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lhcEverxrpprt S ��NSTRUCTIO� � <br />��,� o, r <br />everett PERMIT PERMIT N0. 15279 <br />CITV HALL 259�87a5 <br />EJERET7, WA 98201 ��OMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />ONNER MAILAO�RE55 CIiV ZIP PYONE � <br />'::athleer Raney 519 Tamarack Everett 98203 347-7938 <br />ARGMRECT OR pE51GNER MSIL ADORE55 CITY ZiP PHONE <br />GENERAL CONTflACTOR IdAIL ADORESS G7Y ZIP PHGNE UCENSE 1 <br />MECHANICnL CONTRACiOR MAIL ADOFE55 CITY ZIP PHOIIE LICENS'r. M <br />Same <br />PIUMBING LONTRACTOR MAII q�ORE55 CITY 21P PMONE LICENSE M <br />5 <br />❑ NEW O ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEh10LITION � FENCE ❑ SIGN }� WOOD STOVFJF�REPLACE INSERT <br />OF <br />Airtight metal fireplace and <br />LOT_BLOCK_OF <br />JUtl PV V`�t�J <br />2720 16th Street <br />?LUMBING <br />NO. TYPE OF FIXTURE OF <br />WATEFi CLOSET (701LEn <br />BATHTUB <br />LAVATGRV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRY7RAY <br />CLOTHES WASHER <br />WATER HEA7ER <br />URINAt. <br />DRINKING FOUNTAI� <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />70TAL FEE <br />5!ZE OF dLOG. NO. OF STORIES <br />FIRE ZONE 9ASEMENT <br />APPFlOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIRE HYDRAN7 <br />4. FIRE PROTEC710N SYSTEM1I <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DIS <br />APPLICATION <br />FEE <br />S <br />E <br />YES NO <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 />GGVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WH�THER 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />SIGNFiURE OF CONTRACTOfl OR AUTHORIZED FGENT OATE <br />x 1G�._ G �—� a/e/as <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FcE <br />AIR COND. UNITS — H.P. EA. <br />RFFRIGEh rTION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI7S — TONNAGE EA. <br />FORCED AIR SYSiEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.7.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WO00 <br />1 IdETAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />SUB TOTAL S ] 50 <br />PEFMIT S 10 OO <br />TOTAL FEE 5 17� <br />G <br />FEE <br />FEES VALUATION <br />RECEIPT NO. <br />FEE <br />BUILDING 5 <br />MA%. OCQ LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECFIANICAL <br />FEOUIRED 17 50 <br />VES .NO <br />BY DATE OTHER <br />PENAL7V U.B.C. <br />SEC. 303 (a) <br />70TAL 17 SO <br />PEHMIT YALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMI7 _ Q] <br />N <br />— N <br />LL� <br />. � <br />BY I PIANS CHECKEU BY IAPPR.FORISSUANCE BY <br />ADURESS FIIE <br />