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-,,,�. �, �.,�,��,� �.��p N ST R U CT I 0 N., . <br />c�r�r o� �,� - �� <br />everett pE�1��IT PERMIT N0. 14?14 <br />CITY HALL ^.59�8745 <br />EVERETT,WF98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br />Carol Wenzlick <br />mq�� ������� <br />2327 Rainier Ave�iue <br />Everett 98201 252-6381 <br />��o PMONE <br />MAIL /ODRES� " Z58-4171 <br />GENERaLGONTpAG�OR Everett 98201 <br />Perma Bilt Ind, 3416 Everett hvenue PHoHE �ICENSE. <br />CITY =��' <br />MEGNANICAL CONTRACTOR <br />MAIL AD�PE55 pggMABIL179JR <br />_ 'aAu ADURE55 CI7Y <br />ZIP PMONE LIGENSE � <br />CU55 OF Y:ORK <br />}[� NEW O ADOITION ❑ AL7ERATION ❑ REPAIR ❑ OEMOl.�710N G"rFNCE O SIGN ❑ �'�'OOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S RXX% % 3,990.00 -- <br />UESGFIBE WORI: <br />Construct 480 Sq. Fto Pole Building —�— <br />AND EXAtAINED THIS <br />residential <br />LOT __ dLOGR __OF <br />401 649 701 30 007 <br />2327 Rainier <br />PLUMBING <br />N0. TYPE OF FIXTU <br />W ATER CLOSET (TOILEn <br />�—� <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN S{NK 8 DISP. <br />DISMWASHER <br />LAUNDHYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />JRINA�. <br />DRINKING FOUNTAIN <br />FLOOFi DRAIN <br />ITEM <br />ROOF CRAINS — RA�N�tnuena <br />SINF (SERVICE — BPR, E7C.1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />iIDE YARD SETPACK STREET SETBAC <br />5� <br />1SE ZONE LOT AREA <br />R-2 <br />TY°E OF CUNST. OCCUPANGY GF <br />V-N M <br />SIZE OF BLDG. NO. OF STORIE! <br />480 S . Ft. <br />FIFE 20NE BASEMENT <br />FEE <br />� <br />S <br />S <br />IEAR YARD 5 <br />IACANT SITE <br />YES X1G0 <br />1.ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PLANS <br />�. FIRE HYORANT <br />a. FIRE PROTECTION SYSTEM <br />5.GRADING <br />6. DRAINAGE <br />7.ENVIRONMENI"ALIMPACTSTATEMENT <br />8. HEAL7H DISTRICT <br />APPLICATION ACC.BY PLANS CHEGKED BY APPR.FORISSU/ <br />STG H�'� � <br />I HEREBY CERTIFY THAT I HAVE READ <br />APPLICATION AND KNOW THE SA�1E TO BE TRUE AND <br />GOVERN NG THISRO PIE'OF WORK WILL ENCOMP�LIED WITH <br />VJNETHER SPECIFIED HEREIN OR NOT. THE GRANTING JF A <br />PFRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PFiOVISIONS OF ANY nTHER STATE OP <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. oATE <br />SIGN�ATURE�` GON� ACTOR OiAUTHORI2ED AGENT , <br />X( �C 0���' 1L0(�/'QS/PVe� _ <br />NO. TYPE OF EOUi�m�_ <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. E=_ <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — T�N� <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALL HEATEFS — B.T.U. M <br />11NlT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />qIR HANDLING UNIT��.F'M' <br />STOVE — �'�'00�_ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />SUB TOiAL S <br />—� s <br />PERMI� <br />TOTALFEE s <br />�r.�.,�. �...�...._.. <br />84/14214 FEE 28e93 �4�3�3N0. <br />�«� VALUATION FEE <br />BUILDING S 3�990.�0 44 SU <br />PLUMBING _ � <br />IdECHANICAL <br />OTHER <br />U.B G. <br />PENALTV SEC.3051a) <br />44 5� <br />TOTAL <br />PERMIT VALIDATION �. <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS �OU� PEPM�T —� <br />N <br />� <br />�' � <br />BY � <br />ADL]RESS FIIE <br />�; <br />� <br />i: <br />p7 <br />H f- <br />y r. <br />H t- <br />N �: <br />m � <br />O� <br />� '. <br />p F <br />Cb; <br />C: <br />Hy �- <br />K� <br />� C� <br />r <br />�� <br />r• <br />�r <br />f: <br />. � <br />r <br />r7 <br />� <br />