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die [:'rerqreen <br />atv o= <br />everett <br />CITY HALL 259�8745 <br />�ONSTRUCTIOP' <br />PERMIT PERMIT N0. 121�� <br />EVERETT. NJA 9B'<01 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER If.FILADDPE55 CITY ZiP pHONE <br />Willie Mikel. 2908 19th 5treet Everett 98201 252-6295 <br />AP;HIIEGi OR DESIGt1ER idAIL A�O�E55 GITY ZIP PMONF. <br />GENENAL GCNiRPCTOP IAAIL ApORE55 CITY ZIP PMONE LIGENSE � <br />Same <br />NELMANICAL'CONiPACTOR hiFIL ADORESS CITY ZIG PMONE LIC[NSE t <br />PLU�ABING CONTHACTOR IdAll ADORE55 GITY ZiP PMONE LICE1lSE + <br />❑ NEW ❑ AODITION }CT ALTERATION ❑ REPAIR ❑ �EMOLITION ❑ FENCE ❑ SIGN � WOOD STOVEIFIREPLACE INSERT <br />VAIUATION OF YlORK <br />S �.�.��Q�.�Q <br />remodel <br />single family residence <br />�or3-4 BIOCK 3 OF <br />2908 19th Street <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />VlATER CLOSET QOILEn <br />9ATHiUB <br />I.AVATORY (N/A5H BASIN� <br />SHOWER <br />K!TCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DFlINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREANERS <br />ROOF DRAItJS — RAINL�ADERS <br />SINK (SERVICE — BAR, ETC.� <br />r <br />R- 2 <br />i1PE OP CONST <br />V� V <br />FJZE OF BLDG. <br />1053 Sq. Ft. <br />FIRE ZOHE <br />FOl1R LOPIE51 <br />SUB TOTpI i <br />PERMIT 5 <br />70TA1 FEE 5 <br />IEET SETBACK REAR <br />� ' <br />AREA VACA <br />" ' _. YES <br />Remodel M <br />J0. OF STORIES <br />1 <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />i. FIFE PROTECTION SYSi cM <br />5. GPADING <br />6.DRPINAGE <br />7.ENVIqONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />FEE <br />0 <br />IA%.00Q LOAO <br />IFE SPRINKLERS <br />EOUIRED <br />YES 7{� <br />BY DATE <br />APPLIG+,710N ACC.OY PLANS CMECKED BY IAPPR FORISSUANCE BY <br />STG <br />xwn� <br />LC <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 LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PHESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF GONTRACTOR OR AUiMORIZED AGENi DATE <br />X� r'-y,u,/..— /f ' 7-15-83 <br />MECHANICAL �/ <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS -- H.P. EA. <br />E301LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIF SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEA7ER5 — B.T.U. M <br />EVAPORATIVE COOLEFlS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOPE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUBTOTAL S <br />PEHMI7 S <br />70TALFEE S <br />AN CHECK NUfdBER � PLAN CHECK FEE � <br />I FE 3. B A RECEIPT NO. <br />83/12124 I �2.35 I 63712 <br />FEES VALUATION FEE <br />BUILDING 5 11,000. 86 50 <br />PLUMBING <br />�dECHANICAL <br />OTHER <br />PENALTY UB.0 <br />SEC. 303 lal <br />TOTAL I I 86 �O <br />PERMIT VALIDATION <br />\NHEN PROPERLY VALIOATED �IN TMI �S� OE� THIS � x011q� �tl�T_�� <br />L �� Y � <br />� <br />N <br />',' _ �: �;�C�IPT� <br />�i;.r.�ir r/'• <br />;-,�,r,;. 1 J <br />, .. _�_c:S<. C�.0 <br />i:: ?t <br />!. �i � --L 'J J <br />i-i F <br />�3 �: <br />r�+ � <br />U1 '. <br />C <br />C7 C <br />� <br />�F <br />.a ; <br />� <br />�F <br />� � <br />Hr <br />.3 r <br />K <br />� r. <br />� F <br />q G' <br />U t' <br />C] ( .. <br />� ; � <br />