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IheE��.rgrern ,- CC'VSTRUCTION � <br />i,ITY OF <br />e�erett PERMIT pERMIT NO. OH353 <br />CI7Y HALI. 259�8745 <br />EVERETT. WP sezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNfR MAIL/•ODRE55 CILY ZIP PMONE <br />Walter Patmore 6504 Wetmore Everett 98203 353-6652 <br />ARCMITECT OR DESIGNER MRR F��RE55 LIiY ZIP CMONE <br />GENERAL CANiRACiOR MAIL ADDRE55 GiY ZIP PHONE LICENSE 1 <br />Same <br />IdECHANICALCQNiRACTOR MAII/DDRESS piY ZIP PMONC LICENSEI <br />PLUMBINGCONTRACiOR MRIIADDRE55 CIiY 21P PHONE UCENSE� <br />CLA55OF WOPK <br />❑NEW ❑ADD!TION ❑AITERAT!ON ❑PEPAIR ❑DEMOLITION ❑FEHCE ❑SIGN ❑GARAGE <br />S <br />DESCRIBE WORN <br />install wood heater <br />VPOPoSED USE OF BUILDING <br />IEGAL OESCRIPTION OF PROPERLY iSMOW BELOW 0! <br />ior eioc�oF <br />JOe n�OPES$ <br />6504 Wetmore <br />PLUMBINO <br />NO. TYPE OF FIXTURE OF <br />WATER CLOSEi (TORET) <br />BATHTUB <br />LAVATOFY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER _ <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DPINKWG FOUNiAIN <br />FLOOR DRAIN <br />VACUUM 6HEAKERS <br />ROOF DRNINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC.1 <br />SEiBACK <br />SIZE OF 6LDG. <br />PERMIT <br />TOTAL FEE <br />STREET SETBl,CK <br />1 tiEREBY CEFTIFY THAT I HAVE READ ,\ND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO B� TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINAWCES GOVERNING THIS <br />TYPE OF WORK WILL B[ COMPLlED WITH WHETHER SPECIFIED <br />HEREIIJ OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW H[GULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SXIGNAiIl11['�ON� R RA� RGENT � �A� �� <br />/ <br />MECHANICAL <br />TYPE OF EUUIPMENT <br />AIR COND UNITS — HP. EA. <br />REFPIGERATION UNITS — N.P.EA <br />DOILERS — H.fl EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T U. M EA <br />1VALL HF.ATERS — 8 T.U. M <br />LINIT NEATERS — BS ll. M <br />VEN'ILATION FAN <br />MET�L FIREPLACE & CHIMNEY <br />REAR YARD SETBACK IPLAN CHECK NUMBER <br />LOT AREA I VACANT SITF <br />LiYES L]NO <br />OCCUPANCV GROUF NO.OF DWELLING <br />L`P] <br />11PVROVALS BY DATE <br />1. ENVIRONM[NTAL CHECK IIST � <br />2. BUI�DING PLANS <br />3. FIR.. HYDRANL <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTpTEMENi <br />8. NEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED �Y APPF. FOR ISSUANCE BV <br />FEE <br />PEL RECEIFT NO. <br />FEES VALUATION FEE <br />BUILDING $ <br />PLUMBING <br />MECNANICAL 'J OO <br />PENALiV <br />UBL. <br />SEC. 303 (a) <br />II <br />PFJFCRIY VALIDATED (W THIS SPACE) TH1515 YOUR PERM�T <br />84Do ��701.00---- `�`ri <br />M <br />'�"" J 4 R==CiIPT o <br />. I,_ei��:.'� ��� U <br />