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,,"�`���`'�`��F � CONSTRUCTIO'1 <br />everett PERMIT PERMIT NO. l���L� <br />CITV HALL 259-8745 <br />eveaeTr.wnsezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />014NEF MPILAOORESS GIiY ZIP FNONE <br />Thomas Potts 2702 16th Street Everett 98201 252-9952 <br />nPCnITELi OR �ESi@�EB MnLL ADDPE55 GIiY ZiP °40NE <br />GENERALCONiflACiOP 1AAILApDRE55 GITY ZIP PNONE LIGEt15[• <br />Same <br />MELNPNIGALCONTRAGTOR MAILAppPES$ CITY 21P PNONE LIGENSE+ <br />PLUMBiNG GONiRAG10R MPII >OORE55 GIiY 21P PHONE LICENSE X <br />❑ NEW � A�OITION ❑ ALTERATION �REPAIR ❑ �EMOIITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />5 275.00 <br />re-roof portion of residenc <br />sinqle family residenc <br />LOT_OLOCK_OF <br />JOB <br />2702 16th Street <br />PLUMBING <br />NO. TYPE OF FIXTURE Ofl <br />� WATERCLOSET�TOILEp <br />LAVATORY(WASH 6ASIN� <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAl1NDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />�fiINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BRE?.KEflS <br />ROOF �RAIN`i — RAML <br />SINK ISERVICE — BAR, <br />SUB <br />TOTALFEE <br />DE YARD <br />OF <br />ZON <br />APPROVALS <br />1. ENVIRONMENTAL CHEGK UST <br />2. �UILDING PLANS <br />9. FIRE HYORANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRARIAGE <br />7. ENVIqJNMENTAL I MPACT STAI <br />B. MEALTM DISTRICT <br />APPUCATION ACC. BY PLA <br />BV <br />5 <br />f <br />S <br />-- Composition _ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KIJOW 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 />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATF OR <br />LOCAL LAW REGUL. TIPlG CON$TRUCTION OR THE <br />PERFORMANCE OF CONSTAUCTION. � <br />SIGHPLURE OF CONTflACTfMr)jl"RlII�ORIZEO AGENT �ATE <br />VES . NO <br />MAX. <br />YES <br />BY <br />X �� <br />MECHANICAL <br />TYPE OF EDUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />RFFftIGERATION UNITS — H.K EH. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCE� AIR SYSiEMS — B T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEAS — B.T.U. M <br />EVAPORATNE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAi PUMP <br />SUB TOTAL 5 <br />PEHMIT f <br />TOTALFEE S <br />PLAN CHECK Nl1M8ER PLAN C <br />FEE I <br />FEES I �ALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />5 i%s. <br />U.B.C. <br />SEC. 303 <br />8/9/83 <br />RECEIPT NO. <br />FEE <br />� 11 <br />TOTAL I I ].O I OO <br />PEPMIT VALIDATION K $�� �� ��. �� � <br />WMEN PROPERLY VALIDATED IIN THU � � THI 'I V P IT � <br />FORISSunNceerl 1'C�.;R REC�IPT'. : <br />1�'',1NK YOU <br />',rC��i:�; RLE <br />j O ",UG $ .�i <br />