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r j <br /> � � <br /> `,"`"`�",`.,.,' ^ONSTRUCTION <br /> ��„z,� � <br /> everett PERMIT PERMIT NO. 1127Z <br /> r ��r, �,��� �S�N�,s <br /> uErverr,v�n ��:i:_o� ❑ COMBINATION ❑ BUILDING L�MECHANICAL ❑ PLUMBING <br /> ov:r�u� ieannooeiss un� nr wiorvc — <br /> Bert T. Schram P.O. Box 1522 Everett 98206 252-4886 <br /> ANCnIlIC1URPIEiL6Ui I,�P�LAD�FC55 CIIY bF PIIONL <br /> GEN[�Rl CANIRACIOP MPiL qDORE55 CiiY ZP PMONE LICCNSf� <br /> r <br /> M[CNANICAICONiRAC10(1 MAqqpORE55 �ItY ZI{' p110NE UCENSE� � <br /> Same <br /> PlUA1fUqGCONiHnC10�� MAILRODRE65 Cliv Zi� PPO•E LIGENSE• <br /> C�q550f\YORN <br /> ❑NEW I.�ADDITION ❑A�TERATION ❑REPNP. ❑DEh10LITI0N OFENCE ❑SIGN ❑GARAGE <br /> \'4lUAilON OF\YORK <br /> 3 <br /> L`FSCR'BE IYOFK <br /> Install fireplace insert <br /> ����orosco usc or ew�am; <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXA1dWED THIS AP� <br /> iEe>�or5eamriovoFvaort�rns�owneiovroanrrnn�vuuncor,cs� PLICATION ANG KNOW THE SAME TO BF TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS <br /> ior eurc�ov TYPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED - <br /> IIEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS GF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. <br /> ioa:,ona[ss s.c^�nrw+ro.c� �raaro�ionnunw �zi nceH; � oare <br /> 1015 Wetmore X �LE.�- ,.(Oi/? 11 22 82 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 1VAiER CLOSEtQOILEiI AIR COND.UNIiS—H P EA � <br /> pATMTUB qEf111G6RATION UNIiS—H P EA <br /> WVA70RY I\VASN BASINI �3pILERS—H P EA � <br /> SNOWER GFSFlF[DAC UNI15—TONNAG[EA <br /> KITCHEN SINN 8 DiS� �ORCED nIR$15TEA15—3 T U M EA <br /> DISITYfASHER P1AlLHEATERS—pi.0 M � <br /> IAUNDP�iRFY UNIT HEAtEnS—A T U A1 <br /> LLOTHlS WASHER LVA{ORATIYE COOlE95 <br /> WATER MCATER CtO7NE5�AYLRS <br /> URINFL VENiILATION FAN <br /> DRINNING FOUN7AIN RAI1G[HOOD <br /> FLOOR ORAIN AIR IInNDLING UNIi— CF.M <br /> VACVUM pF[AKEFS SIOVE <br /> POpF ORFIN$—RFINLE4U[RS M6iAt FIRFPI�CE R Cl/Ih1NEY <br /> SINKISERVICE-9ARETCI .1 F1L0 LdCO � �_ <br /> SUBTOTAL SUBTOTAL E <br /> PEflMIT f PERMIT f <br /> TOTAL FFF f TOTRL FEE S 1'] <br /> SI�E YARD SE78ACK $iREET 5[TBACK li[Aq YARD 5[TB4CN PIAN CMEGK NUMBER PLAN CNEC�.FEE <br /> PEE RECEIPT NO <br /> USE ZONE LOT AREA VACANT SITE <br />� :!YES ilNO FEES VpLUAT�ON FEE <br /> ITVPE OF CONST. OCCUPANGY GROUP NO OF DIYELLING UNITS <br />� �UILDING $ � <br /> SIZE OF BLOG NO OF STORIES M11A% OCC.�OAD <br />� PWMOING <br />� L FIREZONE BASEMENT HRE SPRINNLER$ � <br /> FEOUIPED MECHANICAL 17 r�0 <br /> I iYES i,NO <br />� APPPOVALS BV DpTE OTHER <br /> i L ENVIRONMENTAL CHECN LIST <br /> PENALTY U�C. <br /> 2. 9UILUING PLANS SEC.303(a) <br /> 3. FIPE HYDRANi T�TA� 1� S O <br /> I � d. rIRE PROTEC710N SYSTEM PENMIT VALIDATION <br />� WNEN PflOPERLY VALIDATED�1N THIS�PiC 11CHIS I$YOL'R'PE?MS O ���a� <br /> 5 GRADING <br /> fi. ORAINAGE ,u, + O , <br /> � <br />( ]. ENVIRONMENiAL IMPACT STATEMENf (V <br /> B. MEALTHDISTRIGT YOUR RECEIPT� <br /> IAPPLICATION ACC.BY PLANS CHECNED BY APPR.FOR ISSUANCE BV TH AN K YO� <br /> . { <br />� i , � s <br /> ' � - j��J q� '!'.�' . �'� ., <br /> L C 1W� 8� <br /> ADDRESS FILE <br />� L <br /> � <br /> e— <br />