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�,TYOF ` ON�TRUCTION " <br /> die Evergmen r` � � <br /> everett PERMIT pERMIT NO. 09504 <br /> CITY HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING <br /> OV/NER 1dFILA�CRF55 CITY ZIP PHONE <br /> Einnar Neilson 1320 Lombard Everett 98201 <br /> AqCHREGTOFOESIGNER IAAILADDRE55 QTY ZIP PHONE <br /> GENERAL GONTRFCTOR MAIL AODPE55 QTY LIP PHONE LICENSE 1 <br /> MECMANICALCONTRACTOR MAILPDDRE55 CITY ZIP PHONE LICENSE� <br /> Natural Gas Equipmet�t 1611 East Grand Everett 98201 258-2441 <br /> PLUIdBING CONTPACTOR .NAIL ADDPE55 CITY 21P PNONE UCENSE Y <br /> CLASS OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERh?ION ❑F7EPAIR ❑DEMOLI110N ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> E <br /> DESCRIBE WORK <br /> PROPOSED USE OF BUIL�ING <br /> I HEREBY CERTI�"THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALDESCflIPTIGJOFPROPERTY(SHOW BELOWOPATfAGHFOURCOPIES) P.LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF L4WS AND ORDINANCES GOVERNING THIS <br /> �oT e�acH_oF TYPE OF WQRK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLAT[OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNhTU OFCONiRACTORORAUTNORREDAGENT DATE <br /> J00 A��RE55 I� '� <br /> 1320 Lombard X �U, ( . LE'Vuv 7/17/81 <br /> PLUFABING MECH NICAL <br /> -Wp, TYPE OF FIXTURE OR ITEM FEE NO. TY'rE OF EQUIPMENT FEE <br /> VJATEF CIASET(TOIIET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB REFflIGERATION UNITS—H.P.EA <br /> LAVATORV�WASH BASINI BOILERS—H.R EA. <br /> SHOWER GAS FIRED A.Q UNITS—TONNFGE EA. <br /> KI iCHEN SINK 3 DISP. FORC[0 AIR SYSi EMS—B.TL. M EA. <br /> DISHWASHER VJALL HEATEHS—0 T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—�P.T.U. M <br /> CLOTHES WASHER EVAPORF7IVE COOLERS <br /> \NATER HEATER CLOTH@S DRYERS <br /> UFWAL VENTILATIOh f-AN - <br /> DRINKWG FOUNTAIN RANGE HOOD _ <br /> FLOOR DRAW Alil HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRHINS—RAINLEADERS METAL FIPEPLACE&CNIMNEY <br /> SINK(SERVICe—BAR,ETQ) 1 Water Heater <br /> SUB TOTAL SUB TOTAL S 4 S 0 <br /> PERMIT 5 PEHMIT 5 <br /> TOTALFEE E 70TALFEE S <br /> SIDE Y�RD SETBAGK STREET SETBACK REAF YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FFE RECEIPT NO. <br /> US`.ZONE LO7AREA OYESNT�NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCI.PANCY GROUP NO.OF DWELLWG UNI7S <br /> BUILDING b <br /> SIZE OF BLDG. N0.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIHED KLERS MECHANICAL 'I S O <br /> IIYES ❑NO <br /> APPHOVALS By DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALN U.B C. <br /> SEC.303(a) <br /> 2. BUILDINGPLANS TOTAL 7 50 <br /> 3. FIRE HYDRANT <br /> PEHMIT VALI�A7ION <br /> q, FIPE PROTECTION SYSTEM WHEN PROPERLY VFLIDATED(IN THIS SPACE)THIS IS YOUR P7ERMLI7 ._.7 <br /> 5. GRADWG � � � �, � . �� (. J � '-- Y_; <br /> ��— � <br /> F. DRAINAGE <br /> � <br /> 7. ENVIR_ 0�A��MPP�T STATEMENT � <br /> 8. HEALTH DISTRICT � ' � � "� I'� � O <br /> ppPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY ; � • �• ; <br /> I 1 - — �, � <br /> ADDRESS FILE <br />