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cr�r,6ii <br />nwi� nountss cirr ziN vroi.e <br />Wally Rodland 901 Hoyt Everett 98201 <br />AnCNRELt OR DESIGNER MFIL ADDPESS CITV ZIP PM04E <br />GEIIERRLCANTRACiOR NAILADDFESS Cltt ZIP PHONE LiCENSE/ <br />6�[CNANICALGONTRACTOR MAILApDFESF Lltt ZiP PHONE LiCENSE� <br />Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 _ <br />P�UldBINGCONiRAGTOP MAILA�DPE55 QTY ZIP PHONE UCERS_ � <br />❑NEW <br />5 <br />:EGAI Gtsr.hrvi.�nvr rnv���•� <br />lOT_ 6�7CK�OF <br />❑ADUITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑G�RAGE <br />ae�ow oa <br />do� nouFess <br />901 Hoyt Avenue <br />PLUMBING <br />NO. TYI'e 0'r FIY.T <br />USE <br />R DISP. <br />FLOOR DRAIN <br />VACUUM �RFfY.ERS <br />ROOF DRAINS — RAINLFADER; <br />SINK (SERVICE — BAR. ETC.) <br />SUB'0 <br />PEPMII <br />TOTAL <br />YARD SETBACK STREET SE <br />vnuc �OT AREA <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS P.P- <br />PLICATION AND KNOW THE SAti1E TO BE TRUE AND CORRECT. <br />ALL PROV;SIONS OF LAW`� AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLiED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE 6R LOCAL LAW REGULATIhG <br />CONSTRUCTION OR THE PERFORM��NCE OF CONSTRUCTION. <br />sieNnrune or ccNrnncro�� or+auTr+oa�iz�/q nGer�T o^TE <br />X �l�(1��//��l 12/16/90 <br />OR ITEM FEE N0. TYPE OF EQUIPMENT �EE <br />AIR COND. UNITS — HP. EA. _ __ <br />REFRIGERATION UNITS — H.P. EA _ <br />BOILERS — H.P. EA. <br />G�S FlRED A.C. UNITS — TONNAGE EA. <br />FOqCED AIR SVSTEIAS — BT.V. M 61. <br />WALL HEATERS — 0 T.U. �+� � <br />UNIT HEATERS — B.T.U. �� <br />REAR <br />STOVE <br />METAL FlREPLACE <br />I]YES ❑NO <br />OCCUPANCY GROUP NO.OF DWELLING UNITS <br />BUIlDIN3 <br />NO.OF S70flIES MAX.00C.LvnD <br />FLUMBING <br />BASEMENT FIRESPRINKLEflS ����unnur <br />1. ENVIRONMENTALCHECK�I5i <br />2. BUILDING PLANS <br />3. FIPE HY09ANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DFAINAGE <br />7. ENVIRONMENTAL IMPFCT STATEM1IENT <br />B. HEALTH DISTRIC7 <br />APPLICATION ACC. BY PLANS CHECKED Bl' <br />... g �, . ,�. , <br />�� _ � ` _ . ,,,,.... ,_:.,» <br />� + �; . <br />qPPR. FOR ISSUANCE BY <br />FEE I �ECEIPT NO. <br />5 <br />PENALTY U.BC. <br />SEC. 3�3 (a) <br />TOTAL 1 i O O <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />i �ba �D I 2.00 — C}; <br />� <br />� <br />,.. .� � R �•� _r-. I PT o <br />„ .: I': 'r �' U <br />I ; �;:C o 0 <br />ADDRESS FILE <br />