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`'"`"�"""" ;ONSTRUCTIO�' <br />� �,. �. � <br />everett � E R M I T <br />GTY NALL 259-8745 <br />eveaerr, v+a 9azoi i] COMBINATION ❑ BUILDING Xn( MECHANICAL <br />PERMIT NO. 1�+Q43 <br />❑ PLUMBING <br />GCrvEHAL CON1R. CfOR <br />MniL AO[lP[55 CrtY 2iP PMONE IICENSE i <br />p'(� LONTNPLTOR IAAIL ADORE55 GIIY ZIP PYONE LILENSE � <br />PUIM9ING CONiP/•GiOR MR�I AO�PE55 CIiY Z�P PNONE UCLNSE � <br />O NEW O ADDITION ❑ ALTERATION ❑ FEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN XD WOOD STOVFJF!PEPLACE INSERT <br />3 <br />DESCRIpE WORN <br />Wood stove <br />VROVOSED USE OF PUiLO'NG <br />Residence <br />�or_a�ocrc_oF <br />917 Wall <br />PLUMBING <br />N0. TYPE OF FIXTURE OR I1EM <br />W ATER CLOSET (TOILLT) <br />BATHTUB <br />IAVATORV(WASHBASIN) <br />SHOWEfl <br />KITCHEN SINK fl DISP. <br />DISMWASNER <br />LAUNDRYTRAY <br />CLOTHESWASMER <br />WATER HEATEN <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREANERS <br />� 700F DRAINS — RAINLEADERS <br />� SINK �SERVICE — DAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />�:iZE <br />�RE <br />FPPROVALS <br />1. ENVIFONMENTAL CHECK LIS7 <br />2. BUILDIMG PLANS _ <br />3. FIRE HYDHANT <br />4 FIHL PROTECTION SYSTEM <br />5 GR4DIkG <br />B. DRFItnA�SF <br />L ENVWO' NENTAL IMPACTSTATEHR:. <br />8, NEALTr. DICTFICT <br />APPUCATION FCC.DY PLANS CMEC <br />BY <br />FEE <br />� <br />f <br />S <br />�EAR YARO 51 <br />'ACANT SITE <br />YES NO <br />�0. OF DWEL <br />dAX.00C.LC <br />=1RE SPNINKI <br />tEOUIREO <br />YES NO <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 />GOVERNING THIS TYPE OF WORK WILL BE CO��APLIED WITH <br />WHETHFR 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 LAW REGULATING CONSTRUCTION OR THE <br />PEP.FORMANCE OF CONSTRUCTION. <br />51[.HANf�EOFLOwiR4 R�OR12E�AGEN7 .�nO�n� <br />� <br />X —i`�. ,�- ( <br />MECMA AL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. CP. <br />REFRIGERATION UNITS — H P. EA. <br />BOILER� — M P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOPCED AIR SVSTEMS — B T.U. M EA. <br />WALL HEAiEHS — B1.U. M <br />UNIT HEATERS — fi.T.11. M <br />EV4PORATIVE COOLERS <br />CLOTMESDRVERS <br />VCNTILATION FAN <br />FANGEHO00 <br />AIR HANDLING UNIT — QF.M. <br />� STOVE — WOOD <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />NEAT PUMP <br />CMECK <br />FFE <br />SUB TOTAL S <br />PERMIT S LO_ <br />TOTALFEE S �� <br />PLAN CHECK FEE <br />I FEE I RECEIPT NO. <br />FEES I �A�UATION � FEE <br />BUILDING <br />PLUMBING <br />IdECHANICAL <br />OTHER <br />PENALTY <br />E <br />U.B.C. <br />SEC. 303 lal <br />17 I 50 <br />rorn� I I U I 50 <br />PERMIT VALIGATION M <br />WMEN PROPERLV VALIOATEG pN TMIS SPACEI THIS IS YOI�R-PEPti1�1 1 <br />� . d.' <br />0 <br />� <br />� <br />i�Cl)!iGc.ti f II C <br />H r <br />y •, <br />�� <br />m� <br />r <br />� �: <br />� r <br />� k' <br />p � <br />Cb � <br />t" : <br />Hy � <br />K! <br />0 ! <br />[n � <br />(' <br />� ; <br />� <br />