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r <br />'„P`'�'�"�„ ('�NSTRUCTION <br />CITY OF <br />everett PERMIT pERM1T NO. 10604 <br />GTY HALL 259�0745 <br />EVERETT. VJA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />� OWNER MAILAO�RE55 CIiY ZIP PHONE I <br />Thomas R. VanWyck 3830 Federal Avenue Everett 98201 259-3169 <br />ARGHITEGTORD[SIGNER MAILADpRE55 CITY ZIP PHONE <br />GENERAL CONIFACiOF MAR ADORESS CITY ZIP PMONE IIGENSE / <br />' came <br />MECMANICF�CONiRACTOR MAILADDPE55 CITY 21P PI/ONE LICENSE/ <br />PLUM1IBING CONTRACiOR MAIL AOORE55 CITY 21P PHONE UCENSE I <br />!. <br />GLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑OEMOLITION ❑FENC[ ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />DESCRIBE WOFK <br />500 cu. yds. fill <br />LEGAL DESCFIPTION OF PROPERi <br />LOT BLOCK_OF <br />3830 Federal Avenue <br />PLUMBING <br />NO. TYPE CF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />' SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SIDE YARD SETBACK <br />TYPE OF CONS <br />SIZE OF BLDG. <br />fIRE ZONE <br />STREET SETBACK <br />BASEMENT <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIflE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENT.IL IMPACT S7ATEMEN7 <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />REAR VARD SEiBACK <br />❑YES <br />MA%. <br />APPR. FOR ISSUANCE BY <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUF AND CORRECT. <br />ALL PROVISIONS QF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF 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 LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATy� OF LONTRACTOCR OJR A TMOPIZED AG" T ) DATE <br />X " G ��.+t.� l 5/25/82 <br />� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — HP.EA. <br />GAS FIFED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B T.U. M <br />UNIT HEATERS — 8 T.U. M <br />EVAPpRATIVE 1;00LER5 <br />CLOTHES DRYERS <br />AIR HANDLING UNIT — <br />STOVE <br />METAL PIREPLACE 8 CHIMNEV <br />TY <br />PERMIT <br />FEE <br />SSOO CU. <br />U.B.C. <br />SEC. 3W (a) <br />RECEIPT NO. <br />431 00 <br />I I 43I 00 <br />T VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />2998 aQ�j.��� � <br />:.0 <br />� <br />YOUP, RECEIPT � <br />TE-iANK YOU <br />ADDRESS FILE <br />? 5 t��Y $ 2 <br />