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GTY OP <br />everett PERMIT pERMIT NO.O8�T2� <br />CITV HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL PLUMBIN(i <br />OWNER MAILAD�RE55 ��r Z�P PIqNE <br />vwiLIP NAD .enrsnvs nriFr� 2903 1/2 TTT o Z�NE2771_ <br />GENERA� CONTPnCTOR MAIL RDDPE55 Cltt ZIP PHONE— --"LICENSE I <br />NAIL ApURESS CITY ZIP MONE LICENSE � <br />PLUMBING CANTRACTOR . <br />❑NEW ❑ADDITION ❑ALTERA710N ❑REPAIR <br />f <br />DESCRIBE WORK <br />INTBRIOR DENLOI <br />PIiOPOSED USE OF BUILDING <br />LEGAL OESCRIPfION OF PROPEpn' 1`• <br />�oT 5& 6eia«655oF _ <br />�yo9 %A �`le <br />JOB ADORESS <br />290Q 1/2 HEW <br />PLUMBINO <br />Np, TYPE OF <br />WA7ER CLOSET (TOILE <br />BATHTUB <br />LAVATORY �WASH BAS <br />SNPWER <br />K�n yEN SINK 8 DISP. <br />� <br />� <br />VARD <br />❑FENCE ❑SIGN ❑GNFiAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />WALWELLS 2nd 7YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />�..yt_ CONSTRUC N OR THE PERFORMANCE OF CONSTRUCTION. <br />�/A __..._.__�_......,,..�.�n�nonmar.Fur UATE <br />STREE7 <br />N0. OF <br />ITEM FEE NO. TYPE OF EOUIPMen� <br />AIR CAND. UNITS — H P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRED AG. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M <br />WALL HEATERS — 8 T.U. M <br />� W IT HFATFRS — B.T.U. M <br />1. ENVIRONMENTALCNECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />6. DRFINAGE <br />7. ENVIRONMENTALIMPACTSTA7EMEN7 <br />8. HEALTM DISTRICT <br />APPLICATION ACC. BY PlANS CHECKEO BV <br />ew <br />YARD <br />C1YES <br />NO.OF <br />UNITS <br />BUILDING <br />PLUMBING <br />PENALTY <br />TOTAL <br />APPR.FORISSUANCE BY <br />kc <br />ACDRESS FILE <br />F'P1] <br />FEE <br />E <br />U.B.C. <br />SEC.303�a) <br />RECEIPT NO. <br />I I �0 I0� <br />ION <br />VALIDATED (IN THIS SqNC6+TH15 IS 1�11VP 11�IMA�D O� � <br />J J � Il U U <br />N <br />� - , �i n'"^CI�� � <br />. � � . �I \. U O <br />) � �. ��C 8 U <br />