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dic £rcrgreen C� N STR U CTIO N <br />CITY OF <br />everett PERMIT PERMIT NO. 11�71 <br />CITY HALL 2�9�8745 <br />EVERETT, WA �ezoi ❑ COMBINATION ❑ BUILDING XI� MECHANICAL ❑ PLUMBING <br />OWNER �,IAILAODfiLSS GiY 21P PNONE <br />Sharon Stevens 6105 Onkes Everett y8203 353-6157 <br />ARCHITECL OR DESIGNER M411 ADDRE55 CiTI' ZIP PHOPiE <br />G[NCRALCONitiqCiOR MAILAppRE55 CiTY ZIP PNONE �iLEN5E1 <br />Same <br />MECNPNICAL CONiRAGiOR MAIL ApORE55 CITY 21P PHONE �ICEI:SE I <br />PW�IBINGCONiRA[,iOR MAILAOORE55 CIiY ZIP VMpN[ �ICENSE� <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIfl ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />WORN <br />E <br />DESCRiOE wORK <br />Install fireplace insert <br />J fi AU RE55 <br />�10� Oakes <br />PLUMBING <br />I HENEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Eae�owor�nrrnc��Founcovies PLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. <br />P.LL PROVISIUNS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE CUMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br />CONSTRUC�OJJ OR THE PE�ReFORMANCE OF CONSTRUCTION. <br />SiGNFiVRE Oi fp TRACiOR OR AUT�IO,yzEO 46 DAiE <br />X �.��/,.,^r,, .�i� .�,� 12 / 2 7/ 8 2 <br />OR ITEM � FEE � NO. � TYPE OF EQUIPMENT � FEE <br />WATER CLOSET <br />B�THtUB <br />LAVATORV 6YA'. <br />CLOTMES WASHFR <br />WATER HLATER <br />URINAL <br />DPMKING FOUNTP <br />FLOOR DRAIN <br />r <br />A <br />SIDE VAflD SEiBALK SiREET SET�ACK <br />USE ZONE LOT AREA <br />TVP[ OFCONST. OCCUPANCY GRJUP <br />SIZE OF BLDG NO. OF STORIES <br />FIRE ZONE OASEMENT <br />1. ENVIRONM[NTAL CHECK UST <br />2. �UILDINGPVINS <br />3. FIRE HVDRANT <br />4. FIqL PROTECTION SVSTEM <br />5. GRA�ING <br />6. ORAINAGE <br />7. LNVIRONMENT�LIMPACTSTATEMENT <br />e Nen�r�+ oisTaicr <br />APPLICATION ACC. BY PLANS CHECK[D DY <br />AIH WND. UNITS — H P. EA <br />REFRIGERATION UNITS — H P 6A <br />�OILLRS — H P EA. <br />GAS FIiiED AC UNITS — TONNAGE EA. <br />FORC[D AIR SY57EA15 — B.T U. M EA <br />l7ALL HEATERS — d T U 1A <br />UNIT HEATERS — F3 T U. M <br />EVAPORATIVE COOLERS <br />CLOIHES DRYI'.RS <br />VENTILATION FAN <br />RANGE HC1pD <br />AIR HANDI.ING UNIT — C F.M. <br />STOVE <br />NETAL FIREP�CE 8 CHIA7NEY <br />s <br />PEAR YARD SE�PACK PLAN CHECK NUMeEf7 <br />YACANT SiTE <br />��.YES �,-NO FEES <br />NO. OP OWELLING UN!T$ <br />BUILCING <br />MAX.Q'�C-LOAU <br />PLUMBING <br />FIRE SPRINKLERS <br />RGOUi9ED MECH4NICAL <br />;lYES I :NO <br />BY DATE OTMEFi <br />_ PENALTY <br />APPR.FORISSUANC[BY <br />PERMIT <br />TO7AL FEE <br />PLAN <br />r�E <br />VALUATIOD <br />S <br />U B.0 <br />SEC 303 (a) <br />FEE <br />RECEIPT NO. <br />PERMIT ��ALIDAiION <br />WHEN PFJPERII' VALIDATED pN THIS SPAC•E) THIS IS YOUR PERM�ITn <br />� � O � .. i �a' �..7V �� � <br />�'f • � <br />�'O U R RECEIPT � <br />THh1N.K Y,��: . <br />. = 1 ,j � . <br />t • e <br />:'''f7�]OEC81 <br />ADDRE55 FIL[ , _ . ___ _ .__ _ <br />� <br />