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i <br />the£wrgnrn � C�~1STRUCTION �"` <br />cin oF <br />everett PERMIT pERMIT NO.OSSSH <br />CITY HALI 259-8745 <br />EVERETf, WA 98201 ❑ COMBINATION ❑ BUILDINO � MECHANICAL ❑ PLUMBINQ <br />OWNER MAIL/�DRE55 C17Y ZIP PMONE <br />Dennia Westby 6622 Hiqhland Drive 98203 355-5665 <br />AR�NITECTOliDESIGNEN M�IL�DDPE55 Cltt ZIP PMONE <br />GENEMLCONTMCi(M YAILADUpE55 GITY ZIP VMONE LICENSE� <br />Same <br />MECMANICALCON7MCTWi IMIIA�DRE55 dTY 21P PHONE LICENSEI <br />PLUMBING CONTN�LTOR MAIL ADDRE55 CITY 21P PNONE LICENSE I <br />ONEW ❑ADDITION ❑ALTEMTION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAMGE <br />VALU�TION OF Y�C41K <br />f <br />e_ect wood etove in baeement area <br />sinqle family reaidence <br />LOT 9�p�l�_pF <br />622 Hiqhland Drive <br />rLUM�N10 <br />0 <br />A <br />PI'.i <br />STliEET SETBACK <br />1. ENVIfplIMENTALCHEpC1,I5T <br />2. BUILDINO PLANS <br />a. Fir+� Nrorar+r <br />�. FIRE PHOTECTION SYSTEM <br />5. QMDINO <br />8. DRAINMiE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />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 CAMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />RUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br />SIGNAy1R OF CONTRACTOR pR AUTHO ED Ny / UATE <br />j( ! Ot,..�.� ��7 /� I✓ 11/17/80 <br />MECNANICAL / <br />NO. TYPE OF EGUIPMENT <br />AIF CAND. UNITS — H.P. EA. <br />REFFIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIHED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />E'/APOMTIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />FEE <br />S <br />U.B.C. <br />SEC.303�a) <br />RECEIP7 NO. <br />ia� <br />7 I50 <br />7 I50 <br />PROPERLY VALI�ATED (1N THIS SPACE) THIS IS YOUR PERMIT <br />06i2 �001.50-� <br />u�i <br />1 '�;J � R���CEIPTo <br />�.� � � ^,,s � ��o u <br />ADDRESS FILE <br />I 8 ���� E 0 <br />