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llreL�'ergreen 1QNSTRI�CTION - ` <br /> Q71'OP <br /> e�erett PERMIT PERMIT NO. Og95O <br /> ciTVHn��zsse�as � COMBINATION ❑ BUILDING Gc�cMECHANICAL ❑ PLUMBING <br /> EVERETT.WA BB201 <br /> O1 'Eq M.AIL AODFE55 <br /> crcr na vHoue <br /> Gloria Anne Warness 2010 Lombard Everett 98201 252-9674 <br /> MPIL AOOR[55 <br /> CIiY ZIP PMONE <br /> ARCNiieCi OR DESIG��ER <br /> �iJy Z�p FHONE UCENSE� <br /> GENEl1/ICONTRAGIOP <br /> h141L AppRE55 <br /> Same <br /> C1T7 Z�p PHONE LiCENSE� <br /> A1EG�ANICAI CANLRACLOR MAIL ADDPE55 <br /> MPIL AO�PE55 <br /> CItY ZIP PHONE LICENSE� <br /> P W I.IpIpG CONTRACiOP <br /> C1A55 OF WORH <br /> ❑NEW ❑ADDITION ❑ALTER/.iION ❑REPAIR ❑�=MOLIiION ❑FENCE ❑SIGN GARAGE <br /> VAWATIOH OF WORK <br /> 5 <br /> OESCRIBE WORN <br /> Install wood burning stove <br /> PROPOSEO USE OF�UILDING <br /> I HEREBY CERT!FY THAT I HAVE READ AND EXAMINED THIS AP� <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> iecn��=_scaianor�oc vaoaeaTr isHow eeiewoannncH Founcocies� ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> o ��aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREI� OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> CONSTRUOCTION OR THERPERFORMANCOE OF CONSTRUCT ONING <br /> SiG i 'iE NiRAC�OROFAUTH RI2EOAGENi <br /> DNTE <br /> aoenooaess X ��!/T/Yl!/Y1 10/28/81 <br /> 2010 Lombard <br /> MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OH ITEFA FEE N� AiF�coNo.uw SE OH p�qIPMENT <br /> _ WATER GLOSET(TOILET� REFRIGERATION UWTS—H.P.EA <br /> �ATHTUB gOILERS—H.P.EA. <br /> �AVATORY IWASH BASIN) GAS FIRE�A C.UNITS—TONNAGE EA. <br /> SHOWER FORCED AIR SYSTEMS—B T.U. M EA. <br /> KITGHE�$INK 8 DISP. WALL HEATERS—B.T U. N' <br /> �ISNIVASHER UNIT H[FTEPS—0 T.U. M <br /> LAUNDRYTRAY EVAPORATIVECOOLERS <br /> CLOTHES WASHER CLOTHES DRVERS <br /> VJATER HEATER yENTILATION FAN <br /> URINAL pANGE HOOD <br /> �RINKING FOUMTAIN qIR HAN�LIIJG UNIT— C.f.M. <br /> FLOORDRAIN ], STOVE WOOCZ <br /> VACUUM BREAKERS SIETAL FIREPLACE&GHIMNEV <br /> FOOF DPAINS—RAINLEADE05 — <br /> SINK ISERVICE—BAR.ETC 1 <br /> SUB TOTAL 5 � S 0 <br /> SUB TOTAL pEflM1T S <br /> PERMIT 5 70TAL FEE 5 <br /> TOTAL FEE 5 p�qN CHECK FEE <br /> SIDE YARD SETOACK STREET SLTf3ACK REAR YARD SFTBACK PLAN CHEC'(NUM�ER FEE RECEIPT NO. <br /> USE ZONE LOT�REA VFCANT SITE FEES YALUATION FEE <br /> ❑VES f]NO <br /> TYPe OF CONST. OCCUPA�:CY GROUP NO.OF DWELLWG UNITS <br /> BUILDING � <br /> SIZE OF BLOG. NO.OF STORIES MN(.OCC.IOA� <br /> PLUMBING <br /> FIPEZONE �ASEMENT pE�UIRE�KLERS MECHANICAL 1� SO <br /> ❑YES ❑NO <br /> APPflOVALS <br /> BY OATE OTHER <br /> PENALTY U.BC <br /> 1. ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL 1� SO <br /> 3. FIRE HYDRANT <br /> PEHMIT VALIDATION <br /> 4 FlRE PROT[CTION S�STEM WHEN PROPERLV`!aIIDATED(IN THIS SPACE)THIS IS YOUR PEPMIT <br /> 1�(� <br /> 5. GfiADING — � � I � I �. ! , — "� <br /> 6. DFNINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> 8. HEALTH DISTRICT . . _ � i I U <br /> qpp�ICAT10N ACC.BY PU1N5 CHECKED BY APPR.FOR ISSUANCE BY <br /> ADDRESS FILE � � <br />