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f <br />� <br />� <br />�'���°�sYo° rONSTRUCTION <br />everett PERMIT PERMIT NO. 1OG73 <br />CITY HALL 259�0745 <br />EVERETf. WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />OWNER MAILADORE55 GIiY 21P PMONE <br />Gc:ne L. Wasmund 1722 Rainier Everett <br />qFCNITECTOR�ESIGNER MAIIADORE55 CITY 21P PHONE <br />GENERALCANTRACiOR MRII �DDRE55 CITY ZIP PMONE IIGEASE / <br />Natural Gas Evuiement 1611 East Grand Everett 98201 258-2441 <br />AiECHANICALCANiRAC10P MAILADDRE55 CITY 21P NNON@ LICENSEI <br />PWMDINGCONiRAC10P MAILADDRE55 CITY ZIP PHONE LICENSEt <br />CLASSOF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑fiEPAIR ❑DElAOLITION ❑PENCE ❑SIGN ❑GARAGE <br />VAIUATiON OF WORK <br />5 <br />LEGAL DESCHIPLION OF YHOYkNI <br />l0T BLOC�_OF <br />PLUMBING <br />NO. <br />WATER C <br />BATHTUF <br />IAVATOR <br />SHOWER <br />TYPE OF FIXTURE OR <br />NITCHEN SINK & DISP. <br />DISH\"lASHER <br />LAUNDRYTRAY <br />CLOTNES WASHBR <br />WATER HEAT@R <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM �REANERS <br />FOOF DRAINS — RAINLEAC <br />SINK �SERVICE — BAR. ETC. <br />SUB <br />SIDE VARD SETBACK <br />USE ZONE <br />TYPE OF CONST. <br />S¢E OF BLDG. <br />FIRE ZONL <br />STREET <br />LOT AR <br />I HEREBY CERTIFY THAT I HAVE READ AND EX4MINED T'�IS AP� <br />ATTACH FOURCOPIES) 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 FEGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />;,IGNAT RE OF fANTRACTOR OR AUTMORRED RGENT DATE <br />X �a � . _ � ll ,�;, � � (t S <br />..�......,,��, <br />GROUP <br />APPROVALS <br />t. EW\'IFONMENTALCHECKLIST <br />2. EUILOING PLANS <br />3. FIRF HYDRANT <br />4. FIRf PROTECTION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALiM DISTRICT <br />APPLICATIO� ACC. BY PLANS CHECKED BY <br />FEE 1 N0. <br />ITS — H.P. EA. <br />N UNITS — HP. <br />BOILERS — " o. FJ�. <br />GAS FIFED AG UNITS — TOP <br />FOFCED AIR SVSTEMS — B T <br />WAIL HEATERS -- B T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEflS <br />RANGE <br />REAR YARD SETBACK PLAN CHE <br />VACANT SITE <br />❑VES ❑NO <br />NO.OF DWELLING UNITS <br />OUILDING <br />MA%.00C.LOAD <br />PLUMBIN( <br />FIRE SPPINKLERS <br />HEOUIRED MECHANI( <br />❑VES [7N0 <br />BY DATE OTHER <br />PENALTY <br />APPR. FOR ISSUANCE BY <br />N[/LING 11N1T — <br />FIREPLACE & CF <br />SUBTOTAL <br />PEHMIT <br />TO7ALFEE <br />ABEF <br />FEE <br />FEES VAL <br />S <br />M <br />CF <br />U.B.C. <br />SEC.303�e) <br />FEE <br />CHECK FEE <br />I RECEIPT N0. <br />� 1 � <br />PflOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMI7 <br />389i fQQ5.�.0 _..: w� <br />��L <br />� <br />YOUR RECEIPI � <br />THANK Y�U <br />fb�82 <br />ADDRESS FILE <br />\ <br />