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1heErer�reen CONSTRUCTIO• , <br />CITY OF <br />everett PERMIT <br />C:TY HPLL 259�8745 PERMIT h10. 11177 <br />EVERETT, 1VA 98207 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OK'NER MAR qpDRE55 ��iq <br />Haroldine Schmidt 2305 Harrison Z'" PMONE <br />Everett 98201 <br />ARCHRECi OF DESIGNER Mqq AOCRE55 ��ry -- <br />Z�P PHONE <br />GENEPAL CONiRA�jOR MAIL AODFE55 ��Ty <br />Z�P PMONE LIGENSE I <br />MECMAWCFL CONTHACtOR MAIL ADDRE55 ��Ty <br />Natural Gas Equipment 1611 East Grand Everett Z�P �ONE ucense. <br />98201 258-2441 <br />PWM1IpING CONTqACTOR MAI� ADDRL55 ��r� <br />Z�P PHONE IICENSE � <br />❑NEW ❑ADDITION ❑ALTERATION ❑PEPqIR ❑DEMOLITION ❑FENCE ❑SIGK ❑GARAGc <br />E <br />DESCRIBE WOFK <br />PROPOSED USE OF pUIL01NG <br />LEG4L DESCFIPt10N OF NHOPERTY � <br />LOT BIOC�_pF _ <br />lOB ADDRl55 <br />2305 Harri;on <br />PLUMBIN <br />NO. TYPE OF <br />WAIER CLOSF.T �iOl1.E7 <br />BnnrtUO <br />U VATORY (YlASH BASI'� <br />SHOWER <br />KITCHEN SMH £. DISP. <br />DISHI'fASHCR <br />ll�UNORV TqAY <br />CLJTHLS WASHER <br />\'✓ATER HEATER <br />UHINAL <br />DRMKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEqS <br />(i00F DRAINS — RAINI <br />iINK ICFRVIfF _ IlnO 1 <br />SIOE VARD SETBACK <br />US@ ZONE <br />iYPE OF CONSi. <br />512[ Or BLDG. <br />FlRE ZONE <br />I HEREBY CC-RTIPY THAT I HAVF READ AND EXAMINED THIS AP• <br />oe�owoanr.acNvouacoriesr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK 1VILL BE COMPLIED WITH WHETHER SPFr,IFIED <br />f�iEREIN 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 />SIGNHi REOFCONTIIACiO/R�GRAUiNORREpAGERT DAiE <br />X Q��{,��_�.)(l`�,tFU„ , 10/26/82 <br />SiREETgETBACK <br />LOT A/iEA <br />OCCUPANCV GI70UP <br />NO. OF STORIES <br />1. ENVIRONMENTALCMECKLIST <br />2 6UILDING PLANS <br />3. RRE HVDRANT <br />4 FIRL PRO7[CTION SYSTEM <br />5 GRADIIJG <br />b. DRAINAGE <br />7. EN`JIRONMENTAL IMPACi STATEMENT <br />8. IIEALTH DISTHICT <br />APPL'CATION ACC. OY PLANS CNEGKED BY <br />REAR VARD SET�ACK <br />VACANT SIT[ <br />! lYES [ i1J0 <br />NO. OF DWELUNG U� <br />MA% OCC.LOAD <br />APPR. FOR ISSUANC[ DV <br />N0. TYPE OF E�U <br />AIR COND. UNITS — HP. Eq <br />REFRIGERATIOIJ UNITS — H <br />�OILERS — H P EA. <br />GAS FIRGD P C UNIiS — TO <br />1 FORCEU Alq SYSTEMS — B' <br />WALL HEAiERS — B.T.U. <br />UNIT HEATLRS — BSL. <br />M <br />FE� <br />AIRHANDLINGUWT— QFM <br />SiOVF <br />METAL FlREPLACE 8 CHIMNEiV <br />Water Heater <br />SUBTOTAL f <br />PERMIT { <br />TOTALFEE S 1� <br />CHECK NUMBER PLAN CHECK FEE <br />FEE RECGIPT NO. <br />FEES vnwennu ao <br />OUILDING <br />MLCHANICAL <br />OTHER <br />PLNALTY <br />f <br />UBC <br />SEC. 303 �al <br />16 I 50 <br />16 � 50 <br />WHEN PROPERLV VALIDATED �IN iH15 SPACE) THIS IS Y� O I�.' J D �� R�" <br />9243 <br />• r— <br />) • � � c-1 <br />YO�UR;REOEIF'T � <br />x�l�(1NtC YflU <br />ADDRESS FILE <br />2 6 ocT 8 Z <br />�, � <br />_ _. <br />