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CI Y HALL 25C 8748 <br />EVERT,ETWA 9B201 ❑ COMBINATION 7F� BUILDING LJ MECHANICAL l� PLUMBING <br />OWNER <br />M;ILADDRESS <br />1617 McDougall <br />" . <br />Everett <br />98201 <br />Mrs. Ella <br />Paggett <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />.i. <br />PHONE <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE UCENSE t <br />35 3- 9 2 7 8 <br />GENERAL CONTP,�CTOR <br />Home <br />Improvement 5314 2nfl Street <br />Star <br />ZIP <br />PHONE CENSEI <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />CITY <br />ZIP <br />PHONE LICENSE 1 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK y <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE El SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />PROPOSED USE 0- BUILDING <br />I <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />LEGAL DESCRIPTION OF PROPERTY ISHOV! BELOW OR ATTACH FOUR COPIES) <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHO ZED AGENT DATE <br />�� 1 0)r ' / T 3/31/B1 <br />X <br />JOB ADDRESS <br />1617 McDougall <br />MECHANICAL <br />PLUMBING <br />FEE <br />TYPE OF EQUIPMEW <br />NO. TYPE OF FIXTURE OR ITEM <br />UNITS - H P. EA.WATER <br />CLOSET (TOLET)TION <br />UNITS - H.P. EABATHTUB <br />BASIN) <br />P <br />H.P. EA.LAVATORY(WASH <br />A.C. UNITS-TONNAGSHOWERIR <br />W—B.T.U. <br />SYSTEMS -B.T.U.KITCHEN <br />SINK 6 DISP. <br />TERS -B.T.U.DISHWASHER <br />FRS-B.T.U. <br />WATER <br />YARD SETBACK I <br />STREET SETBACK <br />USE ZONE LOT AREA <br />OF <br />FIRE <br />NO <br />ENVIRONMENTAL CHECKLIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7, ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />REAR YARD 51 <br />VACANT SITE <br />OYES LINO <br />NO. OF DWEL <br />M.AX. OCC. LC <br />APPR. FOR ISSUANCE BY <br />BUILDING <br />PLUMBING <br />FEE <br />S <br />RECEIPT NO. <br />OTHER 15 00 <br />PENALTY U.B.C. <br />SEC. 303 1 <br />TOTAL <br />PEP`NT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SP%CE) THIS IS YOUR PERMIT <br />Final Inspection .of -Permit <br />4/1/77 <br />Q <br />wa6 rD <br />APPLICANT'S COPY <br />