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theLrcrgrreu r�NSTRU�CiION � <br />CITv OF <br />everett PERMIT PERMIT NO.O94Z4 <br />CITY HALL 259�8745 <br />eveaerr.wn 9ezoi ❑ COMBINA'ilOh QcBUILDING ❑ MECHANICAL ❑ PLUMBING <br />C`1':NER MAILADDRh55 CIiY ZIP PM046 <br />Greenshields 710 Highway 99 North Everett <br />ARG�ITEGTOHDC9GNER MA'LADDRE55 QiY ZiP PNONE <br />GENLNRLCA4iRACiOP I.IpILADDflESS CITY ZIP PHONE LICENSE� <br />Smokey Roofiny Co. 14601 84th N.E. Lake Stevens, 98258 <br />MCG��ANIGFI GONiPACiOP MAIL aDDRE55 GITY 21P PHONE LICENSE � <br />PIUMBING CONiRACiOR <br />CLASS OF W ORK <br />❑NEW <br />S 2 , 000. <br />LitY <br />❑ADDITION ❑ALTERATION C�9EPAIF ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />Re-roof-Hot Mop <br />BEIOW OP ATTACM FOUP <br />5�-60-661&;K—oF <br />JO�ADDRE55 <br />710 Highway 99 North <br />PLUMBING <br />NO. TYPE OF FIXTURE OR I <br />SNOWf17 <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRV TRAV <br />CLOTHCS WASHER <br />WATEF HEATEH <br />URINAL <br />DFINKING FOUNiAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SIKKlSPRVICE — PAR. ETC 1 <br />TOTALfEE <br />SIDE YARD SETBACK � STIiC[T SL7UnCK <br />1'NONE IICENSE <br />I HEREBY CERTIFY THAT I HAVE REAn AND EXAMINED THIS AP- <br />PLICATION AND KNUW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVEANING THIS <br />TYPE OF WORK VJILL B[ COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OH NOT. THE GRANTING OF A PERI�iI' DOES IJOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATF OR CA��:;;eL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LG�AL I^.J✓ HEGULATING <br />CONSTRUCTION OR THE PEHF MANCE OF CONS7�i;UCTION. <br />SIG f OF C� ifFLfQq OR AUT��OR! � nG DnTE <br />\ <br />X �V /1 „„ � 6/24/81 <br />NJ. TYiIE OF <br />AIP COIJD IINITS — N <br />— HP. EA <br />BCILERS — HP. EA. <br />G!+5 FIR[D A.0 UIJITS — TONN <br />WRCED AIR SVST[MS — 8 T.U. <br />WALL H[ATERS — 0 T.U. <br />UNIT HEATERS — B T.U. <br />EVAPORATWEfQOLEflS <br />RANGEHOOD <br />STOVE <br />VAGANT 51T� <br />❑YES ❑NO <br />NO. OF DWELIING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBING <br />FIflE SPRINKLERS <br />REOUIRED MECHANICAL <br />f7YE5 CiNO <br />L ENVIRONMENiAL CHECK LISi <br />2. BUILDING PlANS <br />3. FIRE NVDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONfAEN7ALIMPACTSTATEMENT <br />e. HEA�TH DISTRICT <br />AP^LICATION ACC. �Y PLANS CHECHED BY APPR. FOfl ISSUANCE BY <br />SU0 TO7A'. <br />M EA. <br />M <br />M <br />CFM <br />PLAN CHECK FEE <br />FEE I RECEIPf N0. <br />$2,000. <br />U.B.C. <br />SEC.30Jla) <br />32 I50 <br />roin� I I 3 2 I 5 0 <br />PERMIT VALIDATION �. n ^_ � <br />WHLN PRUPERLY VALIDATED (IN THIS SPACE) Tlil$115 YOUP PCR�AFj i,� <br />� . J � <br />N <br />i�l <br />� , � <br />� '� <br />ADDRESS FILE <br />