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the £cer�rerrt <br />��r� oF <br />Pverett <br />CITY MALL 25987<5 <br />EVERETT, WA 98201 <br />' ^ONSTRUCT[OI� <br />PERMIT <br />❑ COMBINATION X� BUILDING ❑ MECHANICAL <br />PERMIT NO. 12253 <br />❑ PLUMBING <br />OWNER M51LAD04E55 GiY ZIP PHOHE <br />RAY r��SSETT 5009 COLBY EVERETT 9gpp3 86 g <br />t5 G E M IL ADpPE55 CITV ZIP PNONE <br />GENERPLCANTRRQOH M�IL�pDRE55 qTY $IP PMONE L:LENSEI <br />EVERETT BLDRS 5606 Everareen Wv Everett 98203 a 7767 <br />MELM�NIGALCANiH GTON M>ILADOflE55 L�TY Z�'�p3-Ol-EV-EIY"-EB 301'p�NSEI <br />VLVMBIHG LOKTMCTOR M11� APDRE55 QTV IIP PXONE UCENSE � <br />❑ NEW ❑ ADDITION � A�TERATION ❑ qEPAIR O UEMOLITION ❑ FENCE ❑ SIGN ❑ yyppD STOVEIFIREPLACE INSERT <br />V�LUATOH Of N�pv, <br />f 4325.00 <br />DESCN�BE WORN <br />Shakeroof and autters <br />Residence <br />ior � <br />PLUM81N6 <br />N�• TYPE OF FIXTURE Op <br />WATER CLOSEi �TOILEi� <br />9ATHTUB <br />LAVATORY �WASH BASIN) <br />SMOWEF <br />LAUNDRYTRAY <br />CLOTMES WASHEfl <br />WATEF HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINI <br />SINN (SERVICE — BAR. <br />PERMIT <br />TO7AL FEE <br />BLDG. <br />APPROVRLF <br />1. ENVIPONMENTAL CHECK LIST <br />2. BWLDING PLANS <br />7. FIRE MYORANT <br />d. FIRE PFOfELTION SVSTEM <br />5. GRAOING <br />8. ORAINAGE <br />e. <br />PLANS <br />FEE <br />! <br />f <br />f <br />'..YES �..NO <br />LOAD <br />fOR15SUANCE <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS 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 PNESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW flEGULATING CONSTRUCTION OR THE <br />PERFO ANCE OF CONSTRUCTION. <br />SIGNR{UR OF CC�.'iR4�j'� OP RUTIIONQ49 A�Ni OATE <br />TYPE OF E�UIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGCFATION UNITS — N.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED AL. UNITS — TONNAGE <br />FORCEO nIR SVSTEMS — 9.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATEPS — B.T.U. <br />EVAPORATIVECOOLEAS <br />CLOTMES DRYLRS <br />VENTILATION PAN <br />RANGEMO00 <br />AIP HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE d CMIMNEY <br />FIREPLACEINSERT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />M EA. <br />M <br />M <br />C.F.M. <br />SUB TOTAL f <br />PEHMIT i <br />TOTRL FEE f <br />PLAN CMECK FEE <br />FEE pECEIPT NO. <br />VRIURT10N FEE <br />roTn� � I 0 � 5n <br />PEflMIT VALIDRTIDN � <br />WHEN PROPERLV VALIDATED�1N THIS�S�PA? O TM13y`^x�i�Fpt,�T��(Y') ' <br />! I L i U V 7 V ll a <br />N <br />N <br />YOUR RECEIPT�-+ <br />TF;ANK YOU <br />AL'I?I?tS5 f�:_� <br />Z 6 �►. 8 3 <br />_� <br />� <br />r <br />