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�heEvc oF -- -r;ONSTRUCTION- �� <br />everett PERMIT pERMIT NO.OSb�3 <br />GTY HALL 259�8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING L�7MECHANICAL ❑ PLUMBING <br />OWNER MRIIAUDRF55 CITY ZIP PHONE <br />E Sturdivant 5217 Ocean Avenue 98203 353-5920 <br />ARCMITECT OP DESIGNER Mnl� pDURE55 CITY 21P PNONE <br />GENEFAL CANTRAGTOR MAIL ADDRE55 CITY ZIP PHONE :ICENSE I <br />Same <br />MECHANICALCONTMCTOR MRILApDRE55 LITY ZiP PNOYE IIGENSE� <br />PLUMBINC CANTRACfOq MRII PDDRESS CITY ZIP PHpNE LI�ENSE 1 <br />❑NEW ❑ADDITION ❑nL7ERATION OREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GFRAGE <br />V�LUATION OF WORK <br />f <br />DESCRIBE WORN <br />wood atove in fireplace opening <br />family residence <br />LOT ALIXJ1�Or <br />JOB A�DRESS <br />5207 Ocean Avenue <br />PLUMOINO <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOiHES WASHER <br />WATfR HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BHEAKERS <br />ROOF DRAINS — RAINLFADER: <br />SINK (SERVICE — BAR, ETC.1 <br />sus ro <br />rE11M1T <br />USE ZONE LO7 AREA <br />NPE OF OONST. OCGUPANCV GROUP <br />SIZE OF BLDG. NO. OF STORIES <br />1. ENVIRONMENTAL CHEp( 115T <br />2. BUILDING PUNS <br />3. FIRE HYDMNT <br />4. FIRE PROTEC710N SVSTEM <br />5. GRADING <br />6. DMINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BV <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMF TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERIJING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRFSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO• <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />C(1NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF GONT�R/qCTOP OR AOTHORIZEO AGENt ONTE <br />.. !�/� //. �.o _�- 12�2�8� <br />MECMANICAL <br />N0. TYPE OF EUUIPMENT <br />AIR CAND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA <br />BOILEnS — H.P.EA. <br />GAC FlRED A.C. UNITS — 70NNAGE EA. <br />_ FORCED AIR SYSTEMS — 8 T.U. M <br />WALL HEATEFS — B.T.U. M <br />UNIT HEATc'fT5 — B.T.U. M <br />AIR HANDLING <br />METAL FIFEPLACE 8 CHIMNEV <br />VACAN7 SITE <br />❑YES ❑NO <br />NO.OF DWELLING UNITS <br />BUILDING <br />MN(. OCC. LOAD <br />ri UMBING <br />FIRE SPfiINKLERS <br />REOUIRED MECHANICAL <br />APPR. FOR ISSUANCE BY <br />�.�. <br />QF M. <br />dBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />E <br />7 50 <br />u.e.c. <br />SEC.303(e) <br />7 50 <br />PROPERLV VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />� i 6u 5007.50 --- �,.' <br />� <br />� <br />• �.! �: R:� l. I: � i�� � <br />�-',.r:\ ic'u <br />ADDRESS FILE ` 3 uEC SO <br />