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�heEv'e'rg�ree`± �"� CQ�ISTRUCTION - �: <br />everect PERMIT PERMIT N0. OS153 <br />CIN HALL 259-87d5 <br />EVERETT, WA 98201 ❑ COMBINATION �78UILDIN(3 ❑ MECHANICAL ❑ PLUMBINO <br />OWNEfl MAILPDDRE55 CITY ZIP PHOYE <br />A. J. Ulsky 816 Olympic Blvd. Everett 252-0873 <br />ARCNITECT OR Dk51GNER MA!L R�DPESS CITY 21P PNONE <br />GENERALCANiPRGlOR MAILA�ORE55 CItt 21P PY.ONE IICENSEI <br />Everett Builders Inc. 5606 Ev�ergreen Way Everett 98203 353-7161 <br />MECNANIGL CONTRACTIXi AIRIL ADDNE55 CITY 21P WIONE UGENSE � <br />EV ER EB 301PA <br />PLUMBINGCANTROCTOR MAILApORE55 CITY 21P PMONE LICENSEI <br />❑NEW ❑ADDITION ❑ALTERA710N �7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GAFAGE <br />V�LUAT�ON OF NDRK <br />f 6890.00 <br />DESCNiBE Y/OPK <br />Re-eide vinyl- guttera-inaulated glass <br />eingle family residence <br />IEML DESCRIPTION OF PHORRTY �SMOW BELOW ON ATTALH FOUR p <br />�or 50 Ai,x.,� aF iiarbor View <br />816 <br />PLUMlINO <br />� URINAL <br />� DRINKING fOUNTAIN <br />= FLOON DMIN <br />VACUUM BREAKERS <br />ROOF DMINS — RAINLEADERS <br />� SINK SERVICE — BAR, ETQ) <br />SU! TOTAL <br />PERMIT <br />TOTALFEE <br />SIDE VARD SETBA:K STRFE7 5E7BACK <br />USE ZONE LOT AREA <br />TYPE Of CONST. OCCUPANCY GRC <br />SIZE OF BLDG. NO. OF STOFI'_"5 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BU�LDINCa PLANS <br />3. FIFE HYDRAI:T <br />�. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINhGE <br />7. ENVIfiONMENTAI IMPPCT STATEMENT <br />B. HEALTH DISTqICT <br />APPLICATION ACC. BY PLANO CHECKED BV <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 �YHETHER SPECIFIED <br />HEREIN OR NOT. T�iE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLAT[ OR CANCELTHE PRO• <br />VISI("JS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CANa� RUCTION OR THE PERFORMANCE OF CONSTRUCT!ON. <br />SIGNaTU OF GONiRACi Per,rnyy TNOR12ED �GEN n DATE <br />X ��, x �!/k G�Vd_ B/25/80 <br />FEE N0. P <br />AIR COND. UN <br />RFFRIGERATIC <br />BOILERS — H. <br />GAS FIRED A.( <br />FORCED AIR 5 <br />WALL HEATER <br />UNIT HEATER: <br />[VAPORATIVE <br />CLOTHES DRY <br />VENTILAiION i <br />RANGEHOOD <br />AIR HANOLIN( <br />S70VE <br />VACANT SITE <br />❑YES ❑NO <br />NO.OF OWELLING <br />MAX.00C.LOAD <br />APPR. FOR ISSUANCE BY <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />PE�ALTY <br />TOTAL <br />1 UNITS — H.P. EA <br />EA. <br />UNITS — TONNAGE EA. <br />STEMS — B T.U. M <br />— B.T.U. M <br />—9.TU M <br />8 CHIMNEV <br />FEE <br />� 6890.00 <br />U.B.G. <br />SEC. 3031e) <br />RECEIPT N0. <br />m �� <br />1YHEN PPOPERLY VALIDATED (IN THIS $P@�)9HI5IS y0�? P�RMO O"� � <br />62� + 40 . <br />� <br />�"� <br />1'C�UR RECEIPT o <br />;r��r�K You <br />