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f� <br />e �- <br />7 <br />� � ' <br />r/ieevCTYOF ^ONSTRUCTION � �. <br />everett PER�IIT PERMIT N0. 1�4g% <br />GTY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBiNATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER �AAIL 40URESS CITY Z:P PHONE <br />City of Everett 3002 Wetmore Everett 98201 259-8701 <br />ARCNRECT OR DESIGNER IAAII Ap0fiE55 CITY LP PHONE <br />GENERAI CONTFACiOR MAII FDOfiESS CITY 2iP PMONE LICENSE / <br />City of Everett 259-8811 <br />MECHPNICALCONTRACTOR MAILADDRE55 CRY ZIP PMpNE UCENSE/ <br />PLUMBWGGONTRACTOfl ldAI�qODRE55 CITY ZIP PHGNE LICiN5E1 <br />ClA55OF WORR <br />❑NEW ❑ADDIiION }�ALTEFATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF YJORN <br />a 2500.00 <br />OESCRiBE WORK <br />Convert an existing closet to a bathroom <br />PROPOSED USE OF BURDING <br />Fire Station I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�ecn�oescaianoNOFreoeenrv�sHowee�ow.iannncNFouacoaies� - PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />I ALL PROVISIONS OF LAWS AND ORDINANCES C;OVERNING THIS <br />ior eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />j3'SO4 Evergreen W <br />PLUMBING <br />NO. TYPE GF FIX' <br />KITI:HFN <br />r <br />A <br />PEHMIT <br />SIDE VARD SETBACI( I STREET SETBACK <br />NPE OF CON: <br />SIZE OF BLDG. <br />FIRE ZONE <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HVDMN7 <br />4. FIfiE PROTEC710N SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEAL7H DISTRIC7 <br />APPLICATION ACC. BV PLANS CHECNED BY <br />DAB <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONE OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU/q�� OF CONT�pA,C�iOR OR AUTNORIZE� G�ENT�Q DATE <br />X 1/iJ�L•,(�/i1 ��� �VJ�""'_ 2/10/83 <br />FEE 1 NO. <br />YARD SETBACK �PLAN <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />OCC.LOAD <br />BY I DATE <br />APPR. FOF ISSUANCE BY <br />DAB <br />TYPE OF E�li <br />). UMTS — H.P. EA <br />]ATION IINITS — H <br />E301LER5 — H.B EA. <br />GAS FIRED AC. UNITS—TONNAGE EA. <br />FORCED Alfl SYSTEM115 — B.T.U. � <br />WALL HEATERS — B.T.U. � <br />UNIT HEATERS — B.i.U. � <br />EVAPORATNE C('COLERS _ <br />CLOTHES DRYERS <br />VENTILAiION FAN <br />RANGEHOOC <br />AIR HANDLING UNIT — C <br />METAL <br />B W lOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALiY <br />Sl1R TOTAL <br />PERMIT <br />TOTALFEE <br />NUMBER rLAN CF <br />FEE <br />83/11497 25.0 <br />FEES VALUATION <br />$ 25��. <br />U.B.C. <br />SEC. 9031a) <br />FEE <br />R6i4zg <br />38 50 <br />4 00 <br />42 I50 <br />PERMIT VALIDA710N <br />WHEN PROPERLY VALIDhTED (IN THIS �ACFjT�IS IS �l)p ftiM111 O_� �� <br />L7 U'JV OL <br />i � ' ' � <br />� �'O.0 R RECEIPT � <br />� f-iANK YO U � <br />ADDRESS FILE <br />lOF�83 <br />1� <br />� � <br />r� 1 <br />�� � <br />