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!qE!'cergrt�n � �ONSTRUCTIO� • � ' �� • <br />GTV OF <br />everett PERMIT PERMIT NO. 06714 <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER Mnll ADDRESS �ITY ZIP PMONE <br />Virgil Scott <br />ARCHRECtOliDESiGNER MAILAD�FE55 LIiY ZIP PMONE <br />NTPNCTOR pPES� CRY LP PMONE LICBJS'_ � <br />North Park Heating 19204 Ballinger N.E. Seatt]e 98155 365-1414 <br />AIECNAN�CALCANTRACtOR MAILFDDRE55 GTY lIP PHONE LICENSE� <br />PLUMBINGCANiRACTOR MAiLADDRESS CIiY Z�P PMONE UCENSEx <br />❑NEW <br />VALUATION OF WORK <br />E <br />�ESCRIBE WORK <br />LOT BLOC�OF <br />❑ADDITION ❑ALTERATIUN ❑REPAIR ❑DEMOLI7ION ❑FENCE ❑SIGN �GARAGE <br />JOd ADDRES.�. <br />221 South Broadway <br />PLUMBING <br />NO. <br />LAUNDRYTRAY <br />CLOTHES WASH <br />WATER HEATER <br />ROOF DRAINS — <br />SINK ISFRVICF — <br />� PEpM1T <br />TOTALI <br />SIDE YARD SETBACK STREET SE <br />USEZONE LOTa�::'� <br />IVPE OF CONST. OCCUV2'+�. <br />SIZE OF BLDG. <br />FIRE ZONE <br />NO. OF 5T( <br />BASEMENT <br />1. ENVIRONMENTAL CHECK LIST J <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />•7. FIflE PROTECiION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEh1ENT <br />B. HEALTH DISTRIC7 <br />APPLICAtION ACC. BY PLANS CHECKED BY <br />FOUP GOPIES) <br />REAR VARD SETAACK <br />VACANT SITE <br />�,�.YES ..NO <br />NO.OF DWELLING UI <br />MAXACC. LOAD <br />FIqE SPRINKLERS <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. TI1E 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 P" FJJRMANCE OF CONSTRUCTION. <br />SIG 1TUPE OF CONTRACiOR R AUiHO IED AGENi OAiE <br />X � 9/19/79 <br />MECHANI —_— <br />N0. TYPE OF E�UIPMENT FEE <br />AIR COND. UNIiS — H.R EA. �— <br />REFRIGERATION UNITS — H.P. EA <br />ovaona — n.r. vn. <br />GAS FlRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — 8?.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOflATIVE COOlERS <br />CLOiHES DRYERS <br />VENTII ATION FAN <br />STOV[ <br />— C F.M. <br />SUBTOTAL <br />FLL 1 RECEIPT N0. <br />5 <br />73 � 00 <br />OTHER <br />PENALTV U 0 C. <br />SEC. 303 �al <br />TOTAL 73 �0 <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATED (W THIS SPACE) THIS IS YOUR PERMIT <br />�5�5 sol3.oe�� ' <br />� � <br />�au� R�q�t�to <br />j �,AhK YO U <br />ADDRES; FILE <br />l 0 ��' ]9 , .. . <br />