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��j��'�tt PERMIT NO. U� 17 4 <br />CT� HALL 2�9-8745 <br />e�eaeTT var se�o� L� COMBINATION ❑ BUILDING �CMECHANICAL PLUMBING <br />:iiY PP P��GNF <br />�;�,�c� MAIL A�DRE55 <br />Lola J. Nelson 3802 Hoyt <br />;.FLNIiLCT OR UESGNEP kAIL A��RE55 <br />GIT' ZIP PHONE <br />GENERAL GONTRACTOR <br />I.IAILFDDRE55 l:liY ZIP PHONE LiCEtbE• <br />M4LLFDDRE55 GTY ZIP FHCNE UCEN6E1 <br />i.i�crnr�icn� cor�raacToa 2 5 6— 2 4 41 <br />Natural Gas Equipment 1611 East Grand Everett 98201 P„cNE UCENSE� <br />f:UL�BiNG C9NTPACTO� <br />AIAIL hDDRE55 C�T' <br />CtA55 Cf YlORK <br />❑NEY/ ❑ACDITION <br />VALUAiION OF Y/ORK <br />S <br />iFGAL �ESCR�PTION Of PROPEPi' <br />LOi 6LOCK_OF <br />3802 Ho! <br />PLUMBING <br />N0. <br />V/ATER <br />TYPE OF FIXTURE OR <br />FLOOR �RAIN <br />VACUUM �REAKERS <br />POOF DRAINS — �NINLEADLFS <br />SINK �SERVICE — BAA. EiC.I _ <br />Su970TAL <br />SID"e YARD SETBAGK SiREET <br />U.`,fi ZONE LOT AR <br />i v f��E OP CONST. ��P <br />SIZE OF BLDG. NO. OF <br />❑ALTERATION OAEPAIR ❑DEMOLITION CFENCE ❑SIGN ❑GARAGE <br />t. ENVIRONMENTAL CHECK UST <br />;7 [IUILDING PLANS <br />3 PIRE HVDRANT <br />.:. RRE PROTECTION SYSTEM <br />5 GAADING <br />n DRAINAGE <br />'i LNVIRONMENTAL IMPACT ST.47EMENT <br />e i+�n�T�+oisraicr <br />l�PFLICi.TION i�CC. GY �lANS CHECKED �Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAh11NEU THIS AP- <br />wuRcowesi PLICATIOIJ AIJD K�OW THE SAME TO BE TRUE AND CORRF:,`f. <br />ALL PROVISIONS OF LAWS P.ND ORDINANCES GOVERNING THIS <br />TYPE OF W�RK WILI BE COMPLIED WITH WHETHEH SPECIFIED <br />HEREIN OFI NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLr.TE OR CANCEL THE PRO� <br />'� VISIONS OF ANY OTHER STATE OR LOCAL LAW RfGULATIfJG <br />CONSTf1UCTi0N OR THE PERFORMANCE OF CONSTFUCTIOK. <br />clGq U 0�(filliR5f.i0�i0RAU�110R26DAGHli P.VE <br />_.` i�l 1 1�.. �..,. e. . 4/97/A1 <br />7EAR YARD SET�AGK r�r�v �nc� <br />VACANT SITE <br />LIYES LlNO _ <br />N0. OF DWELUNG UNI1S <br />_ DUILDING <br />MA%.00C.LOAD -- <br />PLUMBING <br />FIRE SPRINKLERS MECHANIC <br />REOU�RED <br />-I�IYES I_�1N0 — <br />BV I fATE OTHEF <br />I PENALTY <br />APPR. FOR ISSUANCE �" <br />TYPE 0 <br />1NIT5 — <br />STEMS — <br />—BTU. <br />—RT11 <br />8 <br />FEE <br />M <br />PLAN CHECK FLE <br />FEE RWEIPT NC. <br />VALUATION FEE <br />S <br />7 SO <br />UBC. <br />SEC.3031a) <br />% 5� <br />PERMIT VFLIUNuun <br />WHENPROPERLYVALIUnTEDp��i11155PACEIJHIS�SYOUiif�����T;- __�� <br />� . . � � �; i . . ., <br />r- <br />� <br />� � <br />� <br />�;DDRESS FII_� <br />i � I <br />