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"�����"�.��° , .,on��rRuc-rior� <br />everett PERMIT PERM11 ��. �� � �� <br />UTY HALL 259 BlES <br />evErer..��:aeam+ �(g, COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OYir.IH M1IAILAOJRE55 UTY DP PMONE <br />F. DAVID 8 CYNTHIA CATES 190�10 VIRGINIA AVE EVERETT WA 98201zP 252'749goNE <br />pu�HrtEGI OR DESiGNEN <br />GErvE�i<L WNLiiACTOA MPIL PppRE55 CITY 21P PMONE UCENSE • <br />F. DAVID & CYNTHIA LATES 1901 Virginia Everett WA 98201 <br />MEGMANIWIWNiPAGTOR MAILADDRE55 CITY ZIP PNOHE LICENSF� <br />PLUNBING CONiPACTOR M�:l A�OPE55 GRY ZiP PMONE LICENSL � <br />t ��� <br />❑ NEW ❑ ADDITION XX /+LTE(iATION XXREPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVfJFIREPLACE INSERT <br />oarc <br />p Rehab - 2 new walls, chimney work, carpeting - bedrooms, kitchen, bat <br />ise or em�oiHc I HEREBY CERTIFY THAT I HP'dE READ AND EXAMWED THIS <br />idence qpp�ICATION AND KNOW THE SAME TO BE TRUE AND <br />a�c.ioHOFreovtarr,s�wwoewwonnn�cHFouacoaiea� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />u u <br />ior,lrZeiocK�BZoF WHETHER SPEGFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PFiOVISIONS OF ANY OTHER STPTE OH <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OFCONSTRUCTION. <br />IOBhDDRFS$ SIGNAiUREOFCONiR ,TOROR *MORIZEDRGENf 11/29/83 <br />1901 Virginia X � ' <br />PLUMBING MECHA ICAL "' <br />NO. TYPE OF <br />� WATEFCLOSET(T <br />DATM7U8 <br />LAVAiURYpNASM BASIN� <br />SMOWER <br />KITCMEN SINK 6 DISP. <br />OR <br />LAUNDFYTRAY <br />CLOTNESWASHER __ <br />WATER HEATEP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — AA�NLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />FEE N0. TYPE OF EOUIPMENT <br />Z OO AIF COND. I1NIT5 — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. _ <br />4 OO 801LERS — H➢. EA. <br />Z OO GAS FIRED A C. UNITS — TONNAGE EA. <br />2 OO FORCED AIR SVSTEMS — B.T.U. M EA. <br />Z OO WALLHEATERS—BT.U. M <br />UNIT HEA7ERS — O.T.U. M <br />fVAPORATNE GOOLERS <br />CLOTHES DRVEflS <br />VFNTII.ATION FAN <br />SUBTOTAL 3 <br />PERMIT = <br />TOTALFEE f <br />IEET SETBAGN REAR VAPD SETB <br />' AFEA VACANT SITE <br />YES NO <br />�UPANCY GROUP NO. OF OWEILIN <br />nF STORIES MA%. OCC. LOAD <br />APPPOVALS _" <br />1. ENVIRONMENTAL CHEGK'JST <br />2. OUILDING PLANS 'r' <br />J.FlREHYDRANT � <br />d FlREPROTGGTIONSVSTE4 <br />5. GiiADIKG � <br />!G DRA'NAGE �,.� <br />— 7ENVIRONMENTALIMPAf73TATEME� <br />� 8, HEALTHD{STfi1CT '� <br />Q.PPLICATf01J ACC. BV LANS Ch <br />�, � <br />"� STG �,� � <br />�- — <br />_ - � <br />�1 <br />BY <br />LNC <br />DATE <br />RANGEM000 <br />AIR NAN�IING UNIT — <br />STOVE — WOOD <br />lAETAL FIREVLACE 8 CNIMNEY <br />FIREPLACE INSEflT <br />MEAT PUMP <br />BUILDING <br />PLUMBING <br />IAECHANICAL <br />OTHER <br />PENAITV <br />TOTAL <br />QF.M. <br />SJBTOTAL S <br />PERMIT f <br />TOTALFEE f <br />PLAN G <br />FEE <br />VAIUATION <br />:75,000. <br />U.B.C. <br />SEC. 70� la� <br />RECEIPT NO- <br />FEE <br />��� <br />WHEN PROPERLY VALI�ATED UN THIi' L 4C7) TMIS�S iOi f�PER�1�T__ i�� <br />[ U � �� <br />I <br />' i�• <br />� ' ' . ��^����n� � � <br />. ,J <br />i:,�,:� � <br />; : � .. <br />