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!hr !i rerArCert <br />��r� �� <br />everett <br />CI1Y MAL� 259�B745 <br />� � �ONSTRUCTIOI'= <br />PERMIT <br />PERMIT NO. 16?7b <br />EVERETf,WA9820� ❑ COMBINATION � BUILDING ❑ MECHANICAL C� PLUMBING <br />OWNER MAIL RU�RE55 CITY ZIP PMONE <br />City of Everett 3002 Wetmore Everett, WA 98201 <br />ARCMITECT OR OESIGNER MAIL ADDRESS GIT� ZIP PHONE <br />Hif[nZkhX8i7SkX i38 <br />6ENERALCONTRAG70R MAILADDRESS GITV ZIP PMONE LICENSEI <br />Parks & Rec Department, City of Everett 259-0311 <br />MECMANILPL CONTRAGTON MAIL PDDRE55 GTY ZIP PMONE IIGENSE � <br />PWMBING GONTRAGTOR MAIL ADDRESS GITY 21P PHONE LICENSE � <br />Vn^O NEW � ADDITION ❑ ALTERATION � REPAIR 7E]LDEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD S70VE1FIREPLACE INSERT <br />OF YlORN <br />S <br />Demolish Railroad overpass trest7e at Hawarth Park <br />PROPOSEDUSEOF BUILDING � I AVE READ AND EXAMINED THIS <br />LOT _ BLOCN _OF <br />'OB AO�RE55 <br />1127 Olympic Hlvd <br />PLUMBINO <br />N0. TYPE OF FIXTURE OR ITEM <br />�W ATER CLOSET �TOILETI <br />SIZE <br />LAVATORV (WASH BASIN� <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISMWASHEP <br />LAUNDRVTRAY _ <br />CIOTHES WASHEH <br />WATER MEATER <br />URINaL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BFEAKERS <br />ROOF DRAINS — RAINLEADERu <br />SINK ISERVICE — BAR, EiC.) <br />TOTAL <br />TOTIIL FEE <br />OF <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIL�ING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GHADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATE� <br />8. HEALTM DISTRICT <br />APPLICATION ACC. BY PLANS <br />L.C. <br />I HEREBY CERTIFY THAT H <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFiL6ANGE OF CONSTRUCTION. <br />OF COWRy� 3P Oil_<_LLVQR2ED AGENT <br />FEE NO LTYPE OF EOUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — M P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSiEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. �+1 <br />UNIT HEATEFS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIFEPIACE d CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP _ <br />� <br />S <br />S <br />IEAR VARD SETB <br />'ACANT SITE <br />VES NO <br />10. OF DWELIINi <br />dAX.00G LOAD <br />'IRE SPRINKLER; <br />iEOUIRED <br />VES NO <br />BY DA� <br />L.C. <br />CHECK <br />SUB TOTAL <br />PFRMIT <br />TOTAL FEE <br />FEE <br />FEES YALUATION <br />BUIIDING E <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALT\' U.B.0 <br />I SFC.7031a1 <br />� <br />S <br />f <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I ' —� <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN TNIS SPAGE) THIS IS VOUR PERMIT <br />ADDRESS FIL[ <br />