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d�e Ercrgree�� �n N ST R U CTI O N ��- <br />CITY OF <br />everett PERMIIT PERMIT NO. 0954�J <br />CITY HALL 259��745 <br />eveRerr. wn �ezoi ❑ COMBINATION ❑ BUILDING �I MECHANICAL ❑ PLUMBING <br />OYINER MAIL PD�RE55 CITY ZIF PHpNh <br />JAMES A. SNOW 921 GRAND AVE. EVERETT 98201 252-7396 <br />ARCHRER OR �[SIGNER MAIL ADDPE55 C'TY 21P PHONE <br />GENERALCONTRACiOR �,IAILADDRE55 pTY 21P PMONE IICENSE/ <br />MECMNNICALCpNiRFGTOP AIAILAD�RE55 dTY ZIP PMONE �ICENSE/ <br />SELF <br />PLUMBING CONTRALTOfl MAIL A�ONE55 CITY ZIP PHONE IICENSE I <br />L�NEw ❑ADDITION ❑ALTERATION ❑REPAIF ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />s <br />DESGRIBE WORK <br />INSTALL WOOD STOVE <br />�or e�a�_o� <br />J00 A�DHESS <br />921 GRAND AVE <br />PLUMBING <br />N0. TYPE C <br />WATER CLOSE7 (TOII <br />BATH7UB <br />LAVATORY ryVASH B/ <br />SHOWER <br />KITCHEA SINK 8 DIS <br />DISHWASHEfl <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAII <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RA <br />ciuv �ccnvicc _ an <br />SIDE YARD $ETBACrt � STRELT SETBACK <br />USE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />BASEMENT <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANL <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. MEALTH DISTRICT <br />APPLICATION ACC. BY Pl, NS CHECKED BY <br />ew <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 WI�L 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 REG'.1LATING <br />CONSTRUCTION OR THE PERFORMANCE OF CO STRUG��ON. <br />SIGNATUREOFCONTRACTOR�ORAUiHORI AGENT O,�IE <br />X`�/i.f.� Q/.I / A �.�// 'f / � n / o i <br />REAR YARD SETB4CK PLAN <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />MA%. OCC. <br />APPR.FORISSUANCEBY <br />ew <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />nui�tna — n.r. er. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.i.U. M <br />WALL HEATERS — � T.U. M <br />UNIT HEATEPS — B T.U. M <br />CLOTHES <br />RANGEHOOD <br />STOVE <br />OUILDING <br />n�',,MBING <br />MECHANICAL <br />PENALTY <br />ADDRESS FILE <br />FEE <br />PLAN ChIECK fEE <br />FEE � RECEIPT NO. <br />S <br />U.B.C. <br />SEC. 3031a) <br />141 50 <br />Y VAIIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />i;. _,1 ' � �Lr,n _— � <br />� , <br />� <br />„ �„ � � <br />� <br />. . �.� <br />I <br />