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N+rEcrrcrctii �/�� AV�� 1������ <br /> c�r�, cr <br /> . e�erett PERMII" P�R�;,T No. 1o �20 <br /> ❑TY HA�L J`9�N��3 <br /> uv[ivt_rt tvr, s��_e�, L� COMBINATION ❑ BUILDING �K� MECHANICAL L� PIUMBING <br /> ...Stn 1.�<��cLUI:iS• r,itt E'P I��rtu�l <br /> EVANDA CURRIE 310 View Ridqe Dr Everett 98203 __ <br /> .- .�.ifCll'YDCSR;lUi IJnqeO�r�:_ i.uA 11�' �IIONL <br /> . .i�::.L�.".':iPcq09 6�:.4.�ppNESS OtY cn PMONL IICENSf • <br /> ...�.:,�:i�:pL(CHiI:l.qNi AIAiI nUDRESS CIiY ZIP PNONE UGERSS• <br /> NATURAL GAS FQUIP 1611 E Grand 258-2441 <br /> ,�. r.•i3��e,cornn�emi,. e+ni��uoness ertr �ir rHONe ��eeNs •-- <br /> . ..:,,O:A'lORK �. <br /> �:XN[vJ L]AO�ITIGN ❑ALTERATION ❑REPAIP ❑DEMOUiION ❑FENCE L�SIGN ❑GARAGE — <br /> '.�-1 W�T10N OF YlOaK <br /> , . ..��n[t[ WORa <br /> Conversion Qurner and Hot Water Tank <br /> - n;rt>us�or eu��i ni�uc <br /> R251d2000 I H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIa AF' <br /> �,i.;;u,cmti " � r�,-t.�- � - �.vreuc ,����i.��� �.�ca���s-� PLIGAIION AND KNOW TNE SAME TO BE TRUE AND CORRECI <br /> � F�LL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THC'��: <br /> t�uk.�._oF TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIE!�� <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO� <br /> PRESUM[TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH[FRO <br /> � - VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUI.i�TIN!: <br /> CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. <br /> . _ , . �, .� . .���zw ne�r�t . .. <br /> 310� View Rid e Drive X ` ' � <br /> 1'LUMBING MECN NICAL� <br /> N01—TYPE OF FIXTURE OR ITEM FEE NO � TYPE OF:EOUIPMENT FEE <br /> v:nr�Faos�r�roi�n� ;.�r;cz�no un�u— i+r rn. _ <br /> 847HTUf3 RCF{iIGCRATION UNITS—HP.EA <br /> ..- IAVATORV(WASR EiA51N) [10RER5—H P EA _. <br /> � SH�Wflfl GAS FlPED A C UNITS—TONNAGE EA <br /> NITCHCN SINK 8 OISP. fORCED NH SYSiEM�—B T.0 M EA <br /> � DISHWASHER \"fld1HEAIERS—DT.U. M . _ <br /> �AUNDRYTRAY UIJIiH[ATERS—dT.U. M <br /> CL07NE5 WASHE(i [VAPORATNECOJLERS _ <br /> WATER HEATER CLOTHES DRYENS _. <br /> �I URINAL VENiILAiION FNN __ <br /> DPINKItiG FOUIJTAM HANGE HOOU <br /> f�00RDRAIN AIRIIANDLMGUNIT— CFM. <br /> VAGUUM B9EAKERS �'n���� -- <br /> ROOF DRAWS—RAINLEADERS lu7�l i i�d PLnri� :. -�'NI � <br /> siNK�seevice—ena.eTc� _Ho�waYer heafer 90 <br /> _ Conver_sintLBurne 4 5� <br /> — � <br /> _. --- � <br /> SUB TOTAL SU9 TCTAL S �S 5D <br /> PERMIT f PERMIT S 3.00 XW �� <br /> � TOTAL FEE S 70T11L FEE S <br /> '�'�hL YARD SEiO�GK I SiRECT SE7f�ACN RI-AR YARD SETEiACK Pl nN CHGCK NUMDCR PIAN CHCCd FEE <br /> F[[ R@CEIFT NO <br /> JL ZONE � lOT AP.EA VACANT SITE � — <br /> ,� � I IYES I-INO _FEES VAWATIOi! FEE <br /> i <br /> '.1'PE OP CqNST. OCCUPANGV GROUP NO.OF DWELLING UNi75 <br /> BUILDING F <br /> siZE Of-BLOG. NO OF STORIES MA%.OCC.LOAD — - <br /> PLUAIBIN('i <br /> l�iR[20NG f�nSLt"LN1 R@OUIRED KLENS MECNl.NICAL 9 SO � <br /> ��, IVES �1N0 — - <br /> APPROVALS BY OATE O1HER <br /> � ENVIRONMENTALCHECKLIST p��������- UOG <br /> 5@C 3V3�a) <br /> f' [iUILOING PLANS <br /> d FIRE HV�RANT TOTAL 9 50 <br /> ! FIRE PPOTECTION SYSTEM PEflMIT VAUDATION <br /> WHCN P190�CRLV VALlftnitD IIY THIS SPACE)7HI515'IOl1R PFR1.41T <br /> ': GflADING C� <br /> sset 5.009.50 -0� <br /> ( DRAINAGE <br /> � tNVIRONMENTALIMPACTSTATEMENT ` <br /> — _ • �� <br /> �� HEALTH DISTPICT <br /> �PPLIi.ATION ACC.RY PU+NS CHECKE[7 BY � '�'�'��� ��'�a�'�-��iA���E���' , ��� U�R R�OE I PT�� , <br /> �!;ANK YO U ' <br /> ; <br /> 1 L_ <br /> � ____ <br />