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1heEi�ergrecn �� r,pNSTRUCTION�- �. ��� <br />CITY OF <br />everett PERMIT p�RMIT NO. 09070 <br />CITY HALL 259�8745 � COMBINATION ❑ Bl11LDING ❑ MECHANICAL � PLUMBING <br />EVERETT. WA 98201 <br />U\YNER <br />MAILADDRESS CITY ZIP PHON[ <br />ARGHITECT OR OESIGNER <br />MAIt ADDPESS CITY IIP PHONE <br />GENEfinL CONTRACTOR MRIL AUDRE55 CITY 21P PHONE UCENSE / <br />Hartlow <br />MELHANICAL CANTBACTOF <br />MAIL ADDR[SS dTY ZIP PMONE UGENSE � <br />PLUMBINGCANTRnCTOR MAILP��RE55 CIIV 21P PHONE IICENSE� <br />South County Plumbing P.O Box 629 Lynnwood Wa. 98036 743-2444 <br />❑NEW ❑ADDITION ❑ALTERf+TION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GNRAGE <br />S <br />DESCRIBE WOFK <br />PROPOSEO USE OF BUILDING <br />LEGRL OESCNIPTION OF PROPERT' <br />lOT BLOCK.—OF <br />291 <br />PLIi0.181N4 <br />Hewitt Avenue <br />6 <br />TRAY <br />O <br />� <br />vARD SETBACK STREET <br />ZONE LOT AR <br />: OF CANST. ��P <br />nc wi nr. NO. Of <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAI IMPACT STATEMENT <br />B. HEALTH DIS7RICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />FOURfAP1ES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS 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 VIOLATE OR CANCEL TH E PFO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIf.NATURE OF CANiRACTOR OR AUTHORI2E0 AGENi OA1E <br />X aizip� <br />SETBACK <br />VACANTSRE <br />�YES ❑NO <br />NO.OF DWEL <br />APPR.FORISSUANCEBY <br />NO. � TYPE OF EOUIPMen7 <br />AIR CONC UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILERS — H.�. EA. <br />GAS FIRED A C.. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. N <br />UNIT HEATERS -- B.7.U. M <br />EVAPoRATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDI ING UNIT — C <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />rorn� <br />FEE <br />E <br />U.B.C. <br />SEC. 30310) <br />FEE <br />RECEIPT N0. <br />17 �00 <br />17 <br />PF.�PERLY VALIDATED (IN THIS .".PACE) THIS IS YOUR PERMIT <br />!�i3 �017.00 - 9 <br />0 <br />, .. r`.� -. ,... �. � D � 0 <br />; , ,, U <br />ADDRESS FILE <br />