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II;. I, CONSTRUCTIO" <br />everett PERMIT <br />CITY HALL 25987E5 ❑ MECHANICAL <br />EVERETT. WA 98201 Li COMBINATION BUILDING <br />MAIL ADDRESS <br />OVINEN Street <br />Lawrence J. Smith 415 92nd Strt <br />� MAILAD— D�NEs <br />Y <br />PERMIT NO. 13057 <br />J PLUMBING <br />CITY IIP <br />PHONE LICENSE I <br />Same MAIL ADDRE V•• <br />..RCHANICAL CONTRACTO^ PHONE LICENSEE <br />C11Y 21P <br />MAIL ADDRESS <br />PLUMBING CONTRACTOR <br />INGEST <br />CLASS OF WORK <br />❑ NEW ❑ADDITION Cl ALTERATION Cl REPAIR � DEMOLITION ❑FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE <br />I <br />DemOlish garage <br />P110NYSE0 USE OF BUILDING <br />storage <br />LOT BLOCK � 01` — <br />18 28 5 104414-58 <br />JOB ADDRESS <br />PLUMBINO <br />DRAINS - <br />�cevlcF - <br />6 <br />TOTAL <br />T ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE P SYSTEM <br />5. GRADING _ <br />&DRAINAGE - <br />8 HEM T— H—TRICT <br />APPLICATIONE <br />YES NO <br />EAD ANDAPPLICATONNED <br />RTIFY ANDTHAT KNOW THEI HAVE RSAME TOEXABErTIRUE ANID <br />CORRECT. ALL OF LAS AND ORDINANCES <br />GOVERNING TIIIS T PIEIONS OF WORK WILL BE COMPLIED WITH <br />PETHE: GRANTING OF A <br />RM T DOES NCOTIED PRESUME TO GIVE AHEREIN OR NOT -UTHORITY TO VIOLATE <br />OR CANEL THE OF ANY OTHER <br />LOCAL LAW RE( ATINGSSTATE <br />CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. �� DATE <br />...�u•.tuEOUF CONTRACTOR OR AUTHpwzw `Y!_.. I T IQ <br />MECHANICAL <br />NO. TYPE OF EOUIPMEf <br />AIR COND. UNITS — H F. EA. <br />REFRIGERATION UNITS <br />nnN FR% — H. P. EA. <br />OAS FIRED A.0 UNIIC - -•^- -- M <br />ORCED AIR SYSTEMS - BT.u. <br />FM <br />FAIANGE <br />TERS - B.T.U. M <br />ERS - B.T.U. <br />VE COOLERS <br />RYERS <br />ON FAN <br />OD <br />LING UN1� <br />TOTAL <br />FEE <br />BUILDING <br />• <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />C.F.M. <br />9 <br />RECEIPT NO <br />FEE <br />FE FE <br />PERMIT VALIDATION I lI f,JE pU0.P6Fj'r ,- R <br />WHEN PROPERLY VALIDATED IIN TH P 1 THI Y U UU 1i1t lI) <br />0 <br />_ M <br />v• U <br />�1 F <br />r <br />ADDRESS FILL <br />