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�he£vtry¢rctn <br /> CITVOF � �ONSTRUCTIOI� � <br /> everett PERMIT PERMIT NO. �5229 <br /> CITY HI1LL 259d7�5 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBINO <br /> �NER MAIL 110DRESS CITY ZIP PMONE <br /> John 3t. John 1814 Hewitt Evarett, WA 98201 259-5392 <br /> 11RCHITECT R ESIGNER MML�DDRESS CRY ZIP pNq1E <br /> N R�ICONTMC MMLADq1E55 CIT' ZIP PXONE UCEN8E1 ' <br /> MECM�NIL�LCANTXlClOR MAIL�DDRE55 CITY ZIP PNONE LICENlEI <br /> RUMlINO CONTRACTOR M�IL ADORE55 GITY ZIP PMONE LIC I <br /> S@Lf <br /> cuss ov womc <br /> �NEW ❑ADDITION $I .4LTEMTION O REPAIR ❑ DEMOLITION O FENCE ❑ SION ❑ NIpOD STOVEIFlREPLACE INBERT <br /> V�LU�TION Of WORK . <br /> �Z4�.0� <br /> oeacniee wonK <br /> Install floor drain <br /> rnoroseo use ov euaoiNo <br /> �e��,�t I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TM18 <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br /> LEQ�L OESGRICION OF PIIOPERIY(SMOW BELOW OR ATTACN FOUR GONES� CpRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN__OF QOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEFiEIN OR NOT.THE ORANTIN4 OF A <br /> PERMIT DOES NOT PRESUME TO f31VE AUTHORITV 70 VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER 8TATE OR <br /> LOCAL LAW RE(3ULATING CONSTRUCTION OR THE <br /> PERFO OF CONSTRUCTION. <br /> JO!ADDPE55 SIONATURE CTOR p11 AUTNOR12E0 AOENT WTE <br /> ieoa xeriat Ave. X .�,(.,�y <br /> PIUMlING MECMANICAL <br /> N0. � TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS—H.P.EA. <br /> OATHTUB REFRIGERATION UNITS—M.P.EA. � <br /> IAVATOHV(WASMBASIN) BOILERS— M.P.EA. <br /> SMOWER pAS FIRED A.C.UNITS—TONNAOE EA. <br /> KITCMEN SINK 8 OISP. FOHCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASNER WALI MEATERS— B.T.U. M <br /> UUNDRYTRAY UNIT NEATERS— B.T.U. � M <br /> CLOTMESWASMER EVAPORATIVE COOLERS <br /> WATER MEATER CIOTXES DRYERS <br /> URINAL VENTIUTION FAN <br /> DRINKIHO FOUNTAIN RANOE MOOD � <br /> FLOOR DRAIN Z 00 AIH MANDLIN6 UNIT— C.F.M. <br /> VACUUM BhEAKERS gTpVE—WOOD <br /> ROOF DRAINS— MINLEAOERS METAL FIREPLACE 6 CMIMNEY <br /> SINK(9ERVICE—BAR,ETC.1 FIREPUCE INSERT <br /> MEAT PUMP <br /> 8U0 TOT�L t 8U�TOTAL f <br /> �ERMIT f PEIIMIT f <br /> TOTALFEE ! TOTALFEE { <br /> SIDE YARO SETBACK STREET SETBACK REAR YARD SETBACK PUN CMECK NUMBER PUN CMECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE LOT AREA VACANT SI7E <br /> ❑YES ❑NO FEES VAWATION FEE <br /> iVPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDIN6 S <br /> SI2E OF BLO(3. N0.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE 20NE BASEMENT FIHE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ❑VES ❑NO <br /> APPROVALS er DATE OTHER <br /> 1.ENVIRONMENTAL CHECK LIST PENA�TY U.B.C. <br /> 2 BUILDIN6 PU1NS SEC.30.7(�) <br /> 3.FIREMYDRANT T�Tµ 5 00 <br /> l FIRE PROTECTION SYSTEM PERMIT VALIOATION <br /> b.ORADINO WMEN PROPERLY VALIDATED QN TMIS SPACE)THIS IS YOUR PERMIT � <br /> 8.DMINAGE N <br /> 7.ENVIRONMENTALIMPACTSTATEMENT N <br /> B.MEALTfI DISTRICT � <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BV � <br /> MM <br /> ADDRESS FILE � / <br />