT OR DESIGNER AIqIL A�pRE55 CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ApDFESS CITY ZIP PMOI+E LICENSE • <br />MECHANILAL CONTRAGiOR MFIL AD�FE55 LITY ZIP PIIONE LICENSE N <br />PWMBINGCONTRFCiOR MAILAD�RE53 GTV Zip pipNE LIGENSE� <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ FENCE ❑ SIGN ❑ W�OD STOVFJfIREPLACE INSERT <br />WORK <br />S <br />OESCRIBE IVORN <br />Install exhaust hoo3 and oven <br />LOT <br />19th Street <br />PLUMBING <br />NO. TYFE GF FIXTI <br />_ WATERCLOSET�TUILEn <br />,BATHTUB <br />LAVATORY(WASH BASIN) <br />SHO'vVER <br />KiTCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTFAV <br />CLOTHES WASHER <br />WATER HEATER <br />UR!NAt. <br />OHINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUAIBREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, E7C.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />i. ENVIRONtdENTAL CHECK U&T <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />a. FIRE PROTECTICN SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7.ENVIflONMENT.4LIMPACiSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICA710N ACC. BY PLANS CHE <br />—� <br />S <br />5 <br />REAR YARD SETBACK <br />\'ACANT SITE <br />VES NO <br />NO. OF DYJELLING UN <br />MAX.00G LOAD <br />FiPE SPHINKLERS <br />REOUIRED <br />YES . NO <br />9V DATE <br />BY IAPPR.FORISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LA1VS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WfiETHER SPECIFIED HEREIN OR NOT. TFIE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />Of�a CANCE HE PRUVISIONS OF ANY Ol'HER STPTE OR <br />LOCAL L W REGULATING CQNSTRUCTION OR THE <br />PERFOR NC OF CONSTRUCTIO <br />5.NAiUR CDN RACiOR OR Al1iMOR2Ea7 A�GENT DATE <br />X , _ .uLit� / ��,r�t�/15/85 <br />M[CHANICAL <br />TYPE OF EOUIPMENT <br />AIR CON0. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.Q UNITS — TONNAGE EA. <br />FORCED hIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEPS — B.T.U. M <br />EVAFORATIVE COOLERS <br />CLOTHES DRYERS <br />VENT�LATION FAN <br />RANGEHOOD <br />Alq HANDLING UNIT — GF.M. <br />S70VE — WOOD <br />ME7AL FIREPLACE 8 CMIMNEY <br />FIREPLACF INSERT <br />HEAT PUMP <br />PLPN CHECK NUMBER <br />FEES <br />BUILDING <br />PLUNBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE 5 <br />PLAN C <br />FEE <br />VALUA710N <br />S <br />FEE <br />RECEIPT NO. <br />FEE <br />19 <br />TOTAL I I 1% I�� <br />PERMIT VALIDATION .. - <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y(}UR PEFMIT -�': j• <br />C;v <br />� <br />'� <br />. i T i <br />AUDRESS FILE <br />