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the £verRreen ��O N ST R U CT I O� S <br />CITY OF <br />everett PERMIT PEaMIT NO. 1E�297 <br />CITY HALL 259A7�5 <br />EVERETT, WA 98207 �j COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDNESS GITY ZIP PHONE <br />DON wOMACK 2717 - 21st St Everett WA 98201 252-7464 <br />ARCHITECT OR DESIGNER MAIL PDORE55 CITY Z1P VNONE <br />GENERAL CONTFACTGR MAIL ADDRE55 QTY ZIP °MP:JE LICENSE t <br />$aIIIC' <br />MECXANILAL CONTRAGTOR MAIL AOOFE55 CITV 21P PHONE LILENSE � <br />PLUMBING CONTflALiOR MAII AODflE55 GTY ZIP PHONE LICENSE � <br />__"'_' __' <br />❑ NEW ❑ ADDITION [� ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN O WOOD S70VE/FIREPLACE INSEHT <br />VALUATION OF WOPN <br />y %��0.a0 <br />bedroom and extend second flooz bedroom <br />EGAL DESCRIPTION OF PROPERTY �SHOW BELOW OR ATfACH <br />�or 20-Z�ocK 9 oF. �ady Land Co 1 <br />JOBAO�RESS <br />��i� _ �i�r <br />PLUMBING <br />TYPE OF FIXTURE OR <br />W N fER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISFiWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WA7ER HE.�TER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACl1UM BREAKERS <br />ROOF DRAINS — RAINLEADF.RS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />NO.OF <br />APPNOVALS <br />1. ENVIRONMENTAL CHECK LIST _ <br />2. eUILDING PLANS <br />3. FIRE MY�RAN7 <br />4, FIHE PRO7EC710N SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. <br />FEE <br />� <br />S <br />S <br />REAR VARD SETBA( <br />VACANT SITE <br />;:YES �.:NO <br />NO.OF DWELLING i <br />MAX.00Q LOAD <br />FIRE SPRINKLEAS <br />REOUIRED <br />I �.YES �'�NO <br />BY DATE <br />BY IAPPR.FOR <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEflMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIOM. <br />SIGNATOBE'OF LONTRACTOR OR AUTMORIZEO AGENT �ATE <br />�(//l> �ii<'///f177ul�' _ <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT __ <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED A.C. UNITS — 70NYAGE EA. <br />FORCED AIR SYSTEMS — B.i.U. M EA. <br />WALL HEATERS — B.7.U. ti1 <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VFNTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — QF.M. <br />S70VE — WO00 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TGTAL 5 <br />PERMI7 L <br />TOTAL FEE � 5 <br />FEE � RECEIPT NO. <br />VALUATION � FEE <br />BUILDING $ 7000 <br />PLUMBING <br />`!ECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC.303 <br />rorn� i � 31 I 25 <br />PEHMIT VALIDATION <br />WHEN PqOPERLY VALIDATED (IN THI I SIP O I' THIS �S'�'��1F� PF�i�11T__ �� <br />�'JJI /) <br />Renewal of permit no. 13201 �� <br />f [. <br />_+ <br />� ,. �I tl'�c � <br />; ,., �� <br />ADf)RESS FIIE <br />