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`'"� L''.""`.`.,, �O NSTRU CTf OI <br />��,,�� <br />everett PE�MIT PERM�r No. 13843 <br />CIiY HALL 259�8745 <br />F.VERETT, WA 98201 � CGMBINATION ❑ BUILDING C�X MECHANICAL ❑ PLUMBING <br />O\YNER MPIlA0DRE55 Clif 21P �HONE <br />Glen Rupe 6228 Oakes Everett 98203 355-3993 <br />ARCMILE:i OR OESIGNER MAIL ADDRE55 CITY liP PHONE <br />GENERAL GONTBPGT00 MAIL AOORE55 GITY ZiP PMONE LtCENSE � <br />Same <br />MECNANICAL CONTNAC?OR MAIL AD�RESS CITY ZIP PNONE LICENSE � <br />Pl'JMBING CUNTRAGTOR MAIt ADDRE55 CITY 21P PMONE UCENSE 1 <br />V V� � O NEW ❑ ADDITION ❑ ALTERATION ] REPAIR ❑ OEMOLITION ❑ fENCE ❑ SIGN L�C WOOD STOVEIFIREPLACc INSERT <br />VRLUATION OF WORN <br />S <br />Install wood stove <br />LOi _pLOCN_OF <br />6228 Oakes <br />PIUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILEn <br />uATNTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTNES WASHER <br />WATFR HEATER <br />URINAL <br />7RINKING FOUNTqIN <br />FLOOR DRAIN <br />VACUUM BREAKEf15 <br />POOF DRAINS — RAINLEADf'1S <br />SIL < �SEPVICE — �AR, ETC.) <br />BLDG. <br />RqE <br />SUB70TAL <br />PERMIT <br />TOTAL FEE <br />APPROVALS <br />t. ENVIRONIdENTAL CHECK LIST <br />2 �UILOINGPLANS <br />9. FIRE MVDRAN7 <br />a. FIRE PROTECTION 51'STEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.H[ALTH DISTHICi <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TG� BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOLATE <br />OR CANCFL THE PROVISIONS OF ANY OiHER STATE OR <br />LOCAL LAW REGULATING C�)NSTRUCTION OR THE <br />PE�ORMANGE OF CONSTRUCTION. <br />Cif. aTi. F OfIGONTHACiOR OYRQfHOR12E� f GENT ORTE <br />X�� <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />DOIIERS — N.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE E.1. <br />PORCED AIR SVSTEMS — 9.T.U. M F.A. <br />WALL MEATEHS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />C�OTHES DRYERS <br />VENTILATION PAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STO\'E — WUOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT _ <br />HGAT PUMP <br />S <br />S _ <br />s <br />IEAR YARD SETBACK PLAN <br />�ACANT SITE <br />YES NO <br />MA%.00C.LOAO <br />YES NO <br />3Y DATE <br />APPR.FORISSUANCE BY <br />aw <br />BU�LDING <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTY <br />SUB TOTAL <br />PEflM�T _ <br />TOTALFEE <br />PLAN <br />FEE <br />VALUATION <br />E <br />U.B.C. <br />SEC. 3031a1 <br />8/30/84 <br />FEE <br />s 7 50 <br />f 10 �� <br />S 17 50 <br />�NECK FEE <br />RECEIPT NO. <br />FEE <br />�.% rJ� <br />TOTAL I I 1� I5� <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALI�ATED �1N THIS SPAC�E� TMIS.IS�YQUH P�EFMIT (1') <br />I 7 IJ i1 <br />Q <br />;.��^tss � i;. <br />4 <br />� <br />Fr- <br />M <br />