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'�`E�"�"' � �ONSTRUCTIOi� � <br />�„� o� <br />everett PERMI,Y PERMIT N0. 165QZ <br />GTY Ml1ll25YA7�5 <br />EVENETt. W� 9u?0+ ❑ COMBINATION ❑ BUILDIN(i � MECHANICAL ❑ PLUMBIN(i <br />py/p MAIL �DDRESS CITY Z�P PMONE <br />Eva Portar 3219 Wetmore Everett <br />11 M G SIGNER MML ADDRESS CITY IIG %IONE <br />OENERAL CONTR�CTOP. M�IL �ODRE55 GITV ZIP PMONE LIGENSE � <br />Natural Gas Equipment 1625 E Marine View Dr Everett, WA 258-�441 <br />MECM�NIC�L CONTR�CTOR MRIL ADDRE55 dTV ZIP PHONE UGENSE � <br />PLUMBING CANTR�GTOR MMl �D�RESS CITY ZIP PMONE UCENSE 1 <br />C1A550F WOAN <br />❑ NEW O ADDITION � ALTERATION ❑ REPnIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALU�TION OF WORN <br />f <br />LOT _ BLOLN _Oi <br />3219 Wetmore <br />PLUMSIN6 <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILEn <br />HATMTUB <br />LAVATORYIWASHBASIN� <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISNWASHER <br />LAUNGRYTRAY <br />CLOTNES WASHEN <br />WpTER MEAIErl <br />URINAL <br />DRINKING 'rOUNTAIN <br />FLOOR DRAIN <br />YACUUM 6REAKEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />70TAL FEE <br />APPROVpLS <br />1. ENVIRONMENI �:L CHF.CK U5T <br />?., flJI�DING PLANS <br />3. FIFE HVDRANT <br />4, FIRE PROTECTION <br />5. GRADING __ <br />6 �FAINAGE <br />7. ENVIRONMENTP: IMPACT S1ATEtdENT <br />8. HEALTH DISTRICT <br />ATTAGH <br />BY <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 V�'ORK WILL BE COMPLIED WITH <br />WHETHER 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNITUPE/Sd LOYHNOTON OR.UITHOR12E0 FGENi DATE <br />X <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — N.P. EA. <br />REFRIGEFAT;ON UI�ITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTEMS — BS.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />PANGEHO00 <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />NETAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />� <br />f <br />f <br />EAR YFRD SETBACK <br />ACANT SITE <br />YES NO <br />IO. OF OWELUNG UM1 <br />7A%.00Q LOAD <br />IRE SPRINK! ERS <br />IEOUIRED <br />YES NO <br />gY OATE <br />�a <br />ree <br />SUB707RL f Q <br />PERMIT f 1� <br />TOTAL FEE f 1 <br />;NUMBER PLAN CNFCKFEE <br />FEE RECEIPT NO. <br />FEES �ALUATION fEE <br />BORDING <br />PL'JMEING <br />MECHANICAL <br />OTHER <br />PENALTV <br />E <br />SEC. 303 (a� <br />14 <br />—" TOT�L I 14 �.50 <br />PEqMIT VALIDATION <br />WHEN PRGPFRLV VALIDATED pN THI$ SPAC�I TMIS�S.Y UFl P�A IT , C� <br />�:�:�. ;9��.�"1- � <br />�n <br />I�l <br />� <br />� � � <br />BY <br />ADDRE55 FILF <br />I C J <br />