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tlie Erergrce;; CO �' ST R U CT I O N <br />CITV OF <br />everett PERMIT PERMIT NO. 0996% <br />GTV HALL 259�0745 <br />EVERE7T.wA 98�Ot ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING <br />01INER MAILA�pRE55 CIiT 21P FMONE <br />Frank Bennett 206 Mukilteo Blvd. Everett 98203 252-3823 <br />ARC�uTECT OP DESiGNER AIAIL AODR[55 CrtY 2iP ���ONE <br />GCNLRA�CONiRACiOR MnRPDDPE55 CrtY ZIP PMONE LICENSEr <br />Same <br />MECN4NICALCAN1Af�i0R 1.IAILAppRESS CITY ZIP PHONE IICEN5E1 <br />PIUMBINGCONTMCiOR MAILPDDPE55 CIiY ZIG FN@1E ULHlSE� <br />SS OF \YONK <br />❑NEW ❑ADDITION Cy�,jFLTERAT10N ❑REPAIR ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE <br />V4TION OF WORR <br />S �J�0.�0 <br />iCRiBE WORN <br />6'x6' Dormer <br />single <br />LEGAL DESCRiPTION OF PROVERi' <br />wr � 9 a�oc�or <br />?06 Mukilteo Blvd. <br />PLUMBING <br />N� 'fYPE C <br />Q <br />family residence <br />/ �SMOW OELOW Oti ATiACH FOUF CAPIE51 <br />Forest Park <br />206 Mukilteo Blvd <br />HUV Y U�INIfYJ - 1 W IIVICNULI�J <br />SINK �SERVIC[ — �AA. ETCJ <br />SUBTOTAL <br />PEPMIT <br />TOTAL ?EE <br />SIDE YARD SETBACK STR[ET SET�ACK <br />USEIONF. LOTAREA <br />TYPE OF CONST. OCCUPANCY GR( <br />SIZL OF OLDG NO. OF STORIES <br />FIRE ZONE BASEMENT <br />1. ENVIRONMENTA'.9HECK LIST <br />2. BUILOWGPLANS <br />3. FIRE HY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIPONMENTALIMPACTSTATEMENT <br />B. NEALTH U�STRICT <br />APPLIC�TION ACC, �Y PIAN$ CHECKED BY <br />VACANT SITE <br />❑VES ❑NO <br />NO.OF DWELLING <br />APPR. POR ISSUANCE BY <br />I HEFEBY CERTIFY THAT I HAVE flEAD 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 WHETfiER SPECIfIED <br />HEREIN OR NOT. THE uRANTING OF A PFRMi' DOES NOT <br />PRESU ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />5'IGNAiU� Lq�7f14CTOP ppn W i�JRIZED /GENi,. 11 � z� 81 <br />%� r7 At7� <br />MECHANICAL <br />NO. TYPE OF EDUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H P. EA <br />�OII ERS — NP. EA. <br />GAS FIRED A.C. UNITS —TONNAGF EA. <br />FORCEU AIR SYSTEMS — BS.U. M EA. <br />WALLHEATERS—DT.U. ti� <br />UNITHEAT[RS—OT.U. M <br />EVAPORATNECOOLERS <br />CIOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOI IN(; IINIT — CF.M. <br />PLAN <br />BWIDING <br />PLUMOING <br />MECHANICAL <br />TOTALFEE <br />UBER PLN <br />FEE <br />FEES VALUATIO <br />�00.00 <br />U.B.C. <br />SEC. 303 �a) <br />CHECK FEE <br />I RECEIPT NO. <br />T VALIOATION <br />PROPEflLY VALIOATED (IN THIS SPACE� iH15 IS YOUR PEFiM1T <br />�. I _ . . I � ... . `_ � <br />� <br />Q) <br />i � <br />� � <br />�DDRESS FILE <br />u <br />