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� <br /> . �iu ., i�ID � <br /> CITY HALL 259�B7a5 � <br /> evtaerl wa 9ero+ ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL }� PLUMBING <br /> I�'.':'!1 1� I.IPIL AI�IINtS`� I.IIY /I{' �I�l'ill <br /> Mary G. Schultz Everett 98201 252-0132 <br /> PI!(����1[.1 I_lf��If��li���lffi <br /> M41LAD�RESS ❑h Z�f �H�1NL � <br /> Gt N[�4l couln�ctoB �����oDAEss C�ir )m r��oNF �ickNSF� <br /> Same <br /> ��IUUNiGAI CONiR�C10� MAIL��ORE55 CIIY III' �'MO�' IICENSE I <br /> �IUMHWGCONIR�CLOR MnRA00AE55 CIIY IIP PMOHE l�CF1i5EI <br /> CLASSOf WORK <br /> ❑NEW L�ADDITION UA�iF.RATION C�REPAIR ❑�EMOUTION ❑FENCE ❑SIGN GARAGE - <br /> W1U�110N Of WORIt <br /> S <br /> f1C5GAIBE WORK <br /> replace water KYIX line <br /> rno�seu ust or Flunowr <br /> ainqle family renidence I HEREBY� (,cRTIFY THAT I HAVE READ AND EXAMWED THISAP� <br /> iruni utxairnor+ov rnoreniris�ow ntiowonni7nun.��n;�,�•�rs� PLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT. <br /> �� 20 H��� 53�� Mithell Land 6 Improve �l,� �'ROVISiJNSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> 11'PE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIEC <br /> Co. lat HEREIN OF NOT. THE GRANTING OF A PERAIIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 70 VIOIATE OR G�NCEL THE PRO� <br /> — VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> R.Nn1U��1 U� [�V114nUp�lORAUt1�0� fllAt4N1 UAII <br /> �oBAUDnr:'., X �9w' (J/ <br /> 2410 Cleveland , ��/ ��� <br /> PLUMBINO MECHANICAL __ <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT __ _ FEE <br /> WAiC�ClO5E1(TO�LET) MP CUND UNi1S -_��P f A <br /> BATMTUO _ ���-�31G[(IATION UNI15 - H P [A <br /> LAVPTORY IYlASN�ASIN) BOIL[RS—M P LA <br /> GAS 1 IIl(U�.C UNITS—TUNNAGE FA <br /> . 5110wER <br /> KITCHCN SIN1(6 DISP. �ORCCL`NR SYSTEMS—B i U M L'A <br /> DIiHWASHER WALL Rf�.pTERS-- B T.U. M <br /> LAUNDRY TFlAV UNIT MLATI.-RS—B TU M <br /> CLOiNES WASNER FVnPORATIVECOOLERS <br /> WPTER NflATER CIOTHFS DRYERu <br /> VEN 11tA7lON FAN <br /> URINAL <br /> DRINNING FOUNTAIN ��ANGE HOOD <br /> AIR HNND�ING UNIT— C F M <br /> ROOR DRAIN <br /> VACWM BP[AKERu STOVE <br /> ROOF DRAINS—?4�NLEADERS MF.TAL FIREPIACE 6 CHIMNEY <br /> SINN�SERVICE—MR,ETC! <br /> BUB TOTIIL SUB TOTIIL : <br /> PENMIT S PERMIT 1 — <br /> iOTRL FEE f T0TI1L FEE f <br /> PLAN CHEGN FEE <br /> SIDE VARD SETBACN STR[F7 SC7F3ACK �EAR YARD SE70ACK P�AN CHECN NUMBER pECFIPT NO <br /> F[E <br /> USE ZONE LOT AnEA VACANT SITE FEEB VALUATION FEE ' <br /> 1!VES iINO <br /> TYPE OF CANST. OCCUPANCV GROUP NO UF DWELLING UNITS <br /> BUILDING f <br /> SIZE OF BLDG NO.OF STORIES MA% OCC LOAD S OO <br /> PLUMBINO <br /> FIREZONE BASEMENT qE0U1RED K�ERS MECHANICAI <br /> IIVES IINO <br /> IIPPROVAL6 er OATE OTHER <br /> 1. ENVIRONMEN�AL CHECK UST PENRITY U B C <br /> SEC 303�a� <br /> 2. BUIL�INGPUNS S OO <br /> TOTRL <br /> 3. FIRE HYDRANT <br /> 4 FIH[ PROTECTION SYSTEM PERMIi VALIUl1TION <br /> WHEN PROPERIV VALIDA7ED pN TMIS SPACE)THIS IS YOUR PERMIT <br /> 5 GFAOINO / ' � f ^ ,� � f� � __ � <br /> f �RAINAGE � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> 8 NEALiH DISTRICT ' " � <br /> qpPLICATION ACC UY PLANS CMEChED BV AI'PF FOR ISSUANCE AY <br /> I , � <br /> � <br /> ADDRESS FILE � ` � <br />