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�`� <br /> the£cergreen COI�STRUCTIO�� - <br /> CITY OF <br /> everett PERI�IT PERMIT NO. 09173 <br /> GTY HALL 259�87C5 <br /> eveaerr.vrn eezoi ❑ COMBINATION ❑ BUILD!'+'G lx�tMECHANICAL ❑ PLUMBING <br /> G��NEH MNILApCRESS CITY 21P R�pNL <br /> Phyllis Baumgartner 1725 Hoyt Everett <br /> �9CHIiCCi CR DCSIGN'R MAI�ADDRE55 CITY ZIP �NOt1E <br /> „_�;rq4�,CONiHACiOR AI4qADDRE55 CITY Z:P PNONE �ICENSc/ <br /> .�b�Rl.'�CRLCONiRACiOR IdPILADGRE55 CITY ZIP PHObC UCENSE/ <br /> tdatural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> {,/�1•611:GCANTRACiOA MFILADDRE55 CITY Zla PHONE IICENSE/ <br /> .�V�SS OG WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DE6�OLITION ❑FENCE ❑SIGN ❑GARAGE <br /> .�F��ON OF WOPK <br /> ,i�IIDipE WOPK <br /> t':-p,OSEO USE OF BUILOiNO <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXP.MINED THIS AP- <br /> �,:.—,n�o:scaianor+oFaaovEamisHowoeiowoannncHrouacoriesi PLICATION AND KNOW THE SAME TO 8: TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS AN�ORDINANCES GO��ERNIIJG TFIIS <br /> ��, eioc:�_oF — TYPE OF WORK WILL BE COMP�IED WITH WHF.-iHER SPECIFIED <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 /> sicnr.ru;�orco�+ra�.cioaou�.uu,on�z�or.�iN� o�ae <br /> ,r i�:,r.uhess 4 2 7 81 <br /> 1725 Hoyt X ( <br /> PLUMBING MECH NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAT[R CLOSET(TOILET) AIR COND.UNITS—HP.Eh. <br /> BATHTU� FEFRIGERATION UNITS—H.P.EA <br /> IAVATORY(WASH BASIN� BOILERS—H P.EA. - <br /> SHOYlER GFS FIRE�A.C.UN11&—TONNAGc FA. _ <br /> NITCHEN SINK&DISP. FORCED AIH S1'STEMS—B T.U. A1 EA. <br /> DISHWASHER VlFLL HEATERS—B.T.U. M1� <br /> IAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTNES WASHER EVAF'Oi�ATIVE CAOLERS -- <br /> WATER HEATER CLOTHES DRVERS - <br /> URINAL VENTILATION FAN <br /> DRINKiNG FOUNTAIN f.:.NGE HOOD <br /> FLOOR DRAIN Alfl HANDLING UNIT— QF.M. _ <br />') VACUUM QREAKERS STOVE <br />� ROOF DRAINS—RAINLLADERS METAI FIREPLACE 8 CHIMNEV <br />� <br /> SINK�SENVICE—BAR.ETCI 1 HOt Wdt2T Heater <br /> _— <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT S PERMIT t <br /> � TOTAL FEF. S TOTAL FEE S <br /> S�DE VARD SETBACK STHELT 9LT�%.CK REAR YARD SETBACS PLAN CHECK NUAIOER PLAN CHECK FEE <br /> FEE RECEIPi NO <br /> US[ZONE LOT AREA VACANT SIiE yq{.UATION FEE <br /> �;YES IiNO FEES <br /> 7vPL OF CONST. OCCUPANCV GFOUP NO.OF DWELIING UNITS _ <br /> BUILDING 5 <br /> tiIZE OF BLOG. NO OF STOFIES MAx OCC LOAD — <br /> PLUMBING <br /> IIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL � S O <br /> �IYES �'�.NO <br /> APPNOVALS <br /> BY OATE OiHER <br /> '� f.NVIPONMENTALCHECKLIST PENALTY U9C <br /> SEC.303(a) <br /> ,. f3UILDING PIANS TOTAL 7 S 0 <br /> ' FIRE HYDRANT <br /> - PENMITVALIOATION P ��CT, — <br /> '. FIRE PPOTECTION SYSTEM VJHEN PROPERLY VALIDATED�1N THIS$PACE�THIS IS Y�llFj, � � <br /> `: GRADING <br /> � <br /> i�. pfAINAGE �—{ <br /> Z ENVIFONMENTALIMPACT STATEMENT Ii�I � <br /> B H[ALiH DISTRICT � � � <br /> nFPUCAT�ON ACC BY PlANS CI'i'KED BV APPR.FOR ISSUANCE BY - <br /> � <br />