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(hcEoergreen � • C�STRUCTION - � �� <br />CITY OP <br />everett PERMIT PERMIT NO. OH175 <br />GTV HALL 259�87d5 <br />EVERETT. WA 9820� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OR'I:iF AIRII ADOFG55 piv T.IP PMONE <br />William Nostrand 252-2996 <br />ARCMITEGT OR pESIGNEP MRII ADDPE55 CIiY ZIP PMONE <br />GENERALCANTqAGiOR MAILADDf1E55 CITV ZIP P��ON[ LICEYS[� <br />MECNANICALCANTRACiOR MAILADDRE55 CITY lIP PHOHE IICENSE♦ <br />M� M Masonry 3308 Kromer Ave. Ever.ett 98201 252-6356 <br />FLUMBINGfANTRACiUR MAIIADDRE55 CIiY ZIP PHONE LIGENSEI <br />M^ ❑ryEW ❑ADDITION ❑ALTERATION ❑REPAIF ❑DEMOLITION ❑F[NCE ❑SIGN ❑GARAGE <br />OF WORK <br />E <br />l[GAL DESCRIPt10N OF PROFElii <br />�or aioc�oF <br />JOB nDDRE55 <br />1516 McDougall <br />PLUMBINO <br />NO. TYPE OF FI� <br />WATER CLOSE7ITOILET) <br />on <br />ES WASNER <br />I HEATER <br />L <br />�NG FOUNTAIN _ <br />I DRAIN <br />IM BREANERS <br />DRAINS — RAINLEADERS <br />iEFVICE — BAR, ETC.) <br />SUB TOTAL <br />SIDE YAflD SETBACK <br />USE ZONE <br />NPE Of- CANST. <br />SIZE OF BLDG. � <br />� <br />FIRE ZONE <br />STREET SETAACK <br />ITEM <br />LOT AREA I VACANT SITE <br />❑YES [1N0 <br />NO. <br />1. ENVIRONMENTALCHECKlIST <br />7. BWLDINGPLANS <br />3. FIRE HY�RANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />Z ENVIRONMENTAL IMPACT STATCMENT <br />B. NEALiH DISTNICI <br />APPLICAilO1J ACC. BY PlANS CNECKED BV <br />I HEREBY CERTIFY THAT I HAVE READ 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 WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DO[S NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFO MANCE OF CONSTRUCTION. <br />SIGNAIVREOFCANI CTORORAl1iMORIZE AGE4t �RiE <br />X �`�� � w� 8/27/80 <br />MECFiANICAL <br />NO. TYPE OF E4UIPMENT FEE <br />— �qIR CAN� UN�TS — H P. EA. ___ <br />I RFFRIf:FRATION LINITS — HP. EA I <br />�OILERS — HP. EA. <br />GAS FIPED AC. UNITS — TONNAGE [A. <br />FORCED AIR SVSTEMS — B T.U. M <br />WALI H[ATEfiS — B.T.U. M <br />UNIT H[Ai[HS — B T.U. M <br />EVAf'ORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTIIAiION FAN <br />RAN^>E HOOD <br />AIR HANDLING UNIT — C <br />STOVE <br />MFTA� FlPEPLACE 8 CHIMN[Y <br />PLAN CHECK NUM�ER � PLAN <br />FEES <br />UNITS <br />BUILDING <br />PLVMBING <br />MECNANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />APPR. FOR ISSUANCE BY <br />F[E � RECEIPI' N0. <br />$ <br />U.B.C. <br />SEC. 303 (al <br />� � � <br />� �1 <br />WHEN PROPERLY VALIDF.TED QN TMIS SPACE) THIS IS YOUF PERMIT <br />6969 $007.00 --- � <br />� <br />� <br />1":?UR R�CCIPT � ' <br />'i�� �r1vl; YQU <br />