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lde l�-rer{me,t <br /> evere�tt � `%��NSTRUCTIO �" <br /> CITY liFLL 259-d745 <br /> PEFiMIT PERMITNO. �LJ `�' � <br /> cVERETT.WA98201 � COMBINA710N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> �..r.cq <br /> MAIL p�[1RE55 CRV ZIP PHONE <br /> LINDA J. COLE 2424 Jackson Avenue Everett WA 98203 347-5206 <br /> i3CnIiECT OF DESIGNEF IdAIL ApCPE55 <br /> CIiY ZIP PMONE <br /> GEIiERAL CONTRqpipp IAAIL AODiE55 <br /> CITY 21P PMONE �ICENSE M <br /> Same <br /> MEGMANICAL CONfRqGiOR MAIL F�OIIE55 <br /> CrtY ZIP GHON[ LICENSE+ <br /> PLUMBING CONTdACTOR lAAIL ApDRESS <br /> CIiV $IP PHONE <br /> IICENSE• <br /> OA55 OF WORK —� � <br /> ❑NEW ❑ AODITION ❑ pLTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN �, WOOD STOVEIFIREPLACE INSERT <br /> VFLUATION UF WORK <br /> S <br /> OESGRIBE WORK � <br /> Install wood stove <br /> H <br /> GROPOSEO USE OF Bt11LDING n <br /> Residence I HEREGY'CERTIFY THAT I HAVf_ HEAD AND EXAMINED THIS �7 <br /> ��:�<LLESCPIPiIONOFPRUPERTY�SMOWBEWWORATTACHFOURCOFIES� APPLICATION AND KNOW ThiE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVIS!ONS OF LAWS AND ORDINANCES <br /> �or._ ..�iocK_oF__ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED NEREIN OR NOT.THE GRANTWG OF A `..� ,.� <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E '-3 'T7 <br /> OR CANCEL THE PROVISIONS OF ANY 07HER STATE OR r. � <br /> LOCAL LAW REGULATING COIdSTRUCTION OR THE N ' <br /> �oeaooness PEHFORMANCE OF CONSTRUCTION. � <br /> SIGNAT;RE �COKTRACiORLTjAUi qqlZF.fAGFIT pATE � <br /> 2424 J�ckson Avenue _ X �� 1C/18/84 y <br /> PLUMBING MECHANICAL • 6 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT —'— � 'S"� <br /> WATER CLOSET�TOILET) FEE <br /> BATHTUB A�R COND. UNITS — H.P.Eq. — L <br /> REFRIGERATION UNI15— H.R EA. `;y � <br /> LAVATORY�WqShl BASIN) BOILERS— <br /> H.P. EA. �, Fy <br /> SMOWER GAS FIRED A.C.UNITS— TONNAGE EA j Nr� <br /> _ KITCHEN SINH 8 DISP. FORCED AIR SYSTEMu— B.T.U. M EA. 77 <br /> DISHWASHER WALL MEATERS— B7.U. M O 3 <br /> _ LAUNORV TRAV UNIT HEATERS— 9.T.U. M — � t+] <br /> CLOTMES R'ASHER EVAPORATIVE COOLERS ~ <br /> WATEP MEATER � <br /> CLOTHESDRVEqS � <br /> URINAL VEN71LATION FAN <br /> DhINKING FOUNTAIN RANGE MOO[1 N <br /> FLOOR DPAIN AIR HANOLING UNIT— — , � <br /> VACUUM BREAKERS C.F.M. <br /> STOVE—WOOD <br /> ROOF��8AIN5— qAINLEA0ER5 METAL FIREPLACE 6 CHIMNEY <br /> SINK�SERVICE— BAR, ETQ) FIREPLACE INSERT � <br /> — HEAT PUMP <br /> — �//I/d � � <br /> — r � � cn <br /> — lR.�` �oaw r���':�".S - sue rorn� : � <br /> h-J K��s-�-.m.-� h.\G.N�p�� PEflMIT S � <br /> SIDE V TOTAL FEE f M <br /> �� L� �ETBACN PL �CHECK NUMBEFi P�AN CHECK FEE <br /> USE Z( FEE RECEIPT NO. <br /> FEES VpLUATION FEE <br /> TYPE( <br /> UNG UNITS <br /> SIZEO BWLDING S <br /> 1AD <br /> PLUM6ING <br /> fIR[Zi .ERS <br /> MECHANICAL <br /> DATE OTHER <br /> 1. ENVI�� ��,noi.n uai <br /> 2.BUILOING PLPNS -- PENA�T� U.B C. <br /> _ SEC.307�a) <br /> 3.FIqE H'i DRANT TOTAL <br /> 4 FIRE PROTECiION SVSTEM � <br /> PERMIT VA�IDATION <br /> S.GRADING WHEN PROPERLY VALIUATED�IN TMIS SPACF�TH15 15 YO�IR PF�91d1T �"j <br /> S.ORAIHAGE � I I __ _ � <br /> ZENVIRONMENTALIMPACTSTAiEMENT � <br /> 8.MEALTM OISTRICT � <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ���—� <br /> ADD�'ESS f-ILf � . <br />