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the EverRnrn <br />Crtr oF <br />everett <br />Gri MI1LL 259-07�5 <br />EVERETT. WA 9B20t <br />�� �CONPERMI�T I� <br />❑ COMBINATION � BUILDINO ❑ MECHANICAL <br />� <br />PERMIT NO. 14818 <br />❑ PLUAABINO <br />OWNER MAII �DORE55 CITT 21P PMONE <br />KYL AND K1�RP'N GR�F'N4100D 4711 SFLHfIR.CT FVFRF�` WA Q8Z0� - <br />•PCNITECT OR DESIGNER MAIL ADDRE55 GITV ZIP PNONE <br />GENER�L fANTR�GTOR MRR ADDRE55 CITY ZIP PMJNE LICENSE � <br />DAMAGE REPAIR SERVICE BOX 2045 EVE�TT WA 98203 "+�7-4222 DAMaC-?2�8D3 <br />MEGHANIL�L CONTRAGTOR MAIL ADDRE55 QTY ZIP PMONE LICENSE � <br />PLUMBING CANTFACTOR M�IL AOORESS dTY ZIP PM�NE ��CENSE I <br />VMJJ V V O NEW ❑ ADDI710N ❑ ALTERATION f] REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VAIU�TION OF WORN <br />S1510��.�� <br />DESCRIBE WORK <br />Fire damaqe zepair <br />Residence <br />L0T_BLOCN_Of <br />Seahurst <br />PLUMBINO <br />Nl:. TYPE OF FIXTI <br />W ATER CLOSET �TOI LET) <br />BATHTUB <br />LAVATORV (WASH BASIN <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />UIUNDRYTRAY <br />CLOTMES WASHER <br />URINAL <br />D?INKING FOUNTAIN <br />FLOC7 DRAIN <br />V�CUUM BFEAKERS <br />ROOF DRPINS - RAINIEADEflS <br />SINK (SERVICE - BAR, ETG.) <br />SUB TOTRL <br />PEHMIT <br />TOTAL FEE <br />512E OF BLDG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVRLS __ <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />�. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HE�LTN DISTRICT <br />�O�i if.�TION �CC. BV PLANS CMECKED BY <br />f <br />S <br />IEAR YARD SETBACK <br />'ACANT SITE <br />VES NO <br />10. OF DWELLING UP <br />AA%.00Q LOAD <br />'IRE SPRINKLERS <br />IEOUIRED <br />�ES NO <br />BY DATE <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 8E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GfiANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPE OF CONTRRLTOR O//gq�{y�1y�� ZED AGENT ' S% HS <br />X Yn.u:l�ti_ J ✓f- !/�Li!cn�4� � � <br />TYPE OF EOUIPMENT <br />AIR CONO. UNITS - H.P. [A. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT MEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRVERS <br />VENTILATION FAN <br />FANGEMOOD <br />AIR HANOIING U41T - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEAi PUMP <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />BUILDING I S <br />PLUMBI�G <br />MECMANICAL <br />�S <br />CHECK FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />OTHER _ <br />PENALTY U B.C. <br />SEC. 303 �a� <br />TO7nl 110 50 <br />PENMIT VALIDRTION <br />WHEN PROPERLV VAIIDATED (�N THIS SPACE� THIS IS Y9U9 PEHMIT � <br />� . �� <br />� <br />� <br />' c-{ <br />ISSUANCE BY -' � <br />1 , i <br />ADDRESS fILE <br />