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„”. L``.".`.`�" CONSTRUCTION <br />� ,:in o; <br />everett PERMIT pERM1T N0. OS33O <br />G7Y HALI :'SP 87a5 <br />�veaerr,�vn ��e_o� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />uv+rv�a r.�m�num�tss cnv tu- vHow[ <br />—�ei��an-�_-�+Iiizspear �32� Ta>>>G�de�anP Fverett 98203 355-8231 <br />1n%�II �ii CLSLNIR AiAILAUUHFSS G:IY LIP PIIONE <br />GENERAICANiFACTOP 614iLADDHC55 CitY zIP pHONE Li(cNSE/ <br />Self. <br />A�fC��/NiCAL WNiFACTOfl MAR qD�RE55 CIIY ZiP pHONE uCENS[ ♦ <br />i4l�A�piNGCONTRApiOR AIAtLAppPF55 CITV 2�P PNONE LiCENSE/ <br />Q n55 OF \YORN <br />❑NEW <br />3 ZrJ�0.0� <br />LESCRipEIVORK StYl�1 <br />9�@f,�� Exist <br />raorosco use oF euiiowe <br />Residential <br />�ecn�14 niaWe3t�oCe�r <br />1 <br />i.or s�ocn�_oc <br />Everett <br />JOB AUDRE55 <br />Same / <br />PLUMBING <br />NO. <br />WATER CLO <br />BATHTU� <br />LAVATORYi <br />❑ADDITION ❑ALiERATION C�REPAIR ❑DEMOIITION CIFENCE ❑SIGN ❑GARAGE <br />Roof- Sheet & reroof 235 Composition <br />single fdIRlly I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF� <br />tnneo�oalao£o�r�o�r+ an� all of PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS <br />RBad�-S--FirSt-&DD1 TYPE OF WORK WILL BE COMPLIED WITH WHETH[R SPFCIFIED <br />HEREIN OR NOT. THE G�ANTING OF A PERMIT DOES NOT <br />_ _ PRES TO GIVE AUTHOF{ITY TO VIOLATE OR CANCEL THE PRO� <br />0008 VIS NS F ANY OTHEF� STATE OR LOCAL LAW REGULATING <br />C NSTR TION R Ty� PERFORMANCE OF CONSTRUCTION. <br />— s�� anror+' oc c � or+o/AU1110R12FD AGftJi DAIE <br />2322 Hi.11side Lane X' �� � �jU l��m� 7-10-79 <br />TYPE OF FIXTURE OR <br />KITCHE?7 SINK 8 DISP. <br />DISHIYASHER <br />LAUNDRVTRAY <br />CIOTME5IVASNER <br />WATER HEATER <br />URINAL <br />DRINKItJG FOUNTAIN <br />F LOOR ORAIN <br />VACUUA7�REAKERS <br />FJGF pqAl NS — RA W LEAC <br />SINK iSLRVIC[ — �AR ETC <br />SIDE VAPD SETBACK STREET 51 <br />USE ZONE LOT AIiEA <br />TVPE OF CANST. OCCUPAN <br />SiZE OF BLOG. NO. OF ST <br />FIRE ZONE BnSEMEN� <br />t. ENVIRONMENTALCHECKLIST <br />:. �UILDING PLANS <br />3. FIRE HVDRANT <br />a. fIFE PROTEC710N SVSTEM <br />5 GRADING <br />� DHAINAGE <br />7. [NVIRONMENTALIMPACT STATEMENT <br />8 HEALTH OISTRICT <br />APPLICATION ACC. BY PIANS CHECKED BY <br />VACANT SITE <br />i.IYES fiNO <br />BV <br />APPR. FOi1 ISSUANCE BY <br />N0. TYPE OF E�UIPMENT <br />AIR COND UNITS — HP EA. <br />FEFPIGERATION UNITS — H P EA <br />[301LER5 — HP. EA <br />FORC[D AIFi SYSTEMS — BT <br />IVALL HEATERS — B.1.U. <br />UNIi HEATERS — 8 iL <br />AIN <br />METAL <br />PLAN CHECK <br />OTNER <br />PENAL7V <br />TOTAL <br />EA. <br />M <br />SUB TOTAL S <br />PEHMIT S <br />TOTALFEE f <br />PLAN CHELH FEE <br />P[E RECEIPT N0. <br />VALUATION FEE <br />g .0 15 <br />U.B.C. <br />SEC.303(n) <br />15 100 <br />WHEN PPOPERLY VALIDATED �IN TNIS SP� �1 �H�,S IS Vqy���l; 0 O �� 1 <br />i � 7 <br />C� <br />Y�0�1 R i�E4£[� <br />�ANK. YOIP <br />:i'��',� . <br />; � � � � �. , <br />�,ri»Fss n�_�� � � � <br />.� <br />/ <br />