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rheEvc� oF �' -�:ONSTRUCTIONr � <br />everett PERMIT � � <br />PERMIT NO. OH49O <br />CITY HAIL 259�8745 <br />EVERETT, WA 98201 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO <br />OWNEP MRII ADDRE55 CITY 21P PHONE <br />W.W. & Barbara L. Templin P.O. Box 206 Lynnwood 98036 <br />ARCHITEGT OR DESIGNER MAIL AD�RESS CITY ZIP PHONE <br />GENERALCONTRACiOR MAII �DDRE55 CITY 21P PHONE IICENSE � <br />Sama <br />MECHRNICALCANTRACTOR MAILADDRE55 �I7Y ZIP PHONE UCENSE 1 <br />PLUMBING CANiMCTON AIAIL RODRE55 CITY ZIP PHONE LICENSE � <br />GUSS OF WORN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOLITION �FENCE ❑SIGN ❑GARAGE <br />VFIUAT10N OF WOPK <br />S <br />demoliah sinqle famil <br />PROPOSED USE OP 6UILDING <br />lEG/d OESCFIPTION OP PNOPEPTY �SMOW BELOW OR ATTACH f <br />ioT 13 B��K 6 oF Beverly Park <br />.roe nooness <br />1726 puqet Drive <br />PLUMSINQ <br />NO. TYPE OF FIXTURE OR ITEM <br />c WATER GLOSET (TOILEn <br />BATHTUB <br />DMIN <br />USE <br />f9L•7#� <br />r <br />e <br />STREET SET&4CK <br />NO. OF STORIES <br />1. ENVIRONMENTAL CHECK LI5f <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />.1. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACTSTATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />VACANT SITE <br />❑YES ❑NO <br />APPR. FOR ISSUAMCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />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 �!OT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY JTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCc OF CANSTRUCI ION. <br />51(:NAT E OF CANTHACiOR AU PRED AGENT DFTE <br />X�il�� �.�/—,L LD�i%�8� <br />MECMANICAL `% r <br />N0. TYPE OF EOUIPMENT <br />AIR fpNO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />HOILERS — H.P.EA. <br />(J+S FIRED A C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />�NALL HFATERS — B T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPpRATIVE COOLERS <br />CLOTHES DRVERS <br />VcNTILATION FAN <br />P.4NGEHOGD <br />PIR HANDLRJG UNIT — C.F.M. <br />BUILDING <br />PLUMBIN3 <br />MECHANI;AL <br />OTHER <br />PENALTY <br />TOTAI <br />MIT <br />1L FEE <br />PLAN <br />FFE <br />VALUATION <br />S <br />U.B.C. <br />SEC. 303 (e) <br />RECEIPT NO. <br />1• � 1, <br />PROF EHLY VALIDATED (IN THIS SPACEj THIS IS YOUR PERMIT <br />9�26 a000.00---� <br />� <br />1':�-'J R RECEIPT o <br />�1�'IA��IK YOU <br />ADDRESS FILE 2 8�T 80 <br />