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rHeEverRreen Cp�ISTRUCTl01� .y� <br />CITY Of <br />everett PERMIT pERM1T N0. O�7H6 <br />CITY HALL 259�8745 <br />EVERETT. WA 98207 ❑ COMBINATION ❑ BUILDING ❑ iJIECHANICAL ❑ PLUMBING <br />01VNLR MAIt ROORE55 LIiY ZIP PHONE <br />Allen M. Heck 916 Hroadway Everett 98201 252-2704 <br />ARCMITECTOBDESIGNEii MAILADDRESS CITY ZiP PHONE <br />GENER ICONTRACiOR MAI�ADOI1E55 pTY ZIP PHONE LIGENSE� <br />Same <br />MECt�ANIG.I fANTRACTOR MAIL AOORE55 � GITY 21N PHONE LICENSE � <br />�IUM�RIGCONiPACTOF MAILADDPE55 CITY 21P PMONE UCENSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �fENCE ❑SIGN ❑GARACE <br />construct 72" fence <br />residential <br />ICGAI DESCRIPiION OF FROFERT <br />Pi� 26-%��oF <br />27-28 180 <br />Broadway <br />PLUMBINO <br />N0. I <br />WATER HEATER <br />URINAL <br />DRINKING FG!�NTA�N <br />FLOOR DRAIN <br />\'ACUUM �REAHERS <br />ROOF DHAINS — RAINLEAO <br />SWK ISFRVICE — �AR. ETC. <br />Swalwells 4th <br />OR ITEM <br />VARD SETBACN I S7HEET SETBACK <br />LOT <br />NO. <br />1. ENVIRONMENTALCHECHLIST <br />2. OUILDING PLANS <br />3. FIRE MYDRANT <br />4. FIFE PROTEC710N SVS7EM <br />5. GPADING <br />6. DRAINAGE <br />7. ENVI(tONMENTAI IMPACT STATEMENT <br />B. NEALTH DISTflICT <br />APPLICATION ACC. 6Y PLANS CH[CKED BY <br />1 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 OROINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED 1NITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTIIJG 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 />SIGNATU�EO�CONiRAGiOflOHAUTMORI AG M DAif <br />X ��� ���� 6/24/80 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR <br />GAS <br />UNIT <br />REAR YARD SETBACK PIAN CHI <br />VACANT SITE <br />L1YE5 ❑NO <br />N0. OF DWE�LING UNITS <br />BUILDW( <br />MAX.00C.LOAD <br />PLUMBIN <br />FIRE SPRINKLERS MECHAN <br />REOUIRED <br />❑VES ❑u0 <br />BY DATE OTHER <br />PENALTY <br />APPR. FOR ISSUANCE BV <br />LC <br />). UNITS — HP. EA. <br />9ATION UNITS — HP. EA <br />— H.P. EA. <br />ID AC. UNITS — TONNAGE EA <br />AIRSVSiEMS—BT.U. M <br />ATERS — B T.U. M <br />11FP5—RT11 M <br />C.F <br />;JTAL FEE f <br />ABER PLAN CHECKFEE <br />FEE RECEIPT NO. <br />FEES VALUAiION FEE <br />$ 975.00 10 00 <br />U.B.C. <br />SEC.3031a) <br />WHEN PROPERLY VALIDATED QN THIS SPACE) THIS lu YOUR PERMIT <br />3865 $0��.00---=� <br />� <br />1'OUR RECEIPTo <br />�rf:IhNK Y.OU <br />ADDRESS FILE ��' ��1+ 80 <br />