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CITY OF <br />V %W V II A Kr \.A • A. 4. <br />everett <br />PERMIT <br />PERMIT NO.08036 <br />CITY HALL 8 <br />01 <br />EVERETT, WAA 98201 <br />❑ COMBINATION El BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAILADDRESS CITY <br />ZIP <br />GEORGE H. MAGRUDER 6321 BEVERLY BLVD. EVERETT <br />98203 _353-5517 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PRONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LKIEN51.. <br />SAME _ <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE , <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE , <br />CLASS OF WORK <br />❑NEW ❑ADDITION IRALTERATION L]REPAIR ❑DEMOLITION ❑FENCE ❑StON ❑GARAGE <br />VALUATION OF WORK <br />S 4000.00 <br />DESCRIBE WORK <br />ENCLOSE CARPORT, INSTALL LITES, WATER, ELECTRICITY, PLUMBING <br />OFFICE <br />BELOW <br />LOT BLOCK _OF <br />Tract 1, North Beverly Park Vol. 10 <br />of Plats, Page 26 <br />PLUMBING <br />BLVD. <br />RE OR ITEM <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN 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 REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DW& <br />MECHANICAL - I <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA <br />GAS FIRED A.C. UNITS — TONNAGE E <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR MANnI IN(3 UNIT — <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITE <br />OYES ONO FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING UNITS <br />BUILDING E <br />SIZE OF BLDG. NO. OF STORIES MAX. OCC. LOAD <br />M E E <br />1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br />2. BUILDING PLANS <br />SEC. 303(A) <br />3. FIRE HYDRANT TOTAL 7 00 <br />4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS ISYOUR <br />(] � O .;. MI <br />5. GRADING . <br />5577 <br />8. DRAINAGE ^ O <br />7. ENVIRONMENTAL IMPACT STATEMENT ' 1 <br />8. HEALTH DISTRICT Y0 U R R E C L- I P I- o <br />APPLICATION ACC. BY I PLANS CHECKED BY APPR. FOR ISSUANCE SY I r; FT N K YOU <br />3 1 JUL b u <br />ADDRESS FILE <br />