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C�' Cl C�� --, �-i.� «..,� . , <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDIN(i G�t MECHANICAL ❑ PLUMBING <br />OWNER MAILADDNE55 Gltt 21P PHONE <br />Natural Gas Equipment 1611 East Grand Everett 258-2441 <br />ARGNREGT OR DESIGNER MA!t qDDRE55 CITY ZIP PHONE <br />GENEFAL CANTRACTOR MAIL ADDRE55 GiY 21P PMONE UCENSE I <br />Ed Nur 2524 Harrison <br />MECHANICAL CANTR4Ci0A M�IL ADDRE55 GITY ZIP PMONE LICENSE � <br />PLUMBING CANTFAGTOA MAIL ADDRESS Cltt ZIP MONE UCENSE 1 <br />IORK <br />ONEW ❑ADDI710N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE OSIGN ❑GARAGE <br />OF NJRK <br />S <br />�Ecni o,scan;ioN oF PrrorEar <br />lOT BLOCK_OF <br />2524 Harrison <br />PLUMBIN6 <br />NO. TYPEOFI <br />KITCHEN SINK 8 D <br />DISHWASFIER <br />LAUNDRY 7RAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTI <br />FLOOR DRAIN <br />VACUUM BREAKEF <br />ROOF DRAINS — I <br />SINK ISERVICE — <br />SIDE YARD SE7BACK <br />USE ZONE <br />TYPE OF CANST. <br />SIZE OF BLDG. <br />FIRE 20NE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />oa n.rncN rouacowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEC�F�ED <br />HEPEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4tU•R4 OF CONiRACTOF O�R n'U7iMORIZEID AGENT DAT� <br />X T\�171Ui'1�"'ISL�I`AI�R ] 4�2%�81 <br />STREET SETPACK <br />LOT AREA <br />OCCUPANCY GR( <br />NO. OF STORIES <br />t. ENVIRONMENTALCHECKUST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRUTECTION SVS7EM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECNED BY <br />AIR COND. UNITS -- HP. EA. <br />REPR�GERATION UNITS — H.R EA <br />�OILERS — HP. EA. <br />GNS HRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — O.T.U. �� �+ <br />WALL NEA7ER5 — B.T.U. �✓ <br />UNIi IIEATERS — B.T.U. M <br />EVAPORATIVE WOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOG . <br />AIR <br />8 <br />REAR VARD SETBACK PLAN CHECK NUM�EN <br />VACANT SITE FEES <br />❑YES ❑NO <br />NO. OF DVlELLING UNI7S <br />BUILDING <br />MAX.00C.IOAD <br />BY <br />APPR.FORISSUANCE BY <br />MECHANICAL <br />OTHER <br />PENALTY <br />PERMIT <br />FEE <br />S <br />U.B.C. <br />SEC. 303 (a) <br />M. <br />FEE <br />RECEIPT NO. <br />7 I 50 <br />7 I 50 <br />PROP[RLY VALIDATED pN THIS SPACE) THIS IS YOUR PLRMIT <br />?'t38 �„��.51;-� <br />[-'� <br />Q� <br />r <br />. , � .l. . � i 1 � <br />. '�� � U <br />ADDRESS FILE <br />) ''� �I <br />