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diefcrr�reen + �CONSi'RUCTI� � <br />��T� aF � <br />e�erett PERMIT PERMIT NO. ! 5171 <br />CITV HA�L 259�8745 <br />EVERETT,WA90201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />XX <br />OWNER MAILRO�RE55 GITy 21P PHONE <br />Denney L. 8=rry 2420 r;onroe St:eet Everett 9a�oa 353_�o�a <br />ARCMIiECT OR DESIGNER MAIL AUDRE55 QTY 21P PHONE <br />GEAENALCONTRACTOR MAILAD�RE55 QTV 21P PMONE LILENSEII <br />Same <br />MEGHANICAL CONTPACTOR MAIL ADDRE55 CITY ZIP F'HONE LICENSE • <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY 21P PNONE LICEASE � <br />❑ NEW ❑ ADDITION ❑ ALTERATION ;� REPAIR ❑ DEMOLITION L7 FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f 800.00 <br />Rer00f <br />Residence <br />�or __ e,oc.�c _or <br />5450 031 003 0006 <br />Monroe Street <br />PLUMBING <br />N0. TYAE OF FI%TURE OR ITEM <br />DATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEA�ERS <br />SINK (SERVICE -- BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVFRNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STAT[ OR <br />LOCAL LA EGUTATING CONSTRUCTION OR THE <br />PERFORM OF CONS <br />SIGNATURE TRr1CTOROR THORIZ T DATE <br />X �J �,:� � �7�y ��Z2/85 <br />FEE NO. TYPE OF EOUIPMENT <br />AIF COND. UNITS — H.P. EA. <br />REFflIGERAiION UNITS — H.P. EA. <br />BOILERS — H.P. EA. � <br />GAS FIRED A.C. UNITS — NNAGE EA. <br />FORCED AIR SYSTEMS — B.T,U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T:U. .' M <br />EVAPORATIVE COOLk'RS <br />CLOTHES DRYERS �. , <br />S <br />S <br />s <br />REARYARDSETBACK PLAN <br />VACANT SITE <br />�.l`S �.'NO <br />MAX. OCC. <br />APPHOVALS BY <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />�. FIFE HYDRANT <br />4. FIPE PRMECTION SYSTEM <br />5. GRADING <br />6.ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. NEAL7H OISTRIGT <br />APPLICATION ACC. BY PLANS CHECKEO BY APP <br />f:G7 <br />RANGE HOOD <br />AIR HANULING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIFEPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />C.F.M. <br />f <br />S <br />s <br />ret <br />RECEIPT N0. <br />FEES I VALUATION I FEE <br />BUILDING I 5 $OO.00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV U.B.C. <br />SEC. 303 <br />TOTAL 14 50 <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED (IN THIS SBAQE) THIS.IS YP4R FERMIT �--� <br />� � — � <br />e"� <br />� <br />FOR ISSUANCF BY ' � � � � <br />'1 <br />ADDRESS FILE <br />