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�i�rL'rtr�rr�°n ���AV���� i ��� <br />fi <br />��l.l�l.l� 7'Efl1Y1�� PERMIT NO. 10949 <br />�n�. �,�,u �. sy�a�<= <br />�vea�ri �:�� . _u, ❑ COMBINATION C BUILDING �kkMECHANICAL ❑ PLU�dBING <br />.. ., . 1.'AIL FUI�Iif�S ❑:'! � PHOIIE <br />Carol Husby 620 Laurel Drive Everett <br />_.-.���recronr,esicr,en � �en�.�nooaEss ❑rv — ,. ���ryE <br />. LCBFLCGHiR4[TOR MAIL AD�RE55 :RY ZIP GIIOt1E LICENS! � <br />..':rmNIC,ALCONTRAGtOR IAAILADpRE55 CIiY ZIP FI1011E lICE6`: - <br />[Jatural Gas Equipment 16J.1 East Grand Everett 98201 258-2441 <br />.�.,i�ewcccr�runctoa reaanco��.css cirv z:v cHor�e i.�r,er.�� <br />.,ss oF woarc — - <br />❑NEW [�ADDITION ❑ALTEilATION .rJREPAIF ❑DEMOLCION ❑FENCE ❑SIGN ❑GARAC'. <br />qL <br />�SNOW BELO14 OR RTTAC4 FOUR <br />. �:i. M1U�Ft55 <br />620 Laurel Drive <br />PLUM1981��G <br />NO. TYPE OF FIXTURE OR ITEM <br />I �vnre� c�oser rroi�en <br />DISHW.45HEP <br />LAUNDRYTRAY <br />CLOTHES WFSHER <br />WATER H[ATER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUh1�REAKEflS <br />FOOF DPAINS — F7AINLEAC <br />SINK ISEfiVICE — BAR. ETC <br />� SUBTOTAL <br />CERMIT <br />TOTAL FEE <br />310E'iARDSET�ACK SiREE75[TbFGK <br />J';EZONE LOTAREP. <br />� rf��E OF CONST. OCCUPANCY GRC <br />:'7k_ OF BLDG NO- OF STORIES <br />f��:C70NE BASEMENT <br />'�. IlNVIRONMENTAL CHECK LIST <br />� tiUILDINGPLANS <br />�o i*IHE HYDRANT <br />�. RRE PqOTECTION SYST[M <br />GHAOWG <br />i, GIiAI�,AGE <br />� CNVIRONMFNTALIMPACTSTATEMENT <br />r. HEALTM DISiRICT <br />!��'PLICATION ACC. BY PIf�.HS CHECKED BV <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�PlED THIS AP� <br />Pt 1CATION AND KNOW THE SAME TO 6: TRUE AND CGRREC". <br />ALL PROVISIONS OF LAWS ANC ORDINANCES GOVERNING Tf-ii:, <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SpEGIFIci; <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO': <br />PRESUF/E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO <br />VISIONS O� ANY OTHER STATE OR LOCAL LAW REGULATIP:c�� <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTP.UCTION. <br />:i�„Nq{��q[OFCONTqAG10RORFUI�'OWI$EOAGENi DAiE <br />X � �<�.. � 8/31/62 <br />MECH NICAL ^ <br />N0. TYPE OF EOUIPMENT � FEE <br />REFPIGERATION UNITS — H.P. EA <br />BOIIERS — H.V. EA. <br />GAS �If7ED A C. UNITS — TONNAGE BA. <br />FORC[D AIR SYST[td5 — B T.U. M EA. <br />YJALL HEATER$ — B.T.U. M � <br />UNITHEATERS—�TU. M <br />EVAPORATrvECOOLERS <br />CLOIHES DRYERS <br />VEN�ILATIJN FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — CP.M. <br />STOVE <br />ME1�L FIREPLACE 8 CH167NEV <br />Water Heater 2 00 <br />SUB TO7AL S 2 0 0 <br />PERMIT S 3 00 <br />RE4P YnR� SETBACK PL1N CHLCN <br />VACANT SIiE <br />IJVE$ iJNO <br />NO OP DWELLING UNITS <br />�UILDING <br />MAX.00C LOAG <br />PLUMBING <br />FIRE SPRINKLERS - �— <br />REOW �ED MEGHANICAL <br />'�.:YES .�NO <br />BY DATE OiHEH <br />_ PENALTY <br />APPq.FORISSUANCE dY <br />NUMBER PLAN CHECK FEE <br />FhE PECEIP7 d:' <br />FEES VALUATION FEE <br />u <br />�0 G <br />U.BL. <br />SEC.3031a� <br />I I 5 I00 <br />T VALIDATION <br />PROPERLY VALI�ATE� �IN THIS SPACE) THIS IS YOUR PERMR � <br />Q) <br />6456 �O�i5.�0 -- �� <br />; =1 <br />YC)UR RECEIP� � ' <br />r�-t,qt�r, •rau <br />