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CONSTRUCTIOV <br />everett PERMIT PERMIT NO. 13749 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 U COMBINATION WBUILDINO ❑ MECHANICAL rl PLUMBING <br />c� <br />OWNER MA14 %j"3 Everett WA 98CO3 355-9368 PHONE <br />HOWARD MADISON 1411 - 73r <br />CITY PHONE <br />ARCHITECT OR O'SIONER MAIL ADDRESS <br />21P <br />PHONE LICENSE E <br />GENERAL LVNmww vn <br />Same <br />PHONE LICENSE r <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />NSE r <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />LITY ZIP PHONE LICE <br />❑ NEW DJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />$1800.00 <br />Highland View <br />LOT 9 BLOCK _-OF 9 �-- <br />1411 - 73rd <br />PLUMBING <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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER N OR NOT. THE GRANTING OF A <br />PERMIT DOES NOIT PRESUMEFIED TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE OF ANY OTHEROR <br />LOCAL LAW REGULAITIINGSCONSTR CTIONSORTTHE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATI OFCONTRACTORO A .f E AGENT t DATE <br />XJ„ ���8/20/84 <br />rc yr . m. -„- -.... _. - <br />-. <br />AIR COND. UNITS - H.P. EA. <br />CLOSET (TOILET) <br />REFRIGERATION UNITS - H.P. EA. <br />UB <br />BOILERS - H.P. EA. <br />LAVATORY WASH BASIN) <br />_ <br />GAS FIRED A.C. UNITS - iONNAO <br />ER <br />FORCED AIR SYSTEMS -B.I.U. <br />EN SINK& DISP. <br />WALL HEATERS - B.T.U. <br />ASHER <br />UNIT HEATERS - B.T.U. <br />LAIERCLOSETE, <br />DRYTRAY <br />EVAPORATIVE COOLERS <br />ES WA8MER <br />R HEATER <br />L <br />ING FOUNTAIN <br />R DRAIN <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR MANDWO UNIT - <br />STOVE - WOODMETAL <br />UM BREAKERS <br />FIREPLACE & CHIMNEY <br />DRAINS - RAINLEADERS <br />SINK (SERVICE -BAR, ETC.) <br />FIREPLACE INSERT <br />NEAT PUMP <br />TOTAL <br />TOTAL FEE <br />201X241 <br />1. ENVIRONMENTAL CHECK LIST <br />2, BUILDING PLANS <br />A, FIRE PROTECTION bYbl r1 <br />5 GRADING _ <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATE <br />B HEALTH DISTRICT <br />eb <br />jef <br />t <br />f <br />TEAR YARD SI <br />IACANT SITE <br />YES NO <br />YO. OF DWEL <br />WAX. OCC.LC <br />9RE SPRINKI <br />REQUIRED <br />YFS NO <br />APPR. <br />1C <br />TOTAL <br />FEE <br />EA. <br />M <br />M <br />C.F.M. <br />i <br />f <br />f <br />EIPT NO. <br />3749 FEE 19.18 I AM <br />FEES I VALUATION I FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TgIS SPACE) THT IG YQNR BEjjMIT (� <br />CM <br />.r T-4 <br />U <br />ADDRESS FILE <br />