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the£rer,�recn - Cr�S1'RUCTIO� <br />GTY OF <br />e'�,'�1'�� PERNIiT PERMIT N0. OH693 <br />CITY HALL 259�8745 <br />Eveaerr. v+r, e�zoi ❑ COMBINATION ❑ BUILDING I�]MECHANICAL PLUMBING <br />OY�I�EF M�ILA�DRE55 CITY ZiP PhO�:E <br />Wally Rodland 901 Hoyt Everett 98201 <br />ARC�UtELT OR DESIGNER MAIL A�DRE55 CITY ZiF PHOI:L <br />,EtlERPLGONTPI�CTOR MAILA��RE55 CiTY 21P PMONE LICEIlSEe <br />t�ECHANICNLCONTPACTOR MA�LADDPE55 �rtY I�P PHONE LICENSE/ <br />Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br />fW61BINGWNTR/.CTCR MAILPODf1L55 CIiY EIP PHONE LILEIISE/ <br />OF N'OFK <br />❑NEW ❑ADDITION ❑A�TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />5 <br />D[SCRI�E WORK <br />LF.G%�L DESCRIPiION OF PROPEFi <br />LOt BLOCK__OF <br />O� ADL1FL55 <br />901 Hoyt Avenue <br />��� — <br />PLUMBING <br />NO. TYPE OF FIXTI <br />OH <br />LAU�DRYTRFY <br />CLOTHES WASHER <br />W.�.�ER HEATER <br />URINAL <br />DRINKING FOUNTPIN <br />FLOOR DPAIN <br />VACUUlA BRLFKERS <br />ROOF DRAINS — RAIYLEADEfiS <br />SINK �SERVICE -- BAR. EfQ) <br />SUBTOTAL <br />PERIAIT <br />TOTAL FEF <br />SIDE YARD SETBACK STREET SETBACK <br />USE ZONE �OT AREA <br />OF <br />OF BLDG. <br />GROUP <br />t. ENVIRGNMENTALCHECKLIST <br />2. BUILOING PIANS <br />3. FIflE I1YDfiANT <br />4. FIRE PROTECTI(1N SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIFON.'dENTAL IMPACT STATE. ENT <br />8. HEALTN DISTRICT <br />APPLICATION ACC. BY PLANS Ch :CKED BY <br />FEE <br />I HERE6Y GERTIFY THAT I HAVE READ R,ND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHE'HER SPECIFIED <br />HEREIN OR NUT. THE GRANTiNG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCELTHE PRJ� <br />VISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULATWG <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR[ OF LO'1TRACTOP OR AUiHOFlIZyq AGENT DAiE <br />X �UY� "//�p 12/16/80 <br />ir ,oit. <br />AIR <br />flEAR YAIiD SETBAGK NLnN cntcn i <br />VACANT SITE <br />❑VES LNO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS <br />PEOUIRED MECHANICAL <br />❑YES ❑NO <br />BY �ATE OTHER <br />PENALTY <br />TOTAL <br />APPR FOR ISSUANCE BY <br />TYPE OF EQUIPNENT <br />). UNITS — N.P. EA. <br />7ATION UNITS — H.P. EA <br />—HF.EA <br />D A.C. UNITS — TONNAGF E0. <br />AIR SYSTEMS — 6.T.U. M <br />ATERS -- B.T.U. M <br />�icnc.-9T.L1. M <br />PERMIT <br />FEE <br />S <br />LLB.C. <br />SEC.303(a) <br />FEE <br />RECEIPT NO. <br />FEE <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />i�5s $012.00— �; <br />� <br />� <br />`, � � ! � �:��:[�PT O <br />. . .. .,. I '. l� <br />