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`,,``'�'A„�„ f'�JNSTRUCTION <br />CITY OF <br />everett PERMIT pERMIT NO. �.0341 <br />cirr tinu zss�u;.:s <br />eveaerT c✓n sezo� ❑ COMHINATION ❑ BUILDING � MECHANICAL ❑ P!_UMBING <br />CNNLH MAI�ADUR�55 JiiY ZIP 1�r+0YL <br />TI�OMAS R. RUPERT 6927 L�STf40RE AV� RVERETT :�TA 98203 355-6386 <br />FRGHIiECi OA DCS�GNER MAI� PpOfiE55 C�*Y ZIP P�IOhI. <br />GCb[RALCOWRPCiOR AIAI�n0�RE5S GIIY ZiP pHONE UCE115f � <br />MEO�ANICAlGO�rtRACiOA MA�LAUDRESS CIIY plP PHONE L:.Er.A • <br />Owner <br />crtv nr Pnor+e ucu+:: • <br />❑NE1Y ❑ADDITION ❑ALTERAiION ❑REPAI9 ❑DEMOLITION ❑FENCE ❑SIGN ❑G4RAGE <br />��tiwnnor+ or woaK <br />4 <br />,.!.SCRIOE \VORK <br />Install wood stove and chimney <br />r��o�oseu us� oi euiiort+o — <br />Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP <br />�c�n�n=srn�r�io�;orr�o��<<,;riv�owF�iov�onn�ltic�rcuncorits� PLICATION AND KNOW THE SAME TO BE TRUE AlJD CORREQi. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />i.o� e�oc«_oo- TYPE OF WOHK WILL BE COMPLIED WITH WHETHEF SPECIFILD <br />;eo <br />LVetmore <br />PLUMBING <br />N0. TY <br />1VATER CLOSET <br />KITCHEN SINH B <br />DRAINS — RAINIFADERS <br />cvomrc _ neo c1r � <br />SUB <br />SIOE YARD SET�ACK I:�TRiE i <br />USE ZONE <br />OF <br />f919E ZONE <br />LOT AREA <br />OCCUPANC <br />NO. OF 5T( <br />HASEM[Ni <br />APPFOVALS <br />t ENVIRONMENTAL CNECK L157 <br />;, ni u� nING PU1N5 <br />3. FIRE HYD� •NT <br />: FlR@ PROTECTION SYSTEM <br />5 GRnDING <br />E, DRAIKAGE <br />Z ENVIRONMENTAIIMPACTS1ATkMENT <br />0 HEALTH DIST(7IQ <br />APPLICATION ACC BY PLAN$ CHECKED BY <br />YARU <br />I]V[5 I_]NO <br />MA%.00C.LOA� <br />APPR FOR ISSUANCE BV <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUT. HORITY TO'JIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE C�F CONSTRUCTION. <br />��,•;R,�n,, rncor„a�.cro�or+nuvrSinv�l_�, Y �� <br />FEE <br />901L[RS^^ HP. EA. <br />G45 FlRED A C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEA75 — 0 T.11. M <br />YYNLL �1LNICXJ � tl.l.l <br />uNir r+EnrEns — e r u <br />EVACORATIVE COOLERS <br />CIOTHES DRVERS <br />AIR NANDLING UNIT — <br />GTOVE <br />TOTAL FEE f �� <br />. L:.IJ CHEGK FEC <br />I [E R'CBPi NO <br />VALUATION FEE <br />S <br />17 �50 <br />U �.C. <br />SEC. 303 (a) <br />TOTAL <br />\YHEN PFOPLRLV VAL1041CD (IN iH15 SPNCE�IH151S YOUR PLHM1UT <br />� <br />o2a� $O I1.S0 --=M <br />� <br />;'.-.��i �: RECEIPT`� <br />�I ; ;.^,i•��:( YO U <br />