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-�,�� ��� �..��,��.,, � � o N sT � u c-r i a r� <br />�,���� � , <br />everett P E� M I T <br />CITY HALL 259-8745 <br />EVER[TT. WF98207 � CO���BINATION �c BUILDING ❑ MECHANICAL <br />Mary Dayton <br />znna 19th StY'eet <br />Al CONTRAGTOR m�" ���••��� <br />K-Four Const 10109 Kenwanda Drive <br />PERMIT N0. -� �} � � `�' <br />❑ PLUM8ING <br />ZIP <br />. <br />❑ NEW ❑ ADDITION ��ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SI3N ❑ WOOD 570VElFIREPIACE INSERT <br />S 14�000.00 <br />Repair existing residence <br />ISEO USE OP BUILDING <br />Single Pamily Residence <br />q 4 Ready Land Co's <br />�ar�5 �ocK_ oF <br />3008 19th St=eet <br />PLUMBING <br />N�, TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEi) <br />BATHTUO <br />IAVATGRY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />�AUNDRYTRAY <br />CLOTHESVJASHE__ R ______ <br />WATEF HEATER <br />URINAL <br />DRINKIIdG POUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — HAINLEADERS <br />SINK ISERVICE — BAR, EfG.) _ <br />SUB TO7AL <br />PERMIT <br />TOTAI FEE <br />OF <br />APPROVALS <br />1. ENVIRONh1ENTAL CHECK LIST <br />?. BU!LOING PLANS <br />9. FIRE HYDFANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTAi1MPACTSTA' <br />B.HEALTH DISTRICT <br />naPl ICATION ACC. BY P�A <br />S <br />S <br />S <br />YES .NO <br />OCC. <br />REOUIReD <br />YES NO <br />APPR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRO\'ISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPt OF WORK WILL BE COMPIIED WITH <br />PERMTDOESNOTIPR SUMETOGIVEAUTHORTYTOVO�TE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR_ JJCE OF C S�RUCTION. oATE <br />£AGNhTU i0 CON7 W MOR12E0 PGENi 3�1/84 <br />.l�!/ � <br />���� � <br />MECHANICAI <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. — <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED A�R S�STEMS — B.i.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M - <br />EVAPORATIVE COOLERS <br />CLOTMES DRYEHS . <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIr — C.F.M. <br />S70VE — �'JOOD _ <br />METAL FREPLACE A CHIMNEY <br />�incl'LACEINSERT . <br />HEAT PUMP <br />SUB TOTAL s <br />PEFMIT 5 <br />TOTAL FEE 5 <br />PLAN CHECH FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />BUILDING 514,000. 104 50 <br />PLUMBING <br />MECHANICAL <br />OTHER _ <br />— U.B.C. <br />PENALTY SEC.303�a� <br />lOTAL 1�4 �0 <br />PERMIT VALIDATION <br />WHENPROPERLYVALIDATEDpNTMlS'SP,q�E�TMIS,I�YQUj7P�F�1T _ (��y',} <br />, � � � t1 V <br />� <br />M <br />' �PI `-1 <br />BY <br />. � . \ •'. r- � <br />,1DDf:cSS 1'ILf: <br />