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,., ._ ." ... � Jrv� � nu�.. � �v�. <br />CITY OF <br />everett PERMIT ��;��M�� ��,. usi�����, <br />pTY HALL 259�8745 <br />EVEREIl, WA 'eezo� ❑ COMBINATION C�BUILDING ❑ MECHANICAL I I PLUM81N�7 <br />.�."_' _.._.._ . ___ _.- . _. <br />OWNER A�AIIADUII[55 QIY J��• �� '��. <br />Ernest L. Bolger 1903 Mukilteo Blvd. Everett �D_"1.U3____ _J53�.:;»(� <br />ARCNIiECTOROE5IGNER M11nILADDRE55 CIiY ���' ��������F <br />GF.NFAaLCONTRACTOR MAILAODRESS CITY IIY %Ifi4! �---1•�"•:: • <br />S Ille <br />MEGHANICALGOMRGliOR AIAILADDRE55 CITY 21P RION[ LR6'�`: � <br />FlU61BING CONiRnGTOR MAII 4�DRE55 CiTV ZIP PN011E l✓��'+ ' <br />OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION K�FFEI:CE ❑SIGN ❑GARAGE <br />y $00.00 <br />oescaioE woaK <br />Install concrete guard railing <br />PROPOSEO lISE OF �UILDING <br />single family residence <br />IEGRL �F.SCRIPLION OF PBOPERTY (SH01V DElO\V OR ATTACM FOUR CAPIES <br />ior 41 s�ocK � oF Darlington Replat <br />JOB AOOR[55 <br />1503 Mukilteo <br />PLUMBINO <br />N0. TYPE OF <br />WATER CLOSEi (TOILE� <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORY TRAY <br />CLOiHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP DRAIN <br />VACUUM BRFAKERS <br />ROOF DRAINS — RAINLEAD <br />SiNK ISERVICE — BAR, ETC. <br />SUB <br />SIDE VARD SEiBAGK <br />TYPE OF <br />OF <br />STREETSETBACK <br />OF STORIES <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUIl01NG PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTEC710N SYSTEM <br />5 GRADING <br />G DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATEMENT <br />e. HEALTH DISTRICT <br />APPLICATION ACC. 8Y PLANS CHECKED BY <br />REAR YARD <br />❑YES 1:NO <br />N0. OF �WEI <br />APPR.PORISSUANCE BV <br />�i.c. <br />I HEREBY CERTIFY THAT I HAVF. READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW 7 HE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LA�"3 AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUi,TION OR THE PERFORMANCE OF CONSTRUCTION. <br />X�Af�iEOF� CANTRA� UTHOR�ZED A. i� OATE <br />�� �� 2�1%�BZ <br />LJ� f 7S <br />MECHANICAL <br />AIR COND. UNITS — H.R EA. <br />REFRIGEPATION UNIT$ — H.P. EA _ <br />BOILERS — M.P. EA. <br />GAS FIRED A.C. UNITS — 10NNAGE EA. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALL HEATERS — � T.U. M <br />UNIT HEATERS — �.T,U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DflYEl±S <br />VENTILA?ION FNN <br />RANGEHOOD <br />AIR HANDLING UNIT — GF.M <br />STOVE <br />METAL FIREPLACE & CHIMNEY <br />SUBTOTAL <br />CHECK NUMBER <br />81/8886 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALN <br />TOTAL <br />PLAN <br />FEE ( . �'j Q <br />$ 500.00 <br />U 9.C. <br />ScC. 303 (a) <br />RECEIPT NO. <br />52005 <br />FEE <br />� 1 1 <br />PPOPERLY VF: IDATED (IN TNIS SPACE) THIS IS YgUR P RIdIT <br />�:ij� 0�0.�0 �1 <br />� <br />� <br />. .. . �� O <br />. , U <br />ADDRESS FILE <br />� , ,, ��� <br />i:.J U <br />�, <br />