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� <br />fhe ErcrRrecn ^O N ST R U CTI O N <br />CI7v OF <br />everett PERMIT PERMIT NO. 11197 <br />CITY HALL 259�8745 <br />eveAerr, wn eezo� ❑ COMBINATION ❑ BUILDING �CMECHANICAL ❑ pLUMBING <br />OWNER MAILAODRESS CITY Zlf� PNONE <br />EDIVIN R. PETERSEN 1502 Hoyt Everett 98201 258-2160 <br />ARCHRELT OR DESiGNER MAII ADDRE55 Cliv ZIP PHONE <br />GENCFALCANTRACiOR MRILADDFE55 pTV ZiP PHONE '_ILENSEI <br />Owner <br />AIECNhNiCAL CpNTRACTOP MAtL ADDRE55 GITY 21P PHONE �ICENSE I <br />PIUMBING CANiPACTOR MAq AODRESS qtY IiP PMONE LICENSE 1 <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GP.RAGE <br />VFWP110NOFWORN ' <br />f lVood stove <br />oescaiee woeK <br />Install wood stove <br />��0�'OSCD USE OF dUtLDING <br />R 'd <br />ES 1 ence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />iccn�oescairrio�+oFaaoreaTv�sHowseiowor+nnncHvouacoriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />ior e�oc�_or - TYPE OF WORK WI <br />PLUMBINO <br />2614� Grand <br />TYPE OF FIXTUHE <br />IAUNDRYTRAv <br />CLOTHES WAgNEH <br />WAT[R HE4T[R <br />URINAL <br />URINKING FDUNiA1N <br />FLOOR �RPiN <br />VACUUM 61iEAKHRS <br />f700F DFAINS — RAINLEADERS <br />SINk ISLRVICE — �AR, [TC � <br />SUBTOTAL <br />SETBACK <br />USE ZONL <br />FIRC ZONE <br />STREETSETBACK <br />OCCUPANCY GaOUP <br />NO. OF STORIES <br />L ENVIPONMCNTAL CNECK �IS7 <br />2 GUILDING PLANS <br />3. FIPE HYDRANT <br />d. RRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONMENTALIMPACTSTATEMENT <br />8. HEAITH DISTRICT <br />APPLICATION ACG. �Y PLANS CMECKED 8V <br />FEE <br />REAR YARD S[TBP.CK <br />VACANT SITE <br />i VES :NO <br />Ll 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 THE PRO <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNnTU�EOFCONiBAfiORORAUt1/ORIZEDAG[NT DAIE <br />X C �...�—�' � . %' �X ��,.4->.r 11 / 1 / 8 Z <br />INECHANICAL <br />NO. TVPE OF EOUIPM@!!T FEE <br />AIR CON�. UNITS — HP [A. <br />REFRIGEFiATION UNITS — NP EA <br />BOILERS — HP EA. <br />GAS FIRED A C UNITS — TONNAGE EA. <br />FORCLD AIR SVSTEMS — � T.U. M EA. <br />VlALL HEATERS — 0 TL. M <br />UNR H[A7CRS — B.T U. M <br />EVAPORAiNE COOIERS <br />CIO�HfS DRYEf�S <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C F.M. <br />STOVE <br />1dLTAL FlREPLACE A CHIMNEV <br />FEES <br />JF UWELLING UNITS <br />BUILDING <br />O( G LOAD <br />PLUMBING <br />SPRII.KL[FiS <br />11RED MECHANICA�_ <br />i I ]NO <br />DATE OTHER <br />APPR. fOR ISSUANCE BY <br />PENALTV <br />TOTAL <br />PLAN CHECK FEE <br />FEE I RECEIPi NO. <br />S <br />U.B C. <br />SEC.303�a) <br />1% <br />WHEN PROPERLV VALIDATED pN 7HI5 SPACE�THIS IS VOUR PERMIT <br />9532 so i �.yo --- e�� <br />� <br />. t� <br />� YOtJ�R RECEIPT� <br />7HANK YOU <br />no�Rr:ss r-i�t <br />-�t�rn81 <br />_, <br />J <br />