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�hc Erer�rrrn C O N ST R U CT I O'V <br />��,, �F ; <br />everett PERMIT PERMIT N0. 15558 <br />CRY MALL 259�8745 <br />EVERETT, WA 9d20i ❑ COMBINATION Cx�t BUILDING ❑ MECHANICAL ❑ PLUM8ING <br />OWNER MAILADDRE55 CITY $IP PHONE <br />Tiygre Anderson 814 Colby Avenue Everekt 98201 252-0106 <br />nRCNRECi OR DESiGNER MRIL AODRES£ CITY 21P PHONE <br />G[NERhL GONTRACTOR MAIL ADDRE55 CRY ZIP PMONE UG[NSE / <br />$dllle <br />MECXRNIGA� CONTRRGTOR MAIL ADDRESS CITY ZIP PHONE LICENSE • <br />PLOM9IN� CANiqACTOR MAIL �DDRE55 CITY 21P PMONE 4CENSE � <br />O NEW }(y�j ADDITION ❑ ALTEFATION O REPAIR O DEMOLITION ❑ FENGE O SIGN ❑ WOOD S70VE/KIHEPLACE INSERi <br />S 5,000. <br />Extend Garaae 2'x22' <br />�oT 4 e�ocK 168 oF <br />Colby Avenue <br />PLUMEINO <br />NO. TYPE OF <br />W ATER CLOSET (T <br />BATHTUB <br />LAVATORV�WASHBA: <br />SMOWEF <br />KITCMEN SINK & DISP. <br />Addition I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFJ THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />BELOWC9ATTACMFOUPCOPIE61 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Legion Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREiN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTNUC7IQN OR THE <br />PERFORMANGE OF CONSTRUCTIO : 1 <br />SIG�ATLpEOFGOlIIpACiOR09illItlOPIZE� Ni 1 DRTE <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINqL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — FAINLEADERS <br />SINK (SERVICE — BAH, ETG) <br />R-1 <br />V-N <br />2�XZZ <br />SUB TOTAL i <br />PERMIi ! <br />TOTRL FEE f <br />i SETBACK STPEET SETBACK REAR YAF!0 SEl <br />a�x 6� 20� za� <br />N/A � vEs XeYo <br />1NCV GROUP NO.OFDWELLMi <br />M-1 1 <br />STORIES MA%.00C LOAD <br />1 N/A <br />� none <br />APPROVRLS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />9. FIRE HYORANT <br />4. FIRE PROTECTION SVSTEIA <br />5. GRA�IHG <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTM DISTRICT <br />JEF <br />ICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS fINED A.C. UNITS — TONNAGE EA. <br />FORCED AIF SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEMOO� <br />AIR HANDLING UNIT — GF.M. <br />STOVE — wOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FlREPLACEINSERT <br />HEA1 PUMP <br />SUBTOTAL f <br />7ERMIT f <br />TOTAL FEE f <br />PLAN CHECK NUMBER PLAN C <br />FEE <br />FEES VALUR710N <br />BUILDING E <br />PLUMBING <br />MECHANICAL <br />BY I DATE OTNER <br />PENALTY <br />U.B.C. <br />SEC. J03 <br />PECEIPT NO. <br />FEE <br />50�50 <br />TOTAL I I SO I SO <br />PERMIT VALIDATfON <br />WHENPROPERLYVALIDATED(WTI!��9P�C��THISQSfY�1RPFp81T__ �1 <br />A U J V J 1 <br />ADDRESS FILE <br />j <br />'�'O•�f: RECE1i`I . , <br />-,�r,r,_�� 1��•!� <br />� � li�.i. <br />- � ,.i� � J <br />z <br />0 <br />ti <br />n <br />m <br />�� <br />.., -� <br />�n x <br />m <br />m� <br />�c <br />o� <br />-� Z <br />x -� <br />m <br />O z <br />C <br />rn— x <br />... ... <br />--I t/i <br />< <br />� <br />O F <br />'�1 > <br />-� m <br />m� <br />N <br />O <br />om <br />C N <br />3 �+ <br />Z fl <br />.� m <br />� <br />1 <br />2 <br />a <br />z <br />-i <br />2 <br />N <br />Z <br />0 <br />--1 <br />f') <br />m <br />