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dir L'cn�trren - � p N ST R U CT I O N' <br />����.c� i <br />everett <br />CITY HALL 259�B7e5 <br />EVERETf. �4A 98201 ❑ COMBINATION <br />s <br />PERMIT PERMIT NO. <br />� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ction 9th St <br />13300 <br />. <br />O NEW ❑ NDDITION G A�TERATION O REPAIR X�OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPL4CE INSERT <br />h single family residence <br />�pj �.BLOCK �f]11YOF <br />to Everett <br />JOE. <br />PI.UMBING <br />NO. TYPE OF FIXTURE OR <br />1VA7ER CLOSET �TOILEn <br />BATHTUO <br />LAVATORV�WASNBASIN) <br />SMOWER <br />KITCIIEN SINK 8 DISP. _ <br />DISHWASHEH <br />LAUNORYTRAV <br />CLOTHES WASHER <br />WATER HEA7ER <br />UflINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADER� <br />SINK ISERVIGE — �AR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLAN� <br />3. FIRE HVDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALI H DISTRIGT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� �pRRECT. ALL PROVISIONS OF LA'NS AND ORDINANCES <br />, GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />PERM T DOES NOITIPRESUME TO GIVE�AU HOR TY TO V OLATE <br />�pCqLN LAW HREGU�AITINGSCONSTRU�CTTION SORT THE <br />PE FO MANCE OF CP NST TION. oAre <br />SIGI� OFC`O ACTORy�n,f¢1TM IZE^G,NT 4�26�84 <br />I\ 17l I <br />3 <br />S <br />S <br />VES NO <br />eY <br />APPR. <br />TYi'E OF EOUIYmtn� <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIA SYSTEMS — E T.U. M EA. <br />WALL HEATEFS — B.T.U. M <br />UNIT MEA7ER5 — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DR"ERS <br />VENTILATIO'� FAN <br />RANGEHOOD <br />qIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TO7AL S <br />PERMIT = <br />TOTAL FEE f <br />FEE HECEIP7 NO. <br />VALUATION fEE <br />BUILDING S _ OO OO <br />PLUMBING <br />MECHANICAL <br />O7HER <br />U.B.C. <br />PENALTY SEC.3031a1 <br />�0 �� <br />TOTAL <br />PERMI7 VALIOATION <br />WHEN PROPERLY VALIDATED pN THISI � IGG) THIS FS �OUF�PF��T � O <br />� � �) <br />M <br />M <br />, ,..� Ir,—r'i <br />. -. . i I <br />. � �� ,f i.� i� <br />�AGDR[SS � II[ <br />