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Nic Fc�rerern <br />�verett �O�STRUCTIO�� <br />CITVHALL259�9745 PERMIT PERMIT NO. 14JT�7 <br />EVERETT, VJ190201 [] COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OLVNEd lAAIL ADDRE55 GITY 2�P PHONE <br />STEVE&SHARON YORK 2212 MADISON EVEREETT WA <br />RqGM�TEGTORGES�tiNEF MAILAO�RE55 CITY ZIP PHONE <br />GENERAL CONTRACTGR IAAIL qODRE55 GiY ZiP PMONE �ICENSE e <br />IAECHAIllCFL CONiRACTOF MFIL AODRESS CRV Zlp PHONE LIGENSE � <br />PLUMBING CONTRACiOR � MI.IL ADDRE55 GITY IiP PHONE �IGENSE M <br />S <br />❑ NEW ❑ ADDITION ❑ ALTEflATION ❑ REPAIR ❑ DEMOLITIOiJ ❑ FENCE ❑ SIGN �';( WOOD STOVEIFIREPLACE INSERT <br />WORIt <br />Install wood stove <br />Residence <br />lEG/L �ESCRIPlION OF PqOPERTY �SMOW OELOW OR AtTACH FOUR COPILS� <br />LOT _ _ BLOLN __OF <br />2212 Madison <br />PLUMBING <br />T1PE OF FIXTURE 01 <br />WATER CLOSET (TOILE7) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHONlER <br />Y.ITCHEN SINK 8 DISP. <br />DISHVJASHER <br />IAUNDRYTRAY <br />CIUTHES WASHER <br />WATER HEATER <br />URINAL <br />DP,INKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />f100F CRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />YARD <br />i� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />1. ENVIfiONMENTAL CMECK LIST <br />2.6UILDING PLANS <br />3. FIRE IIYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7. ENVIRONAIENTALIMPACTSTATEI <br />B.IIEALTH D�STPICT <br />� <br />5 <br />5 <br />fiEAR VAqD 5 <br />VACANT SITE <br />YES ::NO <br />N0. OF �WEL <br />MA%.00C.LO <br />I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS <br />APPLICATION AND KNO1Y THE SAME TO BE TRUE AND <br />CORRECT. ALL PRJVISIONS OF LAWS AND ORDINANCES <br />GOVERM1ING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING COMSTRUCTION Ofi THE <br />PERFORMANCE Oi' CONSTRUCTION. <br />SIGNATIJR�QFCONTB4CTOqOPAUTNORIT.EDIACENT DlTE <br />�� <br />AIECHANICAI <br />TYPE OF EOUIPMEN' <br />Alfl COND. UNITS — H.P. EA. <br />REFPIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — 70NNAG <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — O.T.U. <br />UNIT HEA1 ERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIH NANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIflEPLACE INSERi <br />HEAT PUMP <br />EA. <br />M EA. <br />M <br />M <br />QF.M. <br />1/23/85 <br />FEE <br />__ SUBTOTAL S ] <br />_ PERMIT § � � <br />TO7NL FEE S j � <br />PLAN CHECK NUMBER P�AN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUIL�ING 5 <br />PLUMBING <br />IdECMANICHL j ] <br />YES ..NO <br />BY OATE OTMER <br />APPR. FOfl ISSUANCE 9V <br />PENALTY <br />U.flC. <br />SEC. 303 la� <br />TOTAL I I �] <br />PEflM�T VALIDATION <br />WHEN PFlOPERLY VALIDATED �M THIS SPAC�� THIS IS YO�1R�,PERIdIT <br />- � �. <br />C <br />� <br />F- <br />% <br />Cr: <br />H F <br />y ': <br />�+ � <br />U7 • <br />CO r. <br />C'7 C <br />[ <br />�f <br />� ~ <br />r <br />� �. <br />� � <br />H � <br />� �� <br />K <br />O� <br />� ` <br />p r, � <br />(1' <br />� . <br />� �. <br />y " � <br />�y ;-� <br />