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the Evcrgrcett 1'O N STR U CTIO N <br />CITY OF <br />everett PERMIT PERMIT NO. IO587 <br />CITY HALL 259�6745 <br />EVERETT. WA 93201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br />OWNER AIqIIADORE55 CitY ZIP VNONE <br />Kirke Sievers <br />ARCNREGT OR DESIGNER MAILADORE55 CITV IIP PHONE <br />GENERAICONTRACTOR MAILADDRE55 CITY ZIP PMONE UCENSE� <br />Habitat Construction 801 Shore Road Lake Stevens 98258 334-6189 <br />MECHPNICALCANiRACtOR MnILA�DRESS CITV ZIP PHONE IICENSEr <br />PlU1JBING CONTRACTOfl MTIL ADOFE55 CI71 21P PHONE CCENSE / <br />Robinson Plumbing 607 S.E. Everett Dfall Way Everett 98204 355-6171 <br />CLPSSOf WORK <br />❑NEW ❑ADDIiION ❑AL7ERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARA3E <br />YAIUATION OF WORK <br />E <br />DESCRIBE WORK <br />LEGAL DESGRIPpON OF PROPERTY �511JW BELOW OR <br />iot eiac�oF <br />JJO ADOPE55 <br />710 Niles Street <br />PLUMBING <br />L�UNDRVTRrV <br />CLOTNES WASHE <br />WATER HEAT[R <br />URINAL <br />DFINKING FOUNI <br />FLOOR DRAIN <br />VACUUM �REAKE <br />ROOF OFAINS — <br />SINK fSERVICE — <br />FEE <br />SIDE VARD SETBACK I STH[[T <br />n�En <br />TYPE Of <br />SIZE OF BLDG I N0. OF <br />BASEMENT <br />`. [N`:IRONIdENTAL CHECK LIST <br />^ BUILDING P�ANS <br />2. FIRE NVDRANT <br />4. fIR[ PROTECiION SYSTEM <br />5 GRADING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPFCT STATEMENT <br />0. HEALTH DISTFi:T <br />APPLICATION ACC. CV PLANS CHEGKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />cowes� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WOR'rC WILL BE COMPLIED WITH WH[THER SPECIFIED <br />HEREIN OR NOT. 7HE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR C�NCEL'fHE PRO� <br />VISIONS OF AtJY OTHER STATE UR LOCAL LAW REGULATING <br />CC'NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4iURi OF �ONTRACTOR OR PUTMORIZE� AGENI DAtE <br />X Check #93951 5/21/82 <br />MECHANICAL <br />fiEAR YARD SETBACN � PLAN <br />VACANT SITE <br />i iVES ❑NO <br />FIRL SPRINKLERS <br />REOUIRED <br />1 �YES ❑NO <br />APPR. FOR ISSUANCE BY <br />TYPE OF EOU <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION L1NIiS — 4. <br />GAS FIRED �lC. UNIiS — <br />FORCE� AIR SYSTEMS — <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — F3.T.U. <br />EVAPORATWECOOLEPS <br />VENT�l�T10N FAN <br />AIR HANDLING UNIT — <br />STOV[ <br />METAL PIREPLACE 8 CH�MNEY <br />�UILDING <br />PLUMBING <br />MECHANICAI. <br />PENALTV <br />SUB <br />PER <br />TO7 <br />NUM�ER <br />FEES <br />FEE <br />A1 <br />GP.A7. <br />PLAN CNPCK FEE <br />FEE I RECEIPT N0. <br />VALUATION <br />5 <br />U.�.C. <br />SEC.303(a) <br />15 I 00 <br />15 I 00 <br />PROPEPLY VALiDATED QN TNIS SPACE) THIJ IS YOUR PERMIT <br />zai6 E015.00 — � <br />�.ri <br />YO;Uk RECEIPT � <br />TFiANK YOU <br />ADDRESS FILC <br />2 I Mlii 0 � <br />� <br />� <br />