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r � <br />� 33�.:9�, � .Sg. <br />M Y ". <br />v <br />''"��'�T o° CC�NSTRUCTION -- r-; <br />QV��� P�ERMIT pERMIT N0. OHZS� <br />CITY HPLI 259�8745 <br />EVERETT, WA 9820t ❑ COMBINATION �BUILDIN(i ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAII 'DDRE55 CITY ZIP PNONE <br />Murph Brown 2516 Walnut EvezeY.t 98201 259-1980 <br />ARLN�TELT qi OESIGNER MAIL nDORE55 GITY ZIP PMONE <br />GENERAL GON�MCTOR MAIL ADDRE55 Cltt ZIP PHONE I�CENSE / <br />Same <br />MECHANIGAL Q�NTqA�TOR MAIL ADDPE55 CIT' 21P PHONE IICENSE I <br />PIUMBING CANTRACTOR MAL RODRE55 CITY 21P PHONE LICENSE 1 <br />❑NEW ❑ADDITION ❑ALTERATION $}{iEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />7�50,00 <br />OESCNIBE WORK <br />re-roof composition <br />PROPOSED USE OF BUILOING <br />sinqle family reeidence <br />LEGAL DESCRIVTION OF RiOPENTY (SMOW BELOW OR ATT�CM FOUN COPIES� <br />8 50� pnion Truat Co's lst <br />l0T_ _BLOCK_ <br />Harrison <br />PLUM�INO <br />� <br />e <br />t{�P.f� <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDMNT <br />�. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAI IMPACT STATEMENT <br />P. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />FEE <br />�YES ❑NO <br />NO.OF DWELLING UNITS <br />MAX. OOC. LORD <br />APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br />ALI. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE ORCANCEL THE PRO• <br />'JISIONS OF ANY OTHER STATE OR LOCAL LAW REGII�,qTING <br />CONSTRUCTION OR THE PERFORMANCE OF CANSTRUCTION. <br />SIGNATU�OFCANTaACTOqORAUiHORIZ[DAGENT DATE <br />AIR CAND. UNITS — H.P. EA. <br />REFRIGERAiION UNITS — H. <br />BOILERS — M.P. EA. <br />:. UNITS — TONNAGE EA. <br />YSTEMS — B.?.U. M <br />5—OT.U. M <br />I — B,T.U. M <br />COOLERS <br />FAN <br />AIR HANDLING UNIT — <br />METAL <br />FEE <br />FEE I RECEIPT NO. <br />BUIIDING � E 750,00 � B I 00 <br />PLUMBING <br />MECHANICAL <br />OTNER <br />PENALIY U.B.C. <br />SEC. 303 (a) <br />TOTAL I I 8 I O O <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 7HI5 IS YOUR PERMIT <br />7543 $008.00 '--�� <br />N <br />1'rJUR R[CEloro <br />� i i,�,r�K ��ou <br />ADDRESS FILE <br />� <br />1 <br />