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0 <br />�heEvc� o° '� CO�'STRUCTION -�. <br />everett PERMIT PERMIT NO.O�19Z <br />CITY HALL 259�8745 <br />EYERETT, WA 98201 ❑ COMBINATION IX� BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br />OWNER MAILADONE55 CITY ZIP PHONE <br />Donald M. McLaughlin 6420 Hiqhland Drive 98203 <br />ARCHITECTORDES�GNER MAILAODRE55 Cltt 21P p;`yE <br />6ENEML CONTRACTOR �,IAIL AODRE55 dTY ZIP PNONE � IICENSE / <br />General Home 3ervices 6820 Rainier Everett 98203 353-5060 <br />MECM�NIGL CONTMCTCR M�IL ADDRESS dTY 21P PHONE LICENSE � <br />GE NE Rii S235R8 <br />MUMBINO CONTIUGTOR MAIL ADORE55 GTY 21P %pNE �ILEHSE � <br />❑NEW ❑ADDITION ❑ALTERATION �SREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br />.UATqN OF WJlM <br />f 8�0�0��� <br />Fire rapair damaqe <br />ein�e ���"° <br />4 y reeidence <br />�or 6 a�� 9 oF _"orth Beverly Park Div. Ii2 <br />6420 8lqhland Driva <br />PLYMNNO <br />SIDE YA <br />USE Z01 <br />� 7VPE O! <br />SIZE OF <br />f:P] <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDIN�PUNS <br />3. FIRE HYDRANT <br />�. FIRE PNOTECTION SYSTfM <br />5. ORADING <br />6. DRAINAGE <br />7. ENVIRONMENTAIIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />VACANT SITE <br />❑VES ❑NO <br />APPR. FOR ISSUANCE BY <br />DB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED <br />HEAEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUM E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAI'ING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATJJRE OF CONTRAGTOR OR PUiHORRED AOENT DATE <br />MECMANICAL <br />COND. UNITS — H.P. I <br />PIGERATION UNITS — <br />��ERS — H.P. EA. <br />�� FIRED A.C. UNITS — � <br />iCED AIR SYSTEMS — <br />.L HEATERS — B.T.U. <br />f HFATFRS — A T.11 <br />TILATION FAN <br />GE HOOD <br />HANDLING UNIT — <br />� <br />AL FIREPLACE 6 Ch <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />M <br />FEE <br />E8,000.00 <br />U.B.C. <br />SEC. 303 (a) <br />i <br />FEE � <br />RECEIPT NO. <br />:'C■ � � <br />44 I 00 <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />17i1 fOM1.00-� <br />l"'{ <br />�'OUR RECEIPTo <br />TH,�h1K YQU , <br />