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(heF.vCiveO� r` C"�NSTRUCTION <br />r � ' <br />everett PERMIT pERMIT N0. 07631 <br />CITY Hl.LL 259�8745 <br />EVERETT. WA 9B2G1 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAILHUDFE65 CIiY ZIP PHONE <br />Marc James Owenby 5404 Fairview Avenue 353-5862 <br />AflCHITECT OP �[SIGNER MAIL AUDRE55 CIiV ZIP PHONE <br />GENERAL CONTRACTOR MAIL A�OflE55 CITV ZIP PHONE LICENSE ♦ <br />MECHANICALCANTPACTOR M.11LApDPESS CITY 21P PHONE !:ENSE I <br />Same <br />PLUMBINGCGNTflACTOR AIAILAODRESS CITY ZIP PHONE UCENSEI <br />ClAS50F WOflK <br />❑NEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />OESCRIBE WORK <br />PPOPOSED USE OF BWLDING <br />IEGAL �ESGHIPiION OF PFOPERT <br />LOi BLOCK_OF <br />JOB AOOPE55 <br />5404 Fairview Avenue <br />PLUMBINO <br />N0. TYPE OF FIXTUNE Oh ITEM <br />WATEP CLOSET ROIiE71 <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHEP _ <br />WATER HEATER <br />URINAL <br />DRINKING FOUNIAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAIN <br />SINK ISERVICE — e4R <br />USE ZONE <br />FIRE ZONE <br />SETBACK I STREET SETBACK <br />LOT AFEA <br />'� i. ENVIRONMENTALCHECKLIST <br />� 2. BUI�DING PLANS <br />� 3. FIRE HYDRANT <br />4. FIRE PFOTECTION SYSTEM <br />5. GRADING <br />, 6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT S7ATEMENT <br />� B. HEALTH DISTRICT <br />APPLICATION ACC. BV PLANS CHECKED BY <br />I HEREBY CERTIFY TI1AT I FiAVE READ AND EXAMINED THIS AP• <br />PLICATIOIv AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE Or WORK WILL BE. COMPiIED WITH WHETHER SPECIFIED <br />HEREIN OR NOi. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANG'EL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTFUCTION OR T�H/�E PE"�/R�FO,RMANCE OF CONSTRUCTION. <br />SIGNAiUREO;WNTRACi0R0�/f�UiHy.y..q.AGENT�J DATE <br />MECH0.NICAL � <br />FEE NO. TYPE OF EOUI <br />AIR COND. UNITS — H.P. EA. <br />REFNIGERATION UNI75 — H. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TO <br />FORC[D AIR SYSTEMS — 8] <br />WALL .1EATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLEHS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />STOVE <br />REAR YARD SETBACK <br />❑YES C7N0 <br />NO.OF DWELLING UNITS <br />APPR. FOR ISSUANCE BY <br />PLAN CHECK <br />BUILuII• ' <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALN <br />FEE <br />FEE <br />$ <br />M <br />QF.M. <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />FEE <br />WHEN 'ROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE(iMIT <br />2498 $�06.00- �; <br />� <br />ti <br />1`vUP. RECEtPT o <br />��;.�r��: You <br />4DDRESS FILE <br />2 I u�r 8 0 <br />