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d��� t:, ��.�.�•.-,� <br />everett <br />CITV NALL P59�e7d5 <br />^',NSTRUCTION <br />PERMIT <br />PERMIT NO. 1436� <br />FVERETL WA 99201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL X}[ PLUMBING <br />O'NHER MALL PpplVESS 011v :iV GhONE <br />� VIRGINIA LEONA�n <br />ARGNILEGi OR OESIGNER MnIL AppHE55 ���Y Z�P P���E <br />L� <br />GENEPRL CONIqeLTOF MM� AODRE55 GiY ZiP VMONE LiCENSF � <br />MOFENCY CONSTRUCTI4N1SzQQ= D��1t�1Tc Wav M�NitnF �aa nn4n <br />MECN�NIC�L CONiRAGTON MAIL NO��E55 GILY 21V FHONE UCENSE � <br />PLl1MB�NG GONiRAGtOR MAiL R�OHE55 C�tV ZiP PNONE L�CENtiE • <br />A-1 Plumbina 1323 BROAI)WA.���RFrp {qA 98201 254—d'i57 ATPi!'CR9i7MA <br />GUSS OF WORN <br />❑ NEW OiADDITION ❑ ALTERATION ❑ REPAIR � DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f <br />OESGRIBE wORN y, <br />Residential remodel — ����+�UU ��./ �Y—f�–'�C�-�E�S — <br />LOT _ BlOC1t __ OF <br />'°°6�2eyBeecEi sT <br />PLUMBINO <br />SIDE <br />TYPE O <br />WATER CIOSET � <br />BATHTUB <br />LAVATORY�WAS <br />SMOWER <br />NITCHENSINKB <br />LAUh'ORYTRAY <br />CLOTHES WASMER <br />OR ITEM <br />11RINRL <br />ORINKING FOUNTAIN <br />FLOC�I DRAIN <br />VACUUM BREAKEHS <br />ROOF DRAINS — RHINLEADERS <br />SINK (SERVICE — BAR, ETG) <br />BLDG <br />TO7AL FEE <br />AP7NOVALS <br />i ENVIRONMENTAL CNEGN LIST___ <br />2 BUIl01NG PLANS <br />� FIREMVDRANT <br />�, F�qE PNOTECTION SYSTEM <br />5 GRAD'NG <br />6 �RAINAGE <br />7 ENVIRONMENTALIMPACTSTATEMENT <br />B NEALTM DISTRICT <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />coviesi CORRECT. ALL PROVISIONS OF LAWS ANU 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 AUTIIORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHEA STPTE CR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF�ONSTRUCTION. <br />SIGNAiURE OF CONLHACL�AUINOR12E0 AGF.NI DAiE <br />Y �------�-�. _ i/ze/as <br />! <br />s —3— oi <br />f <br />FEAR VAR� SETBACN <br />VACANT SITE <br />YES NO <br />NO. OF OWELUNG UN <br />MAx OCC lOAO <br />FlHE SVHINNLBHS <br />REOUIRED <br />VES NO <br />BY _ D�l E _ <br />BV IAPPR. <br />MECNANICAL <br />AIR COND. UNITS — HP. EA. <br />REFRIGERATION 11N1T5 — M.P. EA. <br />BOILEFS — MP. EA. <br />GAS FIRED AL UNITS — 70NNAGE EA. <br />PORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.TL. M <br />UNIT HEATERS — B.TL. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLING UNIi — GF.M. <br />STOVE — WOO� <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />HEAi PUMP <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUBTOT�L f <br />PERMIT f _ <br />TOTAI FEE f <br />PLAN CHECI( FEE <br />PEE RECEIPT NO. <br />VI1lUA710N FEE <br />f_ _ _ _.—_ I ___ '._ <br />OTHER — <br />UBC <br />PENAIiV SEC. 7J3 �a� <br />rorn� 9 00 <br />PERMIT VALIORTION <br />WHEN PROPERLY VALIDAiED IIN iM15 SPACEI TNIS I$ VOUR �ERMIT � �+, <br />i <br />� 'i <br />PY <br />\i'�L�R[�.SS I I.( <br />� <br />� <br />