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the£vcg oF - CC'NSTRUCTION � �- <br />everett PERMIT PERMIT NO. 07654 <br />CITY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MNILADDRESS CIiV ZIP �ONE <br />Herrera, Bernard 2601 Harrison Everett 96201 252-0043 <br />ARCNITEGT OR DESIGNER MMl AD�RE55 dTY ZIP PMONE <br />GENERAL CONTNACtOP NAIL AOOR[SS CITV ZIP PMONE UCENSE � <br />Owner <br />MECHANIGI CANTHACTOR MRIL ADDRE55 dTY 21P FMUNE UGENSE � <br />PI UAIBINC CANTRACTOR MAIL AOORESS CITY ZIP �MONE IICENSE � <br />C1A550F WOPN <br />❑NEW ❑ADDI110N ❑ALTERATION OREPAIR ❑DEMOLITION �FENCE ❑SIGN ❑GAflAGE <br />.UATION OF WORK <br />f 35�.0� <br />3CNIBE WORK/. h�/� <br />roli�vfenc <br />, rear <br />�0*]35.15e�o�6,93—oF <br />PLUMOINO <br />fi00F DMINS — <br />e�uv �CCOVNl _ <br />SIDE <br />USE <br />n� <br />SIZE <br />STREETSETBACK <br />NO. OF STORIES <br />1. ENVIRONMENiAL CHECK LIST <br />2. BUILD�NG PLANS <br />3. FIRE MYDFUWT <br />4. FIRE PROTECT�ON SYSTEM <br />5. GRADINO <br />6. DMINAGE <br />7. ENVIRONMENfALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEO BY <br />6' & ptn of side yard <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP- <br />HFOURCAFIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL 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 OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO\ OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATI{IQ OF CANTRPCTOR ON AUTy(�112E� AGFNT OATE <br />MECNANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H P. EA. <br />PEFRIGERFIION UNITS — H P. EA <br />BOILERS — H P. EA. <br />GASFIR[DAC UNITS—TONNAGEEA. <br />FORCED AIR SYSTEMS — B T.U. M <br />WALL HEATERS — B T.U. M <br />IINIT HFATERS — BT U. M <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />BUILDINC <br />M�Y �.LOA� <br />PLUMBIM <br />FIRE SPRINKLERS MECHANI <br />RE�UIRED <br />❑YES ❑NO <br />!Y DATE OTHER <br />PENALN <br />APPR. FOR ISSUANCE BY <br />FEE <br />f <br />U.B.C. <br />SEC.303(e� <br />FEE <br />CHECK FEE <br />I RECEIPT NO. <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />1�25 s005.00 � 1' <br />� <br />YOUR RECEI� <br />ry�n�c You <br />ADDRESS FILE <br />2 g uar 8 0 <br />