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r�n���� � pERMIT NO. U�43o <br />GTY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION %� BUILDtNG ❑ MECHANICAL PLUMBING <br />OWNEF MAILA�DRE55 GiY 21P PHONE <br />A. F. JOSEPHSON 6230 Flemina Everett 98203 353-4419 — <br />ARCNIIECTOR�E5IGNEP MAILA�DRE55 CITV ZIP PHONE <br />GENERAL CONiFACTOP MAIL AD�RESS CI7Y ZIP FHONE LICENS[ I <br />Owner <br />MECHAMGALCONiNNCTOR MAILAODR=55 CITY ZIP PHONE UCENSEI <br />PWM9ING CONTPACTOF MAIL AODRE55 CITY ZIP PHONE UCENSE I <br />flucw f-IADDITION ❑AL7ERATION XXXREPAIR ❑DEMOLITION ❑FENCE ❑SIGN LJGARAGE <br />repair <br />L0T4$ BIOCK�OF <br />PLUMBIN6 <br />NO. <br />YJATER <br />r <br />e <br />:Sj <br />ITEM <br />YARD SETBACK S7REE75ETBACK <br />ZONE LOTAREA <br />: OF CANST. OCCUPANCY GR( <br />nc wi nr NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />YARU <br />❑YES ❑NO <br />NO. OF DWEL <br />�� <br />APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF 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 VfOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR T�YiE'RERFORMANCE OF CONSTRUCTION. <br />o��.ir.+i ioc nc rnumenndna au9GoRIZED AGENT DATE <br />MECHANICAL � ✓ " <br />NO. TYPE OF EQUIPMENT <br />Alfl COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — 8 T.U. M <br />nnuTHFnTFRS—RTII M <br />8 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y <br />FEE <br />U.B.C. <br />SEC. 303 (a) <br />FEE <br />CHECK FEE <br />I RECEIPT NO. <br />WHEN PROPERLY VALIDATED (IW THIS SPACE) 7HIS IS YOUR PERMIT <br />�� <br />�� <br />� <br />��ip �QIO.GO �1 <br />� <br />� <br />,..�; �li'I <br />� i <br />. � , u <br />ADDRESS FILE `' !'•'! ` � <br />