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f. <br />litC EcCrYrePn G O N ST R U C T I 0,' <br />��,��� � <br />everett PERMIT PERMIT NO. 123�4 <br />CITY MALL 759�B7a5 <br />EVERETT.IYA 90201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRE55 GiV Z�P PHONE <br />ERROL SPARKS PO ROX 2457 EVERFTT lVA 98203 35'i-(,,;4G _ <br />PFLMREQ OR DESiGNER MAIL qODPES'a GtY ZIP PHONE <br />GENEFFLCONTR�CTOR MAILAODRE55 CITY 21V �MONE LIGENSE• <br />Owner <br />MECMRNIWLCONiRAGiOR MAILADDRE55 GITY ZIP PMONE LICENSE� <br />PLUMBING CONTPRCTOR MAIL ApORE55 CItY ZIP PNONE LICENSE � <br />O NEW ❑ ADDITION ❑ ALTERATION <br />"i 4LUAilON OF WORN <br />tl����. <br />pE6CRI9E WORF <br />Reroof - composition _ <br />PPOPoSEO USE OF BUiL01NG <br />Residence <br />LEG�I OESGRIPiION OF PROPERTV ISIIOW B[LOW OP ARAGM FOO <br />LOT_BLocrc_oF <br />JOBRDDRE55 <br />6225 Wetmore <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEP. CLOSET (TOILEn <br />BATNTUB <br />�AVATORY(WASHBASIN� <br />SNOWER <br />KITCMEN SINK 8 DISP. <br />DISM W ASMER <br />LAUNORYiRAY <br />CLOTHES WASHER <br />RATEN riEATER <br />�PiYAL <br />ORINKING FOUNTAIN <br />FLDOR DRAIh <br />VACUUM BREAKEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC) <br />SUBTOTAL <br />TOTALFEE <br />APPPOVAI� <br />t. ENVIRONMENTAL CHECK L15T <br />2 CUILOING PLANS <br />3. FIRE MVOflANT <br />d, FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />8. MEALTH DISTRICT <br />APPLICATION ACC. BY <br />� <br />f <br />f <br />REAR <br />REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLAGE INSEflT <br />VACANT SITE <br />i,YES . NO <br />n�ax. oca �ono <br />DATE <br />APFR.FORISSUANCE <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 OP 1NORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN 07 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 Ofi THE <br />PERFORMANCE OF CONSTRUCTIOPI. <br />SIGNANBEOFCONLRAGtOROPA�TMORIZEORGENT DATE <br />FEE <br />AIR COND. 11NIT5 — M.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREU A.C. UNITS — TCNNAGE EA. <br />FORCED AIP SVSTEMS — B.�.U. M EA. <br />WALL NEATEFS — B.T.U. M <br />UNIT MEA7EH5 — B.T.U. M <br />EVAPOPATNECOOLERS <br />CIOTHES DRYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />AIq HANDLING UNIT — GF.M. <br />METAL FIREPLAGE 8 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SIIB TOTAL S <br />PENMIT f <br />TOTALFEE S <br />FEF. I RECEIPT NO. <br />VALUATION FEE <br />BUILf�ING �oy <br />PLUMBING <br />MECMANICAI <br />OTMER <br />P[NALTY UBC <br />SEC. 303 �a� <br />TOTAL 1% JO <br />PERMIT VALIUATION <br />WMEN PROPERLY VALI�ATEO QN THIS SPACE� 7MIS I$ �O�R�EjiM1}jT �� <br />04��� a r �u <br />M <br />c�.l <br />y.7UR RECEIPT•-, <br />��; �nNK You <br />,•.00t;e�s rue <br />I 2 !�uc � � <br />