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;,�ht�l�erRYee�n �� � CONSTRUCTIC�I ''1 <br />e��erett PERMIT PERMIT N0. 14674 <br />CITY HALL 259-8745 <br />�. EVERfiTP. Wu 9¢20l ;� �`OMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN(i <br />OWNER l.IAIL ADURE55 GITY IIP PMONE <br />BOYS & GIRLS CI�US 9700 EVERGREEN WAY EVERETT WA 98204 <br />RRCNITECT OR OESIGNER MAIL ADDRESS GITY ZIP PHONE <br />6ENERALCONTRACTOR MAILAD�RESS GITY ZIP PHONE LICENSE� <br />BERT CRONIN 713 SE EtIERETT MALL WAY EVERETT 98204 353-6500 <br />MECNANIC�LGONTRACTOR MAILAUDRE55 CITV ZIP PHONE LICENSE/ <br />PLUMBING CONTPACTOP MAIL ADDRESS CITY ZIP PMONE LILENSE � <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s 6000,00 <br />Tenar�t remodel <br />Binqo Hall <br />LOT � BIOCN _OF <br />'99C�Evergreen Way <br />PLUMBIN� <br />C-1 <br />��� <br />TYPE OF <br />BATHTUB <br />LAVATORY�WASHBA: <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAP. ETQ) <br />SUB TOTAL a <br />PEHMIT S <br />TOTAL FEE S <br />A-3 <br />1. ENVIRONMENTAL CHECK �_IST <br />2.BUILDINGALANS �� ' <br />3.FIREHYDRANT ..� <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE . <br />Y.ENVIRONMENTALIMPACTSTATEMENT <br />•uceirun�crmrr �� <br />APPLICATION ACC. BY <br />�: <br />`" stg <br />�7YES : NO <br />C NO <br />CHECKED BY I APPR. FOR ISSUANCE BY <br />' jef I dab <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. .4LL PROVISIGNS 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 T E PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LA}� EGULATING CONSTRUCTION OR THE <br />PERFORM9fN OF CONSTRUCTIQld� <br />SIGNATUflE <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIlERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AI'' SYSTEMS — B.T.U. M EA. <br />WALL HEA :RS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />2 VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOC <br />METAL FIREPLACE 8 �HIMNEY <br />FIREFLACEINSEHT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />85/19679 IFEE36.73 <br />f <br />S <br />f <br />DATE <br />FEES � VALUATION � FEE <br />eui�oiNc <br />PLUMBINC <br />MECHANICAL <br />OTHER <br />PENALTY <br />s <br />(a) <br />NO. <br />TOTAL I I ldfi I nn <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (M THIS SPACI � THIS IS YO�1F7,PERMIT_ c�t <br />-- i� <br />Btil.ding permit fee doubled - worlc �equn � <br />without permits �, <br />I � <br />� <br />ADDRESS FILE <br />