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�h��,�.,��.�", � ;oNs�rRucTion�_ <br />OTY C� � <br />everett PERMIT PERMIT NO. � ��ooa <br />GTY HALL 25?B7a5 <br />�venetr.wnsezoi ❑ COMBINATION �' BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL�DOF:Si CIiY ZiP i'NONE <br />Earl t4eese 5702 South 2nd Avenue Everett 98203 252-9398 <br />np�wii[pt OR Ut5iGNEP MFIL AD�RE55 CIIY 2�P PNONE <br />GENENILGONiRI.LiOP MAILADDRE55 GITY ZIP PMONE LICENSE� <br />3428 <br />Norman Douglae <br />MECNPNICPLGONTRALiON <br />MNILAD�RESS GILY ZIP PMONE LICENSE� <br />FLUMOING CONTNFLIOR MPIL ApORE55 QTY ZIP PNONE LICENSE i <br />.55 OF 1YORN <br />�NEW O ADOITION ❑ AITEHATION ❑ f7EPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVHfIREPLACE INSER <br />.UAiION OF 1YORK <br />s 6000.00 <br />Install pole Building <br />'P0�'OSEO USC OF BIIILOING <br />Sinqle Family Residence <br />�2=3 ULOGN.,_.OF <br />5702 South Secon <br />PLUMBING <br />NO. TYPE OF FIXTI <br />WATER CLOSET 1 �OILEi) <br />BATHTUB <br />SMOWEN <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CI OTHES W ASHER <br />� <br />OR ITEM <br />WATER MEATEH <br />UflINAL <br />DRINNING FOUNTAIN <br />FI.00R DRAIN <br />VAGUUM BREANERS <br />R!`OF URAINS — RA�NLEADERS <br />$:NK (SEHVICE — BAP, EiCJ <br />IDE YAFD SEItl� <br />5' <br />SE 20NE <br />R-2 <br />YPE OF CONST. <br />V-N <br />ILE OP �LDG. <br />864 Sq. <br />PERMIT <br />TOTAL FEE <br />IEET SETBA� <br />20' <br />AREA <br />:UPANCI' G <br />M <br />OF STOFIE <br />1 <br />t ENVIflONMENTAL CHECh LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />I� LENVIflONMENTAL <br />8. HEALTH DISTRICT <br />APPLIf,AT10N PCC. <br />EB <br />STATEMENT <br />PLANS CMECKEO BY <br />HWM <br />FEE <br />� <br />f <br />S <br />IEAP YAflD SEl <br />N/A <br />�ACANT SITE <br />YES NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PR�SUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANGEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />$IGt1Ai11REOFppNiPALiORORhUiNORIZE��GENi �ATE <br />i� , .. . i /r L� .��� .�t����— <br />FEE <br />AIF COIJD. UNITS — H.R EA. <br />REFFIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />FORCE� AIR SYSTEMS — B.T.U. M EA. <br />WALL NEATERS — B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPOR4TIVE COOLEPS <br />GLOTHES �RYERS <br />VENTILATION FAN <br />RANGE1i00D <br />AIR HANDLING 11NlT — C.P.M. <br />STOVE — WOOD <br />METAL FIREPLACF 8 CIiIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUBTOTAL s <br />PERMIT s <br />TOTALFEE S <br />PLAN CMEGK N11Mtltn ��^�• �•���^ • �— <br />83/12009 FEE 32 ggl RECEIPTNO. <br />G2825 <br />FEES VALUATION FEE <br />� BmLDING S6,OOO.00 S6 SO_ <br />ICC. LOAD <br />PLUMBING <br />PRINKlERS MEGHANICAL <br />RED <br />xwo <br />OATE QTHER <br />PENALTY U B.C. <br />SEC, 3W la� <br />0 <br />TOTAL <br />PEflM1T VALIDATION <br />WHEN PROPEFLY VAL104TED �IN THIS SPACE� THIS IS YOUP PERIdIT � <br />� �625 b05b.50 — d <br />N <br />� <br />FOR ISSUANCE BY yO U R REC E I PT <br />Lc � I1A.NK 1'OU <br />-�I�;:;i�::.: FIII� <br />' � � �!� � i <br />