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!h. (i��crcrecn ; � 0��T R U CT I� N <br />�,r, v Or i <br />everett pERMIi PERMIT N0. 12 ��� <br />�ITY HALL 259-87d5 <br />CVERETT.WA98201 ❑ COMBINATION �i BUILDING G MECHA�NICP.L ❑ PLUMBING <br />OWNEP NAILA�OFE55 CITY ZIP PMONE <br />Donald Gilbert 10222 9th �venue West Everett 982u4 355-1279 <br />A�iCHI1EGI OR �ESIGNEP 1AAIL ADDRESS GRY ZIP PHONE <br />GENERaLCONiRAGTON MAILA��RESS GiTY LP PHONE LIGENSE+ <br />Same <br />MECMANICAL CONiRAGiOR MAIL AO�PE55 CITV ZIP PHOHE LICENSE � <br />PLUMBiNG CONTRACiOR MAIL AOORE55 GIiY ZIP PMONE LIGENSE X <br />G NEW ❑ AODITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W000 STOVE/FIREPLACE INSERT <br />5 1500.00 <br />OESCRIB[ WORN <br />Hot tub room addition <br />family residence <br />16 Olivia Park Div. I <br />LOT_BLOCK_OF <br />10222 9th Avenue West <br />PLUMBING <br />NO-I—TYPE OF FI%TUflE <br />F3AfHTUB <br />SHOWER _ <br />KITCHEN SI�K g DISP. <br />�I541WASHER <br />LAl1NDRY TRAV <br />CLOTHES WASHER <br />WATER HEATEP <br />URINAL <br />DRINKING FOUNTAIN _ <br />FLOOR DflAIN <br />VACUUM BFEAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK ISERVICE — BAP, ETC.) <br />SU9 <br />USE Z(. <br />NO. <br />ZONE <br />TOTAL FEE <br />pPPROVALS <br />1. ENVIRONMENTAL CHECK LISi <br />2.BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. DRAINAGE <br />7. ENVI RONMENTAL IMPACT SiATEMENT <br />8. HEALTH DISTflICT <br />APPLICATION ACC. BY PLANS CHECHED BY <br />DAB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AtvD <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIL�_ BE COMPLIED WITH <br />WHETHFR SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STAT[ OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />sicr+n*ua OF CONiFA on oa npTx Ri r.o nc r+r 11/22/83 <br />�j ?/ ` <br />X �I/�'1v_�_L�. � <br />MECHANICAL <br />5 <br />S <br />f <br />IEAR YAflO S�,BACI: P�N <br />rpCANT SITE <br />YES :NO <br />OCC. <br />DAB <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.F`. EP. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />PORCED AIfl SYSTEMS — B.T.U. M EA. <br />VlALL MEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DflYERS <br />VENTILATION FAN <br />PANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — N'000 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEFT <br />I HEAT PUiAP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />i <br />FEE <br />VALUATION <br />$ 1500. <br />U.B.C. <br />SEC. 303 �a� <br />� <br />5 <br />S <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />2S 00 <br />TOTAL I I ZS I OO <br />PERIAIT VALIDATION <br />WHEN PROPEPLY VALIOATED (IN THI6 SPAGf) TMISQISTiQUEi PF,WA�T C'11 <br />4�I 7 7 J U L J U U � <br />��_ <br />t',I <br />, _ � : F=CCIPT. � <br />� � �. ^. P,I �. �l C U <br />.����i��� i i'��� <br />�� I I-�'J � I i J <br />