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ihe E�rr,�reen r� N ST !� U CT I O N <br />CITY OF � <br />everett pERMIT PERMIT N0. 122Z3 <br />CITY HALL 259�8745 <br />EVEflETT.WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILAOORE55 GITY ZIP PMONE <br />EEVERLY ARIJDT/JUDY HARTMAPI 2071 MADISON E4ERETT 98203 353-2448 <br />RFCMITEGTOPOESIGHEfl MFI�AOOFESS CITY 21F VHONE <br />GENEF.:LCONTRALIOP MAILAODFE55 GiY ZIP PNONE LICENSE• <br />SIGNS OF SEPTEMBER 2514 - 122nd SW Everett 98204 353-6890 SIGNSS#774C2 <br />MECMANIGALGONTRRGiOfl MFILAO�FE55 GITY ZIP PNONE LICENSEN <br />PLUM9ING COrvTPACTOR MAIL ADORE55 CiTY ZIP PMONE LiGENSE� <br />O NEW O AUDITION ❑ ALTERATION ❑ HEPAIR ❑ OEMOLITION ❑ FENCE 'Ci SIGN ❑ WOOD STOVE/FIFEPLACE INSEflT <br />Manufacture and install wa�� sign <br />Retail <br />EGAL �ESGFIPTION OF PflOi'EeiTY �SHOW BEL <br />LOT_BLOGN_�F <br />iOB A�OR[55 <br />2011 Madison <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSEf (TOILET� <br />BATHTUB <br />LAVATORY�WASFIBASIN� <br />SHOWER <br />KITCHEN SINK & DISP. <br />OISMWASHER <br />LAUNORYTRAY <br />WATER HEATER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEflS <br />ROOF DRAINS - RAINLEAOERS <br />SINK ISERVICE - BAR, ETC.) <br />SUB TOTAL <br />TOTAL FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMh�ED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIL� BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMITDOESNOTPR UMETOGIVEAUTHORITYTOVIOLATE <br />OR CADleE E P ISIONS OF ANY OTHER STATE OR <br />LOCAI: LAVJ G L TING CONSTRUCTION OR THE <br />PE ANCE � OJIJSTRUCTION. <br />IGNASUAE Oµ(RAGT Op AViMORIZEO PGENT OATE <br />S <br />S <br />FEE <br />:'�.YES i�:NO <br />TYPE OF CONST. OCCU°ANCY GRDUP NO. OF DWELLING JNI <br />SIZE OF BL�G. NO. OF STORIES MA%. OCC. LOAD <br />FIRE ZONE BASEMENT FIFE SPRINKLEHS <br />REOUIRED <br />f!YES :-.NO <br />APPROVALS BY OATE <br />1. ENVIRONMENTAL CMECK LIST _ _ <br />7.. BUILDING PLANS <br />3. FIRE HYUBANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRAOING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />8. MEALTH DISTRICT <br />APPLICATION �CC. BY PLANS CHECKE� BY APPR. FOR ISSUANCE <br />STG LNC <br />X �;� �---�— 7 <br />MECHANICAL � <br />AIR COND. U(J� - M.P. EA. <br />flEFRIGERATION UNITS - M.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT MEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />AIF HANOLING UNIT - C.F.M. <br />METAL FIREPLACE 8 CMIMNEY <br />HEAT PUMP <br />SUB TOTAL 5 <br />PENMIT S <br />TOTAL FEE S <br />FEE I RECEIPT NO. <br />VALUATION FEE <br />BUILDING S �jQQ.QQ rj QI] <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC. 30� (a) <br />TOTAL S OO <br />PEHMIT VALIOATION <br />WMEN NROPERLV VALIDATED (IN TH9 �I O 9E� TH� S UYO l. O C'T � <br />. � <br />n <br />YOUR RECEIPT�' <br />THANK YO U <br />18.�-83 <br />ADDR[SS f-ILE <br />� <br />� <br />.J <br />