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i�r PL��.AT��r: F(�'�'� _ _ <br />, : I,.JN�Tf�UCT��►� <br />�evere�i �'��►��� <br />fiEPT. OF COMh141NITY DEVELOPMENT SERVICES <br />CITY HALL 259�A745 <br />EVi�RETT.�VA98:01 ❑COMDINATiON ❑ BUILDING <br />ON'n°B nlnil no'JH[S5 <br />L0.7ELL VP.N':!E?I,iGkRDE1� 7600 hlock Evera_ <br />naouricr oa oes�•r.r+tH nuu nooaess <br />SIGI�AGE, IidC. 1272 State Avenuc <br />ctntant coNrr.naor <br />szcNnc.=., z�•c <br />ate <br />e <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�•.arysville 9! <br />:nr zir <br />F'arY�ville `� <br />C11y LIY <br />i.�ar•�sville 9 <br />evcretl <br />� <br />� <br />PNONE WCENSEI <br />659^2200 <br />pMONF tICENSC R <br />na <br />CLA55 OF K'ORK <br />❑NF.W ❑ADDITION ❑".TEnATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE BUILDiNG RELOCP,TIO <br />\'nIWTION OF \YOftK <br />+ 4367.84 <br />OESCftIii[��'ORA _ , _yx..,..� Cnr c�F�,rof+^,t11t iclenii''=ication <br />8 ea. 30" ?n <br />rRoeoseo usc oi ucnowc <br />llGAl OESCNIPT�Ou OF PROPE.tY I'NO1YN 0[lOW OR AiTACH FOU6 COPI6) <br />ioi uiocn_���F <br />icnnooacss Cd5C0C1C <br />PWAI�ING <br />NO. TYPE (IF <br />WATER CLOSET (IOIJF <br />ivre <br />. <br />KITCHEN SINK A DISP. <br />D!SN'ASHE�� <br />LAUIJDRY TRAY <br />CLOTHES\YASHER <br />1vATER NECTER <br />URINn� � <br />DRIRKINGFOUNTAIN <br />FLOOR ORAIN <br />VACUUh111REAKEHS <br />ROOF �RAIN$—RAINLEADENS <br />0 <br />TOTAL FEE <br />VAHD SETO�CK STNEETSkT�/ <br />LOT ARU <br />[?ONE I1AStMLM I Iil <br />APPROVAlS <br />1. LN\'IRONAI[NTAL CHKK LIST <br />2 PUILDING PL�NS <br />S FIRf IiVDN�NT <br />i. FIRC PROTECTION 51'STEh7 <br />i GH4DINc218Cn\'ATIONACLIARINCCNUI1111NC <br />b D2AINAGE <br />7 FNVIRON�t11.NTAl I.VI'AC! S7Ai[A1Fr1� <br />9 Ilf ALTH �IISTHICi <br />nPYll( ATION �(.( HY P.ANS C�IICRI I) 11Y <br />��,' <br />/' i <br />I FIERE6Y CERTIFY THAI I FIAVE RE�D AND EXAMIr :�7 THIS AP- <br />�L!C�TION AND KP10W THE S�ME TO 6E TRUE AND G'.RECT ALL <br />PROVISIONS Of LAVdS AND ORDINl.NCES GOVERNING THIS TYPE <br />OF WOFK WILL RE COMPLIED WITH WH[THER SPECIFIED HEREIN <br />OR NOT. THE G�ANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOl"AL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CON tJC%�ON. <br />SIGNA7URE �.ONTRACTOR O ORIZ��GENT ��TF <br />��____� ���-3`�- <br />x ' <br />FEE NO. TYPE OF EQUIPMENT <br />,va mtio urnrs—�i r. En <br />RFFRICfH/.TIONUNITS—HP E�� <br />60LLCR5—H P. EA <br />Cn5 FIREO � C UNITS-10NNALE EA <br />FORCCD AIR SYSTEMS-6T.U. M EA <br />N'ALL IIEATEBS—OSL. �� <br />UNIT HkATFHS—RTL �� <br />E\'APORATIVE COOLCRS <br />CIOTHfS ORYEHS <br />VLN�ILATION FAN <br />RAtiG[HOOD <br />AB HAN�LING UNIT— � F h�� <br />510VI. <br />�VETAL FlNCPLACE S CHIMNEY <br />SUOTOTAL s <br />PERMIT S <br />f TOTAL FEE f <br />S PLAN CHECK FEE <br />REnR YnRU SETO�CK � PLAY CHEG: hU•���EB I RECEIPT NO. <br />FkF <br />VACA':T SITC <br />i7YE5 GNO <br />NO OF D <br />n��x occ iono <br />fIl2F SI'H <br />H�QUIRCD <br />I,�.YES ❑NO <br />BY DATE <br />AP'H' /IF' )R 6 <br />���� %�� <br />nuiioi;.c 5¢3�P7•`� <br />PW.NIIWG <br />Aft CHpNICAI. _� <br />OTHLR <br />U.R l'. <br />pEN�LTI' SEC. lU7(al <br />TOTAL <br />PERMIT VALIDATION <br />U'RFN PROPERU' VALIDATEO UN iH15 $PA�-[I t���5 IS YOUN PCRh11T <br />l r- � �- �a �.� <br />� <br />� <br />