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�,�� ����,`.�.�� ,O NSTRUCTIO � <br />���:r �; � � . <br />everett PERMIT PERMIT NO. �246H <br />CITY HALL 25?�B�dS <br />EVERETT,WA9B201 � COMBINATION ❑ dUILDING �CMECHANICAL ❑ PLUMBING <br />OWNER M/.R nDDRE55 GTv ZiP PnONE <br />KEN TEMPLEMAN G928 COLSY EVLRETT 14A 9820'� �55-1Q45 <br />AR�HRECI ON OESIGNER MAR ROORE55 dTY 21P VHONE <br />GENERnI CONiReCTOR Mnil �DOHE55 CItY 21P PMONE LiCENSE � <br />Owner <br />MECH�NIG�L GONiRRQOR MPIL �O�NE55 CITY 21P PNONE UGEHSE � <br />PIUMBINO CONiR1GTOR MRIL AppNEbS GIiY ZIV PMONE IIGENSE � <br />C��IEW U AD�ITION O ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />vnw�non oF woan <br />s <br />Install wood s <br />Residence <br />EWL �ESCRIai1ON OF PROPEF <br />LOT_BLOCN_OF <br />6928 <br />PLUMBIN6 <br />TYPE OF FIXTUHE OR <br />W ATER CLOSET �TOILET) <br />LAVATORV�WASNBASIN� <br />SMOWER <br />KITCHEN SINK 6 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINHING FOUNTAIN <br />FLOOR DRAIN <br />VFCUUM BREAKERS <br />ROOF DRAINS — RAI <br />ciuv �cGov�rc — ae <br />PENMIT <br />TOTRL FEE <br />L ENVIRONMENTAL CMECK U5T <br />2. BUILDING PLANS <br />9. FIPE MV�RANT <br />d. FIRE PROTECiION SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7. ENVIRON MENTAL IMPACT STATEMENT <br />8. HEALTM DISTPIGT <br />APPLICATION ACC. BV PLANS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COPIE51 CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEFMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNnTURF.Of GONiRnLTOR AUINOF12 0 AGE11i DRTE <br />X v � x/ 9 <br />MECHANICAL <br />YES . -NU <br />LOAD <br />NO <br />AIR CON�. UNITS — HP. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EP. <br />GAS FlREO A.C. UNITS — TONNAGE EA. <br />PORCED AIP 5Y5TEM5 — B.T.U. M EA. <br />WALL HEATEHS — B.T.U. M <br />UNIT NEATERS — 8?A. M <br />EVAPOHATIVE COOLEFS <br />CIOTMES ORYERS <br />RANGEHOOD <br />Alq HANDLING 11NlT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLALE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAI f <br />PEflM1T f <br />tOTAI FEE S <br />FEE I RECEIPT NO. <br />VALUATION I FEE <br />BUILDIN6 3 <br />PLUMBINO <br />MECHANICAL 1% SO <br />OTHER <br />PENALiY U 8 C. <br />SEC. 30� (a) <br />TOTRL <br />PEPMIT VALIOATION <br />WHEN PROPlRLY VALIDATEO Qil TH' � t oE) TMI�I�Y4� PfifullT � <br />[ J l � 1�� <br />'CY <br />�v <br />BY Yc�UR RECEIPTr-+ <br />7H/�NK YOU <br />aDo�ess ri�r <br />26�P83 <br />1 <br />.� <br />� <br />� <br />� <br />� <br />