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`,'�E,'CSYCOF ~ r7NSTRUCTION - ��� <br />everett PERMIT PERMIT NO.OH636 <br />CITY HALL 259�8745 <br />FVERE7T. WA 98207 ❑ COMBINATION ❑ BUILDING x�cMECHANICAL ❑ PLUMBING <br />O�VNER MAILAD�RE55 CIIY ZIP PMONE <br />Abner M. Wagner 5029 Crest Lane 98203 252-8128 <br />ARCMITECT OR OESIGNER MAII ApORESS G7Y ZIP PNONE <br />GENEPAL CONTRACTOR MAIL AODRESS GITY ZIP PHONE UCENSE I <br />Same <br />MECNANICALfANTRACiOfl I.IAILADDRE55 CITY ZIP PHONE UCENSE/ <br />PWMBINGCONTRACiOR MAILADDRE55 CITY ZIP PMONE LICENSE� <br />❑NE'�Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE <br />f <br />Fireplace insert <br />LEGAL DESGRIPTION OF PFOPERTY <br />LOT BLOGIL_OF <br />5029fC <br />PLUMBINO <br />N0. <br />SINK <br />SIDE <br />SIZE OF <br />rest Lane <br />TYPE OF <br />— nnirv <br />— BAP. <br />STREETSETBACK <br />LOT AREA <br />OCCUPANCV GR( <br />NO. OF STORIES <br />BASEMENT <br />1. [NVIHONNENTALCHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAIIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />RE4R'fARO £ETBACK <br />OYES ❑NO <br />NO.OF OWELLING UNITS <br />APPR.FORISSUANCEBY <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 WOR'. WILL BE COMPLIED WITH WHETHER S?ECIFIED <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 />SIGNAT�U/p�2j��jc_ON�TpA fl OF Al1T O�VI 0 AGEN7 OATE <br />X �%""".-`�'C1 �'�?*,�i� 12/1/80 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />AIR COND. UNI1S — H.P. EA. <br />REFRIGERAiION UNITS — H.P. EA <br />BOILERS — H P. EA. <br />GAS FIRED A.G UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — BS.U. � <br />VJAILHEATERS—BT.LL 1 <br />UKIT HEATERS — B i.U. I <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING U� <br />STOVE <br />PLAN CHECK NUM�ER <br />— C.F.M. <br />CHIMNEY <br />FEE <br />FEE I R[CEIPT tJO. <br />BUILDING S <br />PLUMBING <br />MECHANICAL 7 S O <br />OTHER <br />PENFLTY U.B.C. <br />5[C. 30310) <br />T°T"` I I 7 I S O <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS VOUR PERMIT <br />ioci �001.50 — � <br />� <br />� <br />, . _. ,.! i� i� �: (- i I �T � <br />I_.A• / v .'U <br />i.',:�±;` t( <br />ADDRESS FILE <br />'I�'F�aC <br />