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MsEwrprs�n A��PPLICA�'1ON FOP ���,�„ <br />CITYOF CONSTRUCTION <br />everett PE RIw I'�' e <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 � <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑pLUMBiNG PERMIT NO. <br />OWHEP M�II ADDN[55 �ITY Zli PHONE <br />Dorothy Urbick 5927 Fleming Everett 982Q3 355-6945 <br />ARCHIT[CT ON 0[SIGNEP MAIL AOOF[SS CITY ZIP PHONE <br />GFNENAICONiReC10R �MIl,1DDRF55 ULY ZIP VNONE IICFN5E1 <br />Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />At(CH�NIUI CONiReCt00. M�IL AOONE55 CI1Y CIP PMONE IICENSF 1 <br />223-01-EV-ER-EB 301PH <br />PWmpIUG CONiRACt00. M�II nppRF55 CItY ilP PNONE IICENSE / <br />ClASSOf WONK <br />❑NE\Y ❑ADDITION <br />V�lU�T10N O{ WOPK <br />� 2767.00 <br />OfSCNIBE WONN <br />Reroof house <br />PROPOiFD UtF Oi PUIIDING <br />�ALTERATION ❑REPAIR <br />LEWlDESCRIvIIONO1V0.0FFRTY�5H0 NpELOW <br />lOT � 9LOCK � Of � <br />�k3932-006-0007-0007 <br />��p�59�257 Flemi <br />PLUMBING <br />NO. TYPE OF <br />WATER CLOSET ITOLIE <br />FIRE ZONE <br />SHOWFR <br />KITCHEN SINK b UISP <br />OISWASNER <br />LAUNDRV TRAY <br />CLOTHES WASNER <br />WATFR HEATER <br />UNINAI <br />DRINKING FOUN7AIN <br />FLOOR DNAIN <br />VACUUM 9RFAKERS <br />ROOF DRAINS—RAIN. <br />and stor <br />Everett, Wa <br />—BAR. FiCJ <br />SUlTO7Al <br />►EIIMIi f <br />TOiAI iFF 3 <br />STHEET SETBACK RE <br />LOT AREA y���NT SITE <br />OYES ONO <br />OCCUPANCYGROUP NO.OFDWFI <br />NO. OF STORIES MA%. OCC LC <br />MPROVALS <br />1. ENVIRONMENTAL CMECK LIST <br />7. dUILOING PUN$ <br />3 fl0.E MYDRANT <br />� FIRE PROTFCTIUN SYSTEM <br />5 GNADINGE%UVATION6CLEARING/GRUB9INC <br />6. DRAINAGF <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEAITH DISTRICT <br />APPLIUTION ACC. BY PLANS CHECKED BY <br />L . �- <br />9-1-79 <br />�Y <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />shed p � <br />I H REBY CERTIFY HAT I HAYE A AND EXAMINED THIS AP- <br />PLI ATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV!SIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SICN. TU� OF CONTX�!'TOR OR AUTHORI7.ED AGENT DATE <br />i� <br />FEE <br />DATE <br />APPR. FOB ISSUANCE 8� <br />C_ L <br />TYPE OF EQUIPMI <br />AB COND. UNITS—HP. EA <br />REFRIGENATION UNITS—HP. EA <br />BOILERS—II.P. EA <br />CAS FlRED AC. UNITS—TONNACE EA <br />FORCED AIR SYSTEMS—BS.U. M EA <br />WAII MEATERS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />E\'APORATIVE COOLERS <br />VFNTILATION FAN <br />HANLEHOOD <br />AIR HAN�LING UNIT— <br />STOVE <br />METAL FIREPUCE 8 CI <br />PLAN �HECK NUMOER <br />eunoiNc <br />PLUMBINC <br />MKHANIUL <br />OTHER <br />PFNALTY <br />70TA1 <br />SU/TOTAL i <br />FEF <br />VALl1ATION <br />s ^ �� — <br />U.BL. <br />SEf. 30J(a) <br />RECEIPT NO. <br />/ERMIT V�IIDATION <br />WHEN PROPERLY VAt10ATFD (IN THIS SPACE) THI$ I$ YOUR PERMIT <br />iFE <br />