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theEvc� oF � �ONSTRUCTIO[V- � <br />everett PERMIT pERM1T NO.O7Z41 <br />pTY HALL 259�8745 <br />EVERETT, WA 99207 ❑ COMBINATION j� BUILDIN(i ❑ MECHANICAL ❑ PLUMBING <br />OWIIEN MAI:.AODRE55 CITY ZIP PMONE <br />Elmer Udman 2612 Hariison 98201 Al2-6353 <br />ARCHITELT OR DESIGNER MAIL 40DPE55 CITY ZIP MONE <br />GENERAL CONTRAGTOF MAIL hDDR[55 diY 21P P110NE UCENSE • <br />Same <br />MECNAM'LAL CONTPRCTOR MAIL ADDFE55 CITY ZIP MONE IICENSE I <br />PIUMBINGCQNTR/.CiOR M/ILAD�PE55 Cltt ZIP MONE IICENSE/ <br />CU55OF WORK <br />❑NEW OADDITION ❑ALTERATION �1EPAIR ❑DEMOLITION ❑FENCE ❑SIGN I]GARAGE <br />VFLWTION OF WORK <br />f50.00 � <br />USE OF BUILDING <br />l0T BLOC�OF <br />JOB AODRE55 <br />2612 Harrieon <br />PLUMl�NO <br />6 DISP. <br />0 <br />� <br />Mitchell Land impzovement <br />STAEET SETBACK <br />OF <br />BASEMENT <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDIr10 PLANS <br />3. FIRE HYDMNT <br />�. FIRE PR(1TECTION SYSTEAI <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMEN7ALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />YAR� SETBACK <br />P?PR. FOR ISSUANCE BY <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHrTHEA SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOE� NOT <br />PRESUME TO GIVE AUTHOR!T. �' TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUC/7�pN OR THE PERFOf�IMANCE OF CANSTRUCTION. <br />SIGNATUqP1i:�fONTRACiOq�pR gLL:yOW25U RGEN: DATE <br />�� �:.G :LLi <br />MECHANICAL <br />AIR CONU. UNIT$ — HP. EA. <br />REFRIGERATION UNITS — H. <br />BOILERS — HR EA. <br />6AS FIRED A.C. UNITS — TO' <br />FORC[D FIR SVSTEMS — B.7 <br />WALL HEATERS — B.i.U. <br />I INIT NFATFRS — B i ll <br />VENTILATION FAN <br />AIR HANDLING UNI7 — <br />METAL FIREPLACE d CHIMNEV <br />BUILDING <br />PLUMBING <br />MECHANICPL <br />OTHER <br />PENALTV <br />C <br />FEE <br />M <br />C.F.M. <br />s 50.00 <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />� �� <br />� �' <br />PROPERLI VALIDATED (IN THIS SPApCE) QTMIS IS YOUR PE[RMIT <br />EYO7 SOOI.00 -� i-+ <br />� <br />N <br />YOUR RECEIPT o <br />7HANK YOJ <br />ADDRESS FILE <br />� ; I��►80 <br />. r,� <br />"�. <br />� <br />