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. <br />� <br />d�cE�rrgreen � ��STRUCTION <br />CITV OF <br />evereit PE���T PEF.fViIT NO. 11.505 <br />CITY HALL 255�0745 <br />eveFrn.wn �ezoi ❑ COMBINATION ❑ �UILDING � MECHANICAL ❑ PLU't�ABWG <br />OWbER ti�AiLADDAE55 QiY ZiP PM0�1L <br />R.4NDALL ZUD1l4ALT 5423 LOIAELL RD LVER�TT <br />ARCN4ECi OR UESIGNEF i1<iL AODRE55 OTY ZIP CIIONE <br />GENF.PAL WNiRAGiOR RIAIL FO�AE55 Crt\ ZIP PHOflE LICEtlSE I <br />IdCC11PNICALC0�ITP.<CTOP ���A�LA�OR[SS CRY ZIC PNONE LICENSEI <br />CUSTOi•7 GAS 22329 - 57th Avenue SE Lotnell 98011 481-5515 <br />PWMBINGCONiPACTOF ���AILAD�PE55 CIIY 2'P P110NE UCENSEi <br />�1NEVJ ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLItION ❑PENC6 ❑SIGN ❑GARAGE <br />b <br />�[SCFIpE WORH <br />Conversion Uurner <br />raovoseo use oF ouaoin� <br />I HEREBY CERTIFY THAT I Hl�VE READ ANU EXAFAINED THIS AP� <br />�ecA�oescnicnonoFaaocEa-r�sNo�vne�owoaArrna�wuvvcories PUCATION AND KNON! THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />ior e�ock_oF "fY�E OF WORK WILL BE CGi�IPLIED WITH WHETHER SPEGRED <br />,on nuuness <br />5428 Lowell Rd <br />PLUMBING <br />HEREIN OR NOT. THF G6ANTWG OF A PERMIT DOES NOT <br />PFESUME TO GIVE AU�i t�ORiTY TO VIOLATE OR CANCEL THE PRO- <br />� VISION$�DF AN1 OTHER STATE OR LOCAL LAW REGULATING <br />CJNSfAUC ION OR THE PERFORMANCE OF CONSTRUCTION. <br />s�s�uaio cor+rnncroaonnunroaiz[2neern' onre <br />�C //k-,���� ���� �lCI-'�2 / 7 �+ / 8 3 <br />OF FI%TURE OR IT. EM <br />BATHill9 <br />InVAW iV �VJASH B� <br />SHOM2F� <br />KI iCH[N SIIJK 8 DIS <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHE: %ASHER <br />WAT[R HEAT[R <br />UPINAL <br />DRINKING FOUNTAII <br />FLOOR DRAIN <br />VFCUUTA BPEAKERS <br />ROOF DAAINS — PA <br />SINN�SEHVICE — BF <br />� PEflM1T <br />TOTAL FEE <br />SIOE VARD SE784CK STRELT SEiOPCK <br />US[ ZON[ LOT AREA <br />OCCUPANCY GflOUP <br />N0. O� STORIES <br />BASFMENT <br />t. ENVIRONMENTAL CNECK LIST <br />2. �UILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PPOTECTION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />9. NEALTH DISTNICT <br />APPLICATION ACC. BY PlANS CHECKED BY <br />REAR YAFD SETBACK <br />VACANT SITE <br />'.IVES I INO <br />NO. OF DWELI.ING UP <br />A1A%. OCC. LOAD <br />APPR. FOR ISSUANCE �Y <br />TYPE OF E�UI�MENT <br />AIR COIJD. UNRS — HP. 6\ <br />R[FRIGERATION UNRS — HP. E4 <br />BOILERS — H P. EA. <br />GAS RRED AC UNITS TOIlNACI'c EA. <br />F(1RCFI1 AIR PYSTPMS — 97L M EA <br />UNIT HEATERS -- � T U. <br />[VAPORATIVE COOLEflS <br />VENTIL�TION <br />RANGEHOO� <br />METAL FIREPL�CE 8 <br />— C F.M. <br />PLAN CHECK FE[ <br />FE[ � RECEIPT N0. <br />OUILUING � S <br />PLUId�ING <br />MECHANICAL 14 S O <br />OTHER <br />PENALTv U B C. <br />S[C. 303 (a) <br />TOTAL In SO <br />PEflM1T VAI.IDATION <br />WHEN PFOPLRLY VFLIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />� <br />�35a E014.50---�� <br />� <br />� <br />YOl)F RECEIPT <br />7Hr1NK YOU <br />ADDRESS FILE <br />_ ILFEBR3 <br />'1 <br />1 <br />J <br />t <br />