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� i <br /> r A "1 <br /> 1 ' <br /> ''"�`'���;Y`�F ^ONSTRUCTION � ' <br /> everett PERMIT � <br /> c�rr r,n«z��N,.�s PERMIT NO. 115 3 F) <br /> iacnEtl.'�vn �o�ui ❑ COMBINATION ❑ BUILDING L� MECHANICAI ❑ PLUMBING <br /> UI'/NLN AINL FVUIIl55 G1Y � <br /> C. L. Doolen 520 Pilchuck Path Everett 92801 � <br /> ni�umtctci�otsicr�in Maiinonntss citr zm ruoru <br /> GCNEPP�GONiMCi0f1 M1IAILPpDPE65 ❑�Y ZIP VPDNE lILWSF• <br /> � <br /> �dlC1�ANiC/•L CONiB�L100 uPIL npURE55 Cirv ;iP i'110�E LICENSE� <br /> r Naturnl Gas Equipment 1G11 East Grand Everett 98201 258-2441 <br /> �'LUMO�NGCONIR>CtOR MAII AD�PESS CIIY ZIP PIIOUE UCENSE� � <br /> ClAS50f WORK <br /> ❑NC:IY ❑ADDIiION ❑A�TERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GAMGE <br /> VAIUAtION OF WOPN <br /> S <br /> O[SCRiBE WUNK <br /> Gf10PoSEp USE OF 6WLDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> t[cniocscairrioNorrworEarv�;�wwociov+enntrac���ouneov�es PLICAiION AND KNOW THE SAME TO BE TRUE AND CC�RECT. <br /> ALL PFOVISIONS OF LqWS AND ORDINANCES GOVERNINV "4iS <br /> �or eioc�_ov TYPE OP WORK WILL BE COMPLIED WITH WHETHER SPEC!FIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING � <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JO6A0[1RE55 :.iGNq1U�+lU�CON1R4Ci0�U UL11094��DAGE111 UAtE <br /> 520 Pilchuck Path X � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAfER QOSET(TCILETI AIR COND UNI75-H P EA <br /> BAiHiUB REFRIGERATION UNIiS-HP.EA <br /> LAVATORY 1\Y.45H BASINI pOIlERS--11(' EA I <br /> SHOWER GAS FlRED F C UNIiS--70NNAG[G <br /> KITCNEN SINN 6 DISR FORCED AIR SYSi[l.�5-�i U A1 EA <br /> DISMWASNEP 1YALL HEA7[RS-B i U M <br /> IAUNDRY TRAV U�ili HEAiERS-[3 i U A� <br /> CLOTHES WASHER EVAPOfiAiIVL COOIERS <br /> WATER 4EATER CLO1��E5 DRYERS <br /> UFINFI VENi1LAilON FAN <br /> f`RINKING FpUNTAIN RANGE NOpD <br /> F�ppR DRAIN Nq HqryCLING UNIT- <br /> VACUUM B?E�KERS C F A1 <br /> STOVE <br /> ROOF DRlINS-P:,'ui EA�ERS ME7AL FlR[PLACE 8 CHIMNEV <br /> SINKISERVICE-9AR,ETCJ 1 Water Heater <br /> SUBTOTAL SUBTOTAI . S <br /> PERMIT f PERMIT <br /> f Q <br /> TOTALFEE f TOiAL FEE 3 <br /> SIDE YARD SETBAGk STREEi SET6AIX PEAR YARD S[iC1FCK P�AN GHECK NUMBER PIAN CHECK FE@ <br /> � FEE RECEIPT NO <br /> USE ZONE L07 AREA VA�ANT SITE <br /> :!YES ;';NO FEES VALUATION FEE <br /> TYP[OF CONuT. OCCUPANCY GROUP NO OF DWEILING UNIiS <br /> BUI�DING g <br /> SIZE OF dLDG NO.OF STORIES 61W( p� �OAD <br /> PLU6IBING <br /> FIRE ZONE BaSEMENT FIPE SPRINKLERS <br /> L REOUIflED AIECHANICAL <br /> fiYES .�NO 14 SO <br /> AP7ROVALS BY DATE OiMEF J <br /> L ENVIPONMENTALCHECKLI51 <br /> PENALTY U 8 C <br /> 2 BUILDINGPLANS SEC.303(n� <br /> 3 FIREMYDpANT TOTAL 14 SO <br /> a. FIqE PAOTELTION uY57EM PERMIT VAL1011TION <br /> � 5 GRADIN� \4HEN PROPERI.Y VA�IDATED pN TNIS SPACE)TMIS IS YOUR PEpRMCITQ <br /> 6. DPAINAGE ' � � �� � O � 1. )U ��� � <br /> ! M <br /> 7 ENVIRONMENTA�IMPACTSTATEM[NT . ' � � <br /> B. HEALTHOISiRICT Y�UR RECEIPT� <br /> APPUCATIONACC.6Y PLANSCI�ECKED�Y APPfl.FORISSUANCEBV 7HAIJK YOU <br /> : z3F� s; <br />� ADDRE55 FILE � � ' t <br /> L <br /> � <br />