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IhcErciFrrcn � CO � TRUCTIOI�1 <br /> Ciiv OF � <br /> everett ERMIT PERMIT N0. O�SSH <br /> u.r�iaLL C,3�a7es <br /> eveAEtr.wn qe�oi ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ pLUMBING <br /> ON�t��R �rniltil�Dr.i_5 Cil� :J� pr�OqF <br /> Mark Kain 1619 Colby <br /> ,�..•'i�EC10RGE9GNW NRiLRDDqE55 Ciiv ZiP p�pyL <br /> �"+L�./+L(AtiitiFCipR MAILAD�PESS CITY ZIP �r�p4E ULUbi � <br /> VfO�/�NiGAICCNtW.C10R MAILA�DRC55 C�TV ZiP MONE LICCNSE� <br /> Natural Gas Equipment 1611 East Grand Everett 258-2441 <br /> .�,;eG�NGCANiFACiUP MAII P��RE55 CITy IIP PNONE UCENSE� <br /> �l�`.,LO�WORK <br /> ❑NEW ❑ADDITtON ❑ALTERATION ❑REPAIR ❑DEM9LITION ❑FENCE ❑SIGN ❑GARAGE <br /> �<,�atiON OF WORK <br /> 5 <br /> Ci G.'.Ri9E N'ORN <br /> f�+:..qj5[D USE OF BUILOING <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> i��..>�ocscnieriorvoFraoreerr�sMo�.veeioworrnnncNr-ouacoriesi PLICATION AND Y.NOW THE SAME TO B[ TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �� - eioc�_oF TYPE OF WORK WILL BE COMPUED VJITH WHETHER SPECIFIED <br /> HEREIN OR NOT. TfiC GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AU?HORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING <br /> CONSTRUCTION OF THE PERPORMANCE OF CONSTRUCTION. <br /> _ _ie.!��<:_�_, SIf.Nni RCOFCO4iNRCTORpAAUteGRi.'CD<SfNi pAiE� <br /> 1G19 Colby X Cl'���—.��� = �1� U� �_ � '! �', <br /> PLUMBING MECIIANICA <br /> _NO. TYPE OF FIXTURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> WnTER CLOSET(IOILET) Alq COt1U UNIT$—HP EA <br /> BAIHTUB FCFqIGLNATION UNIT$—H P.FA <br /> _ LAVATORY(WASH BASIN) �OREH$—H P.EA <br /> SNOWER GASFIfiEOAC UNITS— <br /> TONNAGEEA <br /> KIiCHEN SINK 8 DISR FORCF:D AIR SVSiEMS—9S.U. M CA. <br /> Di.'iNWqSHLR \YALLHEAiEHS—UT.U. M <br /> LAUNDRY TRAY UNIT HEATEPS—OT tl. /d <br /> __ CLOTHES lYASHER EVA!'pqAiNE COOLERS <br /> WATER HEATLR CLOTHES��7YER5 <br /> _ UPItJAL VENTI�AiION FAN <br /> _ DRINKING 1=0UNTAIN qAtJGE HOOD <br /> FLOOR DR41N AIR HANDLING UfLT— C F M. <br /> VACUUM Rl�EAKERS STWE <br /> ROOF L'RAINS—RFINLBA�ERS ldLTAI fINEPLACE 8 CHIMNEY <br /> __ simK�;[�vicc —daA,rrc.� 1 Wate 09_ <br /> SUB70TAL SUBTOTAL f 2 00 <br /> PERMIT f PERMIT { � <br /> TOTAL FEE f 7�TAl FEE f 5 <br /> 2��i' VAR�6ETBHCK SiFiEET SFTdAIX pEAq YARD SCiF3ACM; rIAN GHECY,IJUM�ER PLAN CHECK FEE <br /> FFE flECEIPi IJO <br /> US! ZONE LOT APEA VACANT SITE <br /> CYES L�NO FEES VALUATION FEE <br /> i v�I. OF CONST. OCCUPANLY GROUP NO.OF DWELLINO UNITS <br /> BUILDING y <br /> tiC.i.OF�LOG. NO.OF S70RIE5 MA%.OCC.LOAD <br /> PLUMBING <br />� FIF!,'.ONE BASEMENT FII7ESPRIIJKL[RS <br /> FEOUIRED MECHANICAL <br /> f'.YFS i'�NO S OO <br /> APPqOVAlS BV DATE OTHER <br /> 1. RJVI(?ONMENTAL CHECK LIST pE��A�Ty U�G. <br /> 2. BUIL�ING ALANS SEC.?03�a� <br /> 3. f-IRE NYDPANi TOTAL 5 00 <br /> 4. FlRF PROTECTION SYSTEM PERMIT VALIOATION <br /> V✓HEN PqOP'eRLY VALIDAT[D(IN THIS SPACE�THIS IS VOUR PE(iMIT <br /> 5 GFADING <br /> 6. DRAINAGE � g 4 � � O O�' O D ^_ � <br /> 7. ENVIRONMENTAlI1dPACT5TAIEMENT <br /> 8. HEALTH UISTRICT . . � <br /> APPLICATION ACC.pY FLMJ£CN[CKED 6Y APPF FOR ISSUi�.6GE B1' ���� �, R�C���� O <br /> � +��AftK YOU <br />� �GDR[SS FI�E <br />