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the L'rergreen <br />e�e�ett �� �O��TRl1CTlON,� e <br />CITYHALL25987A5 ��• ■,e,�'f RERMIT NO. ���21 <br />EVERET7, Wq g8201 � COMBINATION <br />� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />nwuco <br />Sylvia Colliers '""'� """"tss <br />icMirecrnaoF��.:.��„ 1609 - 18th St. <br />Storn!s' Construction "'^" �Vu^"s <br />4331 - 129th P1 NE <br />MEGMANICALCONTqACiOR <br />MFIL AODRESS <br />1 <br />X <br />..••,••� u�tnst q <br />OSS OF IMORN <br />���EW �] ADOITION ❑ ALTERATION � REPAIR ❑ DEMOLITION O FENCE ❑ SIGN <br />.UATION OF WORK O WOOD STOVFIFIREPLACE INSERT <br />S 5�%S�.Q� <br />Repair chimney (tuck point), roof & <br />'FOPOSEDUSEOFBUILDING 4utter, 3oors & windows, stair & railing, and <br />Residential — Paint <br />, du lex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />.EGFL�ESCRIPTIONOFPROPERTY�SMOWBELOWORATTqCHFOURCOPIES) APPL!CATION AND KfJOW THE SAME TO BE TRUE AND <br />15 & 16 347 platt of Ewerett Division CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />lOT_�BLOCK__OF "L' GOVERNING THIS T`!PE OF WOHK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIlJ OR NOT. THE GRANTING OF A <br />PERMIT DOES NOl" PRESUME TO GIVE AUTHOR�TY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL I.AW REGULATING CONSTRUCTION OR THE <br />JB ADGqESS PERFOR �/,�ICE OF CONSTRUCTION. <br />1609 18th St SIGNATbF G(`,pNTF. !Oq qUT � 0 qG <br />X / oare <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />VvA7ER CLOSET(TOI�En <br />BATHTUB <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISFIWqSHER <br />LAUNDRY'RAY <br />CLO�HES WqSHER <br />WATER HEA7ER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM 3REAKERS <br />flOOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETCJ <br />SUB TO7AL <br />PERMIi <br />TOTAL FEE <br />SIZE OF BLDG. NO. O <br />FIRE ZONE BASEP <br />APPpOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDWG PLANS <br />3. FIRE HYORAN7 <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING — <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATE <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLAN <br />M.M. <br />5 <br />5 <br />S <br />YES ..NO <br />BY <br />NO <br />DATE <br />MECHANICAL ,r����=��L�(G <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNI7S - H.P. EA. <br />REFRIGEAA710N UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS fIRED A.C. UNITS - TONNAGE EA. <br />FORCED qIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEA7ERS - B.7.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />PLAN <br />RANGEHOOD <br />�� __ <br />AIR HANDLING UNIT -� <br />srove _ W000 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACFINSERT <br />HEAT PUMP <br />QF.M. <br />SUB TOiAL g <br />PEAMIT 5 <br />707AL FEE S <br />PLAN n4ECK FEL <br />FEE RECEIP7 NO. <br />VAIUATIOk FEE <br />BUILOING — <br />55,780.00 56 50 <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY U.B.C. <br />SEC. J03 (a) <br />TOTAL <br />56 50 <br />PEqM17 VAI.IDATION <br />WHEN PROPERLY VALIDATED (IN THIS,$Qpp�) TMIS �F�1(p�IF� pP���7 _� <br />!1 �� b <br />6? <br />�y l <br />BY i ' .. .. ,,..� I�-i <br />, ,. '. ' J <br />_ �� <br />ADDRESS Fll.Ei ' <br />J.�,�� :;� <br />�� — <br />