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r <br />r <br />the C• rergreen �� N STR U CTI O N <br />CITY OF <br />everett PE�MIT pERMIT NO. 10674 <br />GTY HALL 259�8745 <br />EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br />OWNER MAI�ADURE55 CRY pIP PHONG <br />g Johanna Wolfe 3008 Federal Everett <br />ARCIIttECi OR DESIGNER MA:L ADDR[SS CITY Z�p p������ <br />GENERILCONTRA�TOR MAILAODRESS CITV ZIP PHONE UCENSEI <br />MEGHANICALCONTilAC70R MNILADDRE55 CITV 21P PMONE UCENSEI <br />Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br />PWMBiNGCONiRACTOR MAILADDRE55 C17V ZIP PNONE LICENSE/ <br />❑NEW ❑ADDITIOt� ❑ALTERA710N ❑REPAIR ❑DEIAULITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />OESCRIB[ WORK <br />LOT BLOC�OF <br />0o aooaess <br />3008 Federal <br />PLUMBINfi <br />N0. TYPE OF FIXTURE <br />WATER CLOSET ROILETI <br />SINK & DISP. <br />[1RAIN <br />SINK ISERVICE — <br />SIDE YARD SETBhCK S7REET SETE <br />USE ZONE �OT AREA <br />TYPE OFCONST. OCCUPANCY <br />SIZE OF BLDG. NO. OF STOR <br />1. ENVIRONMENT�,L CHECK LIST <br />2. OUILOING PLANS <br />3. FIRE HY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE T'jUE AND CORRECT. <br />ALL PFC�VISIONS OF LAWS AND ORDINANCES GOVERNIN , THIS <br />TYPE CF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL L�W REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG IAjURE OF WNiRACTOR OR AUiMORREO AGENi naic 1 <br />FEE <br />fiEAR YARD SETBACK PLAN <br />VACANT SITE <br />JYES ❑NO <br />NO. OF DWELLING 11NIT5 <br />MAX. <br />FIRE <br />APPR.FORISSUANCE BY <br />ANICAL� <br />TYPE OF FOUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFFIIGERATION UNITS — H.P. EA <br />BJILR$ — H.P. EA. <br />GAS FIqED A.C. UNITS — TONNAGE EA. <br />FORC[D AIR SVSiEMS — B.T.U. A1 <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — �.T.U. M <br />EVAP�RATIVE COOLERS <br />CLOT-+1E5 DRYERS <br />VENT'LATION FAN <br />RAN6L HOOD <br />AIR FANDLING UNIT — r i <br />BUILDING <br />PLUA7BING <br />M[CHANICAL <br />PENALTY <br />TOTAL <br />TOTpL FEE <br />PLAN <br />FEE <br />VALUATION <br />5 <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT N0. <br />� �� <br />� �� <br />PROPER_Y VALIDA7ED (M THIS SPACE) THIS IS Y��O O S. O Q �Q <br />3845 <br />ti <br />. _ %.o <br />YO.11it RECEIP� <br />T i;r".t�l ( Y+� U � <br />:,DDRESS FILE <br />16�+82 <br />L <br />J <br />