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d�c Ll er,treen n p <br />arv^v �� �'�✓���Il���'�� � <br />�V����� pERii�IT PERMIT NO. �- �uO4 <br />CITY HALL PSD �745 <br />EVERETT.l7A98201 [] �OMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />UWNEP MAiIqDDRE55 CITY ZIP PHONE <br />Ri.chard Brigham 923 Hoyt Everett 98201 252-3413 <br />AHCHITECT OR DESIGNER MAIL ADORESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL AOORE55 CITV ZIP PHONE LICENSE M <br />MECHANICALCONTFACTOP MAILADORE55 CITY 21P PHON[ LICENSEM <br />PLUTABING CONTRFCTOR lAqIL AOORE55 CITY 21P PMONE LICENSE x <br />I] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE G SIGN �}(WOOD S�OVEIFIREPLACE INSERT <br />VALUATION OF WORY <br />S <br />install wood stove <br />BELOLN OF ATTACM FOUR COPIES� <br />LOT OLOCK_OF <br />.V�923 Roy� <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWEH <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfl DRAIN <br />VACUUM BREAXEflS <br />IROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETQ) <br />SIDE YARD SEl <br />USE ZONE <br />TYPE OF CON: <br />SIZE OF BLDG. <br />SUB TOTAL <br />PEHMIT <br />707AL FEE <br />AREA <br />APPFOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. Bl11LDING PLA��S <br />3. FIRE HY�RANT <br />4. FIRE PR07ECTION SYSTEM <br />5. GRA�ING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />FEE <br />� <br />S <br />S <br />flEAR YARD <br />!YES f:NO <br />MnX. OCC. <br />�.:YES �::NO <br />B� <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRO\�ISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NO7 PRESUMETO GIVF AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LUCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTIQN. <br />XGNA�E I.�ONTRn,�TORyOA,,���Z/t.(1fNKau�.✓ 9/9/85 <br />I _' i.A4U2s1 Il <br />AIR COND. UNITS — H.P. EA. <br />REFflIGERAT10N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOflCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANDLINCa UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREF�ACEINSERT <br />SUBTOTAL S <br />PEftMIT S <br />TOTAL FEE 5 <br />FEE <br />FEES VALUATIO'1 <br />RECEIPT NO. <br />FEE <br />BL'ILDING 4 <br />PLU�41BIN3 <br />MECHANICAL 1� SO <br />OTHER <br />PENALTY U.B.C. <br />SEC. 303 (a) _ <br />TOTAL 1% SO <br />PER�11T VALIDATION <br />WHEN PROPERLY VALIDATED fN TFf1��5�hCE) TH� ���R�E�MIT �ft <br />J U <br />: 'i <br />Y�:�UR P.ECEIPT <br />BY <br />T� I?,NK YO U <br />_ � �� �, c ii <br />