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',"�`"��TY`�, C7N��'RUCTION <br />everett �'�R��T PERMIT!�0.1�092 <br />Ciiv H�.0 259���a5 <br />e,�raelT.raa �E�2o, ❑ COMBINATION �BUILDING LI MECHANICAL ❑ pLUMBING <br />Florence Ciesseim 2129 Hoyt Everet�t 98201 <br />:��p�rtECiO��DE9C�lE�� l�niLApDPESS Ciiv ,lr PH04E <br />GEHE�FLGON1R:GtOR .dAILADDRE55 GIiY .11P PFOI�E UCE�b[ • <br />Snohomish County Home Improvement Lake Stevens 98258 3't4-"iFRa <br />I.IEGHANICRIGGNiRACTOR idAIIADORE55 CIiY 2:P PIIOLE LICEn'.' <br />i'W1.IBINGCONTRACTOR MFILAD�HE55 Cilv ZiP PHONE LiCBJSt. <br />❑NEV! ❑ADDITION ❑ALTERATIOIJ .�REPAIR ❑OEIdOLITION ❑FENCE ❑SIGN ❑GARAGE <br />'!P WAiION OP WORN <br />. 3300.00 <br />a,scaioE wo�K <br />P.e-Side House - Vinyl S <br />aaovoseo use oF omiou+c <br />Single Family xesidence <br />�or 14 e�ocK�4oF Lvere <br />JOB A�ORE55 <br />2129 Hoyt <br />PLUMBING <br />N0. TYPE OF FI%TURE 1 <br />l'JATLR CLOSET ITOILETI <br />BATHTUB <br />LAVATOHY�WA5H �ASIN� <br />SHOWER <br />KIiCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATEP HEATER <br />URINA! <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM �REAKERS <br />F:10F �FAINS — RAINLEADERS <br />SINK !SERVICE — BAP, ETC.1 <br />SUBTOTAL <br />SI�F YARD SETBACK <br />;i�- <br />STREEi SETE3ACK <br />APPROVALS <br />t ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3 FlRE HYDRANT <br />3, FIRE PROTECTION SYSTEM <br />v GRADING <br />n'. DRAINAGE <br />i. ENVIRONIdENTAL IA'� 1CT STATEMENT <br />N. HEALThI DISTFIC? <br />i�PPLICAT10N ACC. BY PLANS CHECHED BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW Th'E SAtJ�E TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF U\WS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF , PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOU .�.OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LUCAL LAW REGULATWG <br />CONSTRUCTIO THE PERFORMANCE OF CONSiRUCTION <br />S�GN/.tU�� ��CTCVOP/.t��ZEJPrT�Q GFIt <br />X �� l� <br />MECHANICAL <br />,'.IRCOIJL` UNIi$—NP EA <br />REFRIGERnTION UNIiS — H.P. EA <br />BOI�ERS — H P EA <br />GAS FIR[D A.C. UNITS — TONhAG <br />FORCED Alq SYSTE�dS — BS U. <br />WALL HEATERS — B.i.U. <br />U1JIi li[ATERS—BTU. <br />EVAPORATNECOOLERS <br />M EA. <br />M <br />VENTI�AiION FAN <br />RANGEHOOD <br />NR HANDLMG UNIT — C F.M. <br />STOVE <br />IdE7AI FIREPLACE 8 CHIMNEY <br />REAR VARD SET6ACK FLFN CHtGK <br />VACANT SIiE <br />YES !:NO <br />NO OF DWELIING UNITS <br />BUILDING <br />��nx occ �ono <br />PLUMBING <br />FIRE SPHINKLCRS <br />R[OUIRED 1d[CNANICAL <br />i YES I'NO <br />8Y DATE OTHER <br />PEfJALTY <br />APPR. FOR ISSUANCE BY <br />1L FEE <br />PLAN CHE <br />FEE <br />VALUATION <br />� 3300.00 <br />U BA. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO <br />94 I 50 <br />7 VALIDATION <br />PROPERIY VALDATED �M THIS SPACE� THIS IS VOUR PERIAR <br />8343 ;j,�44.5�;-�. <br />;� . <br />. s � <br />YGUR P.ECEIPT,`�-� <br />�±�;f�,\K YOU <br />- 2 Ui.T � 2 <br />