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r - <br /> `'"��'�;tY`'oF �QNSTRUCTION <br /> everett PERMIT pERMIT NO. 11207 <br /> CITY HALL 25A�B7a5 I <br /> evenerr.wn �ezo� ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> O�4NER AIAIL ADGRE55 CITY LV PMONE <br /> Kathryn A. Olsen 3316 Oakes Everett 98201 353-4250 <br /> FnPtli[Ci OA Ot51GYER AIAIL ADORE55 CITY 21P PNONE <br /> GENERAL WNTRACTOA MAIL A�DRESS CITY ZIP PHONE LILFNSE� <br /> Same ' <br /> � A�CCImNIC�L CONiPACiOP AIAIL RO�RE55 CITY ZIP �NONE UCENSE I <br /> PIU�dBiNGCONiRAC10li FIAII/DDRESS CITV 21P PHONE LICENSE� <br /> CIASSOF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑FIEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUAiION OF WORK <br /> 4 <br /> DESCRIIiE WORK <br /> Install wood burning stove <br /> PROPOSED USE OF BUiLDMG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�oescaianor�er��avoaeairisNowoe�owoanrTna�vouacawesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io, oi�K_aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIYE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUL4TING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOtJ. <br /> SiGNAiURE OP COW .tOR OR AUl OPI ED P'i i �Ai� <br /> �od nonaes � 11/4/8 2 <br /> 3316 Oakes X <br /> PLUMBING MECHANICAL <br /> ryp, TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIR COND UNITS—H.P.EA <br /> BATNTUB REFRIGERATION UNITS—HA LA <br /> LAOATORY M'ASH BASIN) OOILE(iS—HP.EA. <br /> SHOwER GAS FIfiEU� C.UNITS—1�NNAGE EA <br /> KITCHLN SINK R OISP. FORCED Alfl SYST[61S—BT U M EA. _ <br /> DISHWASHBR WALI NEATERS—�.T.0 M <br /> LAUNDRV TRAV UNIi NEATEF75—�.T.U, h� <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATEA NEATER CLOTHES DRVEPS <br /> VENTILl�TION FAN <br /> URINAL <br /> DRINKIIJG FOUNTAIN RANGE 11000 <br /> Alp HANDLIt�G UNIT— CF.M <br /> PLOOR DRAIN <br /> VACUUM�REANFRS 1 STOVE WOOd <br /> ROOF DRAINS—RAINLEADERS �AETAL FIREPWCE 8 CHIMNEV <br /> SMK�SEPVIC[—�AR.ETC 1 <br /> sue rorn� sue rorn� s 7 5 0 <br /> PERMIT S PERMIT S <br /> TOTAL FEE f TOTAL FEE f 17 5 O <br /> SIDE VARD SEi�ACN STREET SET6ACK RGAN VAFD SET�ACK PLAN CH[CK NUMDER PLAN CHECK PEE <br /> PEE PECEIPT N0. <br /> USE ZONE LOi AREA VACANT SITE <br /> t-!YES GNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO OF DWELL:?IG UNITS <br /> BUIIDING $ <br /> SIZE OF BLDG. NO.OF STORIES MW(.OCC.LOAD <br /> P���MBING <br /> I FIRE ZON[ BASEMENT FlRE SPRINKLERS MECHANICAL 1� S O <br /> REOUIRED <br /> � IIYES I7N0 <br /> APPROVALS <br /> BY DATE OtNER <br /> 1. ENVIF70NMENTAL CNECK IIST PENALTV U B C. <br /> SEC.303(a) <br /> 2. BUILDING PLANS 70TA1 1� S O <br /> 3. FIR[HYDRANT <br /> L d. FIRE PROTECTION SVS7EM PERMIT VIILIDATION <br /> WHEN PROPERLY VALIDATF.D(IN THIS S�ACFjTjiI515,Vpl�i�EA.tlr a � � <br /> 5. GRAOING 6 ' 7 +u t r 7 <br /> � . � � <br /> 6. DRAINAGE � - N <br /> 7. ENVIRONMENTALIMPACiSTATEMENT Yp�U�R RECEIPt � � <br /> B. HEALTH DISTRICT K Y�O�U � <br /> APP�ICATION ACG.BY PLANS CMECRED BY APPR.FOR ISSUANCE DY T H A4V.� 1 <br /> ,.i $_� '. <br /> : � w�► 81 <br /> ADDRESS FILE - <br />