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f. <br />',"`"""�„ � ;pNSTRUCTIOP' <br />everett PERMIT PERMIT NO. 12770 <br />GTV MALL Y59-8745 <br />EVERETT, WA 98201 � COMBINATION ❑ BUILDING XXi MECHANICAL ❑ PLUMBING <br />OWNER MAILAD�RE55 GRV ZIP PMONE <br />VIRGINIA STEMPFS 221 TAMARACK AVFN� EV�RFTT WA 982iZp °4� a�pHONE <br />♦flGNIiEGi OR OESIGNLR MAIL ApOPE55 <br />GEHERPLCONiRAG10P <br />MAIL RD�PE55 CITY ZIP PNONE LILEYSE I <br />Same ��Ty 21P PMONE LIGENSE � <br />MECM�NICRLLONTRPGiOR MA:L�ODPE55 <br />PLUMBING LONTP�GTON <br />M�IIRD�RE55 GIiY ZIP PMONE LIC[NSE� <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ fENCE ❑ 5�6N � WOOD STOVEIFIREPLACE INSERT <br />3 <br />DESGRIBE WOPn <br />Install fireplace insert <br />- rental <br />�oT _ awcn _oF <br />-.+ooaess <br />221 Tamarack Avenue <br />PLUMBING <br />NO. TYPE OF FIXTUPE OR <br />OATHTUB <br />SMOWER <br />NITCHEN SINK 6 <br />IAUNDRYTRAV <br />GLOTHES WASHER <br />WATER MEATER <br />URINAL <br />Dh!N'GNG FO��NiAIN <br />FLOJH DFnIN <br />VAWUM BREAKERS <br />ROOF DRAINS — RAI <br />SINK (SEFVICE — BP <br />TOTAL <br />TOTAL FEE <br />L ENVIRONMENTAL GHEGK LIST <br />2. �UILDING PLANS <br />7. FIRE MYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GNA�ING <br />F. ORAINAGE <br />].ENVIRONMENiALIMPACT5T4' <br />B. MEALTH DISTRICT <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINELI THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANn <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A <br />PERMIT DOES NOT PRESIiME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF WNSTRUCTION. <br />sic�uAeoFcon Ancror+o�Aof-zeo�n9e�� �Z����3 <br />f <br />S <br />IEAR YARD SETBACK PLAN <br />'AGANT SITE <br />YES NO <br />y - <br />TYPE OF EOUIPMENT <br />AIT COND. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P.EA. <br />BOILFRS — N.P. EA. <br />GAS FIPED A.C. UNITS — TONNAGE 6 <br />FOflLED AIP SVSTEMS — B.T.U. M <br />Y/ALL HEATERS — BT.U. M <br />UYIT HEATERS — B.i.U. M <br />EVAPORATIVE COOlERS <br />C:ATHES URVEHS <br />VENi1LAT10N FAN <br />RA`l3E NO00 <br />Alfl WINDLING UNIT — C.f.M. <br />STOVE — WOOD <br />METAL FIREPIACE d CMIMNEV <br />FINEPLACEINSERT <br />MEAT PUMP _ <br />SUBTOtAL <br />70TRLFEE <br />FEE <br />BWLDING s <br />PLUMBING <br />MECMANICAI <br />�ATE � OTHER <br />PENALTY <br />TOTAL <br />FEE <br />� <br />5 <br />f <br />CMECN FEb <br />RECEIPT NO. <br />FEE <br />17 50 <br />rcmm� .��.��..�•..•. 7H�5IS YOUR PERMIT �� <br />WHEN PRUpERLY VALIDATED (�N TH�' 9PI OE) � 0 I 7. 5 0 � 4 <br />r— <br />l �, <br />� ,�-�:r-iPr � � <br />. ,_. <br />� ,"': 1"OU <br />,�r,o�:� �s rat <br />- ') i;�C o � <br />