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`,1eE`'C�YOF ^ CONSTRUCTIO�' — <br />��erett PERMIT pFRMIT NO.O9Z35 <br />CITY HALL 259�8745 <br />�VERETf. WA 98201 ❑ COMBINATION �( BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\YNER MAILA��RE55 LITY ZIP PHONE <br />FRANK E P05TMA 1306 Mukilteo Blvd Everett 98203 252-6051 <br />ARCNITECi0RpC51GNER MAILPDDRESS CIiY 21P PHONE <br />GENERAL CONiRAGiOR MAIL ADORE55 GITY 21P PHONE �ICENSE 1 <br />Owner <br />MECNANICALCANiRACTOR AIAqADDRESS CI1Y ZIP PHONE UCE�'SE� <br />PLUAIBMGCONTRAGTOR IAAILADDRESS CIfV ZIP PHONE UCENSE� <br />❑NEW ❑ADDITION PC%�4LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION GF WORH <br />S 2��0.�0 <br />OESCRIBE WOPK <br />Windows, move door, new siding <br />ioT 3 o�ocK_aF <br />JOB ADL'E55 <br />i 3�76 Mul; � 1 teo Bl vd <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />p7.TER <br />SINK i DISP. <br />TRTY <br />— RAINLEADERS <br />— F3AR fTC 1 <br />PERMIT <br />SIDE YARD SETBACK I SiREET <br />I:' .S'�='��' . � ' - . . <br />SIZE OF <br />ZONE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED 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 WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF P, PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTR CTION OR THE PE ORMANCE OF CONSTRUCTION. <br />SIGN� OF CONTBACiOR O AUTH R ED A NT OATE <br />X '�/A��� � D 5/8/81 <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REfRIGEriATION U�I15 — H.P. EA <br />801LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCE� AIR 51'STEMS — B.T.U. M <br />WALL HEATERS — � T.U. M <br />UNIT HEAIERS — B].U. M <br />[VAPORATNECOOLERS <br />CLOTHES URYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C <br />STOVi <br />M6TAL FIREPLACE 8 CHIMNEV <br />SETBACK �PLAN CHECK NUMBER <br />LOT AREA VACANT SITE <br />❑YES �7N0 <br />OCCUPANCY GROUP NO.OF DYJELLING UNITS <br />R-3 1 <br />yes <br />t. ENVIRONMENTALCHECKUST <br />2. Bl11LDING PLANS <br />3. FIRE H`!DRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMF.NTALIMPACTSTATEMENT <br />B. HEALTH DISTFICT <br />APPLICAiION ACC. BY PLANS CHECKE� BY <br />VC <br />L <br />� <br />A1A%. OCC. LOAD <br />BY <br />APPB. fOR ISSUANCE OV <br />LC <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />70TAL <br />FEE <br />1L FEE fl <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />U.B.C. <br />SEC. 303 (a) <br />WHEN PROPERLY VALIDATED (IN T41S SPACE) 7HIS IS YOUR PERMI7 <br />ADDRESSFILE <br />�.i�i <br />;��, ��;32.5r, - N <br />� <br />- � � r -� <br />� <br />, � , . 'J <br />