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�he £veCrqYee�F �p N ST R U CTI O �' <br />everett PERMIT PERMIT NO.OgOOZ <br />CITV NALL 259�8745 <br />eveaEn. wn sazo� ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBINC <br />OWNER MAILADDFESS LIiY ZIV FNON[ <br />Timothy R. Frink 8122 Broadway Everett 98203 353-3891 <br />hqG�11iEGT OF �CSI�NER MhIL RD�RES$ CITY ZIP PHONE <br />4ENCRALCANiSACTOR MAIL�ODRESS dTY IIP i�NONE UGCNSEI <br />Same <br />NCCHANiUICANTRAGTOR MAILADDRE55 CIiV ZIP PNONE UCENSE� <br />�'IUMBINGCANTMQOR MAILpDDHE55 p7Y ZIP PMONE LICENSE/ <br />❑NEW <br />E <br />OESCRIB[ WORK <br />install wo <br />Pt10P05[D USE OF BUILDIN <br />IEGRL OESCRiPT10N OF FROPEHT <br />�o. e�oc�c oF <br />�ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />stove <br />8122 Broadway <br />PLUMBING <br />AO. TYPE OF <br />N'ATER CLOSET (iOILP� <br />�ATHTU➢ <br />1 AVATOR't (VJASN DA51 <br />DN:.IN <br />SIDE VARD <br />SIZE <br />_ <br />� <br />STREET <br />NO. <br />L ENWRONMENTAL CHECK LIST <br />2. OUILDING PlANS <br />3. FIRE HVDRANT <br />4. FIRE PROTEf,TION S�STEM <br />5 GRADING <br />6. DRAINAGE <br />7. ENVIRONMENiALIMPACTSTATEMENi <br />0. HEALTH DISTIiILT <br />APPUCATION ACC. BY PlANS CNECKED BY <br />REAR YARD <br />�VES ❑NO <br />N0. OF DWELLING UNITS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATIOh AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF L4WS A(JD ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETNER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />YG�4iURE 0f COid�ApTOA OR AU➢�OaIZED /6kNT UAT5 <br />x _..��n`9 _, / � � a � #3/17/S1 <br />�LO-CA.t! �.•� <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT FEE _ <br />AIR COND UNITS — M P. { A <br />REFRIGERATION UNITS — H P. EA <br />ROIIPRS—rIREA <br />i,r+orinevr+.� vn��o— <br />PORCFD P.�R SYSTEMS — B T.0 M <br />WAILHE/+TERS—OT.U. M <br />UNITHEAIERS—B7.U. M <br />�IR HANDLMG UNIT — <br />METAL FlREPLM,E R CHIMNEV <br />CHECK NUMBER PLAN CHEGK FEE <br />p[E � RLCEIPTNO. <br />FEES <br />BUILDING g <br />MA% OCC.LOA� <br />PLUMBING <br />FIR[ SPRINKLERS MECHANICAL % S O <br />RFOUIRED <br />APPFi. FOR ISSUANCE BY <br />v.c. <br />T� UDC <br />SEC.303�a) <br />PROPERLV VALIGATED pN THIS SPACE) THIS IS �OUR PEPMIT <br />�� �� c-n �:n —CT�, <br />; u 7. .: :, <br />0 <br />Qi <br />; . IFI � <br />!;; 1'� U <br />�,� <br />