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,`1e`1ef�,e"' ^�NSTRUCTION <br />��1Y OF , <br />everett pERMI'T <br />arvHnuzes.e,as PERMIT NO. 09174 <br />`-vtRETT, ;'+,� 9ezoi ❑ COMBINATION ❑ BUILDING �tMECHANICAL <br />❑ PLUM8ING <br />o,•ir,eA <br />MF'I. ADUHE55 CIiY <br />Lola J. Nelson 3802 Hoyt Z1 P"o"E <br /><cr,mteCr oa oEsira�ea " — <br />M41L t�OGRE55 ��ry <br />Z�P PHONE <br />Natura'_ Gas E <br />� 1L�6�t3iNG COYiRAQOR <br />Cln55OF WORN <br />❑NEW <br />\'nlUAiION OF WORK <br />�ESCRipE WORK <br />�[O�'OSEO USE OF BVILOING <br />�:c:L oEScaiannu nr onnoco. <br />JJN�.UDRE25 <br />3802 Heyt <br />PLUMBING <br />N�- <br />DRAIN <br />8 <br />0 <br />e <br />nt <br />mni <br />mw�_ /' VUh[SS <br />1611 East Grand <br />Everett <br />cir PMONE LICENSL � <br />Z�P PHONE LICENSE � <br />98201 258-244I <br />Z�P i'HONE IICENSf r <br />❑ADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />FIXTURE <br />SiL`E YARD SETBACK STfiEET SG <br />USG ZONE LOT qREA <br />7� rh UF fANST. ��UPAN( <br />��ZC OF BLDG. NO. OF $T( <br />Fi�7E ZONE Bl.scMENT <br />L ENVIPONMENTAL CHECK L15T <br />:' �UILDIMG PLANS <br />:. FIRE HYDRANT <br />t F IRE PROTECTIC4 iVSTEM <br />' GRADING <br />' DFAINA6E — <br />GNVIRONMEN7ALIMPACTSTA7EMENT <br />C HFA:TH DISTRiC� <br />a.�rucnnor; r�cc ov r�;,rs c���� c��eu or <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE 4ND CORRECT. <br />ALL PROVISIONS OF LqWS AND ORDINANC::S GOV�RNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHE?HER BPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTI�ORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONS79UCTION. <br />�GN iU [OFCOh11iACiORORAViHORREpAGRJi ��JE <br />'�""�11�I ��-5����1�2/ 1��!%�8�. <br />FEE ryp, T� yFE OF E0U <br />AIR COND. UNITS — H P EA <br />REFRIGERATION UNITS — H. <br />�OLLERS — H.P. EA. <br />GAS FlRED A.C. UNITS — TOI <br />FORC[D AIR SYSTEh15 — B.T <br />WALL HEATERS — B T.U. <br />11NIT NFATFnc _ w r i� <br />REAfi YAPD <br />iYES ❑NO <br />NO OF DWEL <br />MAX. CGC. LO. <br />DATE <br />:,� :�ri ror� iss�aace ov <br />AIF <br />BUILDING <br />PLUMBING <br />FAN <br />i UNIT — <br />fEE <br />,Lj <br />M <br />RECEIPi NO <br />FEE <br />OTHER � � S O <br />P6NAlTY UBA. <br />SEC. 303 �a) <br />TOTAL — <br />7 SO <br />PERMIT VALIOATION <br />WHEN PROPEiiLY VALIDATED I W THIS SPpCE) JHIS IS 1'OUfL(;:11d+7 � <br />, , i. _ --�1 <br />� <br />� <br />I � <br />, O <br />,'~ �l.. —�� <br />