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T ��oF �r� 'v�rnV�r 1 IVIV . <br />everett PERMIT PERNIIT NO.OHO1Z <br />CITY HALL 259�8745 <br />EVERETT. WA 98207 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br />01YNER MAII ADDRE55 GTY ZIP PNONE <br />Eurith R. Whitted 427 Norgan Road 98203 353-4530 <br />AHCNIiECTORDE5IGNER MAILAOORE55 CITY 21P PMONE <br />GENERA� CONTRACiOR MAIL ADDRE55 d1V ZIP PHONE UGENSE I <br />Same <br />MEGHANICAL CONTRALTOR MRIL ADDRE55 �ITY 21P PHONE LICENSE 1 <br />PLUMBiNG CONTRAQOR MAII A�pRESS CITY 21P PHGNE LICENSE 1 <br />GLASSOF WORK <br />❑NEW <br />VALUATION OF WOFH <br />f <br />DESCRIBE WORN <br />PROPOSED USE OF pUILDING <br />LEGAL OESfqIPT10N OF PpOPERT <br />�or oioc�oF <br />�![DUITION ❑AL7ERATION ❑REPAIR ❑DEMOlITION ❑FENCE ❑SIGN ❑GARAGE <br />4G"/ Morqan Ro <br />PLUMBINO <br />NO. TYPE OF FIXTURE � <br />1 WATER CLOSET (TOILEn <br />BATHTUB <br />], LAVATORV �WASH BASW) <br />]. SfiOWER <br />KITGHEN SII�K 8 DISP. <br />DISH\YASriER <br />LAUNDRYiRAY <br />CLOiHES WASHEIi <br />I. WATER HEATER <br />URINAL <br />DRINK�NG FOUN7AIN <br />fLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DPAINS — RAINLEADERS <br />SINK ISFRVIf.F — RAR FTr 1 <br />SIDE VARD SETBACK I STREET <br />TYPE OF <br />LOT AREA <br />BASEM[NT <br />L ENVIRONMENTALCHECKUST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />n. FIRE PROTEC710N SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />L ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PWNS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Fcuacoaies� PUCATION AND KNOW iHE 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 OTIIER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNnATUREOFCOMRACTOROR �H D ENT DATE <br />X�C/ .0�'�l/�Tl. 7/25/80 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />FEfRIGERATIUN UNITS — HP. EA <br />801LEF5 — N.P. EA. <br />GAS FlRED AL. Ut1115 — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M <br />WALI HEATERS — B.T.U. M <br />UNIT NEATEPS — 0 T.U. M <br />EVAPORATIVE COOLERS <br />2 OO CLOTHES UFYERS <br />VENTILATION FAN <br />RANGE HOOD <br />REAR YARD <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWELLING UNITS <br />MAX. <br />APPR.FORISSUANCEBY <br />�ilftl <br />C.P.M. <br />sue rorn� <br />PERMIT <br />TOTAL FEE <br />PLAN CH[CK NUMBER PLAN <br />FEE <br />PEES VALUATION <br />BUILDING 5 <br />PLUM�ING <br />MECHANICAL <br />PENALTV <br />U.B.C. <br />SEC.3�3(a) <br />FEE <br />RECEIPT NO. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />1 <br />N <br />5315 $01 I.00 =c� <br />� <br />� <br />`;:,��1R RECEIPT <br />� � ;ANK Y� U <br />� r �., b ll <br />�� <br />I <br />