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",ee�.�sYeoF -- CC�'�STRUC`�ION _ <br />everett PERMIT PERMIT NO. 08211 <br />CITY HALL 259�ft745 <br />EVERETT, WA 98207 ❑ COMBINATiON C�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILADDRESS QtY ZIP PHONE <br />L. Mamie Chiamulera 3631 Lombard Everett <br />ARCIIITEGTORDESIGNEfl MAILADDRE55 CIiY 21P PHONE <br />GENEFALCONTRACTOR IAAILADDRE55 CITY 21P PHONE LIGENSEY <br />Snohomish County Home Improvement SN OH OC H308DZ <br />MECNFNICALGONTPACTCfl MAILADDRc55 CITV ZIP PHONE UCENSEI <br />MAIL ADORESS <br />❑NEW ❑ADDITION ❑ALTERATION �IXEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 3$��.a� <br />iGPIBE WORK <br />Re-side House Vinvl Sid <br />if3i single family residence <br />LEGAL �ESC9IPTIUN OF PRpP[RiV �SHOW BELOW 0!i ATT/CN FOl <br />Lo15-16 e�xK 88 oF <br />JOB AOORESS <br />3631 Lombard <br />PLUMBING <br />NO.� TYPE( <br />WA7ER <br />DRINKING <br />BREAKERS <br />AINS — RAIN <br />IVICE — BAR. <br />SIDE YARD SETBAGK <br />USE ZONE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />Everett Div. E <br />S7REETSETBACK <br />NO. OF S70RIE5 <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILOIIJG PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEhi <br />5. GRADING _ <br />6. DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />PNONE LICENSE I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br />PLIGATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WI�L BE COMPLIFD WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR0 <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE 0° CONTRACTOB OR RUtHORRED AGENT DAiE <br />X 9/4/80 <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR COND, UNITS — H.P. EA. <br />REFHIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FOf±CED Alq SYSTEMS — BS.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPURATIVE COOLERS <br />VENTILATION FAN <br />AIR HANDLING UNIT — <br />FIREPLACE 3 CHIMNEY <br />B <br />REAR YARD SEIBACK PLAN CHECK <br />VACANT SITE — <br />❑}ES ❑NO <br />MAX,OCC.LOAD <br />FIRE SPRINKLERS <br />REOUIFED <br />�❑YES �❑NO <br />BY I DATE <br />AF'PR. FOR ISSUANCE BY <br />BUILDING <br />PLUMBING <br />MECHA4ICAL <br />OTHER <br />PENALTY <br />FEE <br />M LA. <br />M <br />F <br />s 3500.0 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT N0. <br />� •� <br />TOTAL I I 2 8 I O O <br />PERMIT VALIGATION <br />WHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUR P'eRM1T <br />7263 $az�.00=-- � <br />['—� <br />' N <br />ti'�">'J h P.ECEIPT o <br />; �;^,^!; YGU <br />