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tlte• (i crr¢rrert <br />r..ir t � <br />ev�,���tt <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 <br />CONSTRUCTIO', <br />PERIVIIT <br />❑ COMBINATION �X BUILDING ❑ MECHANICAL <br />MAIL <br />PERMIT N0. 13 6 g`v� <br />❑ PLUh161NG <br />��o PMONL <br />IOGI u�uaunu - ��jy <br />FHCMI G P ESiGN <br />IdAIL ADDRE55 <br />� CITV 21P PHONE LIGENSE • <br />GE��ERAI CONTFACiJP <br />MAIL AODFE55 <br />. ounuF UGENSE M <br />CLA55 OF WORK �_ <br />❑ NEW ❑ FDDI'ION .� ALTERATION ❑ REPAIR ,�DEMOLITION ❑ FENCE ❑ SIGN � K'�OD STOVEIFIREPLACE INSER <br />S <br />ESCRIBE WORK <br />Demolish garage <br />FOPOSEO USE OF dUI.UING <br />garage <br />EG�L �ESGRIP71ON OF PPOPEi <br />lOT_BLOCN 3840= <br />30-31-32 <br />PLUMBIN�� <br />N0. TYPE OF FIXTURE OR I <br />WAT[H CIASET (TOILEn <br />BATHTUB <br />LAV ATGR1' l�Acr+ BASIW) <br />SHOWER ___ <br />KITCYEN SIIJK 8 DISP. <br />DISNWASHE�3 <br />LAUNDflYTRAY <br />CLOTHES WA��HER <br />WATER HEATEfl <br />URINAL <br />DRINKING FOUNTAIN <br />FIGOR DRAVJ <br />VFCUUM BREAKER;i <br />AOGF Df:PINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) _ <br />SUB TOTAL <br />PERMIT <br />707PL FEE <br />— pppROVAlS <br />1. ENVIRONMLNTAL CHECK LIST _ <br />2. BUILDING PLANS <br />3. FIFE HYDPANT <br />4. FIRE PROTECTION SYSfEM _ <br />5. GRADING <br />fi.DR�INAGE <br />7. E1lVIRGNMENTAL Ih1PFCT STATEMENT <br />8. HEALTM DISTPICT <br />f <br />5 <br />YES NO <br />GG7 <br />FOR <br />I HEREBY CERTIFY THAT I HAVE RF.AD AND E�AMIMED THIS <br />APPLICATION ANU KNOW THE SAME TO BE TFlUE AND <br />GOVERNIiVG THISROPIEIOOF N��RK WILL BFNCOMP�LIED WITH <br />PERM T DOES � OIT PRESUMETO GIVE AU HORTYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL.LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCE'OF COPfSTRUCTION. oA�E <br />SIGNALUfl� OF C01/TPACTOR�OF Al1iMOFIZED AGENi <br />X �V (��q _: i, � <br />MECHANICAL �� ,�� <br />NO. TYPE 0 T <br />AIR COND. UNITS — H.P. EA. __ <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEflS — M.P. EF. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EM5 — B.7.U. M EA. <br />WALL HEATERS — B.T.U. ��� <br />UNIT HEATEFlS — B.T.U. M <br />EVAPORATIVE COOLER° <br />CLOTHES ORYERS <br />VENTILA7i0� <br />RA4GEHCOD <br />AIR HANOLING UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPWCE 8 CHIMNEY <br />FIFEPLACE INSER� <br />HF.AT PUMP <br />SUB TOTAL <br />PERMIT <br />707ALFEE <br />FEE <br />FEES I VALUATION <br />OUILDING g <br />PLUM3ING <br />MECHANICP.L � <br />OTHER <br />� <br />5 <br />s <br />CHECK FEE <br />FECEIPT NO. <br />FEE <br />�� �� <br />PENALTY SEG. 3U:i �a! -- . <br />__� oo QO <br />TO7AL <br />PERMIT VALIUP.TIODI <br />VJHEN PROFcRLY VALI�ATED (IN THIS SPACE� THIS IS YOUi PERMIT-- � <br />� <br />m <br />� � _" a"'i <br />. . �i I <br />. . �i <br />J <br />;,LDR�SS (9LE <br />� <br />Z <br />.� <br />� <br />z <br />O <br />-1 <br />.-� <br />n� <br />m <br />