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�heEvergr:en 'l� �Op�TRUCTION � ` � <br />CITY OF <br />everett. PERMIT pERMIT NO.O63H6 <br />CITV HALL 259�8745 <br />EVERETf, WA 98201 ❑ COM6INATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEP MAILADORE55 CItY ZIP PMONE <br />JOANNE TAYLOR 2017 Rucker 98201 258-4730 <br />ARGHIiECT OR DESIGNER MAIL nDDflE55 C�TY ZIP PNONE <br />c�"Er�A`�"r�ui�.ders, Inc. 980h4��Chapel Hill Road �TY 98205 ZP 334-4981 ��cENSE.- <br />MECHANICRL CONTRACiOP UAIL ADDR[55 CITY 2iP VMONE UCENSE � <br />PLUM8INGCANiHACTOR MAILADDRE55 CITY ZIP PHONE LICF.NSE� <br />❑NEW ❑ADDITION ❑AITERATION �XEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />y 700.00 <br />DESCRIBE WOPK <br />bathroom floor-pocket door-window <br />PROI'OSED USE OF BUILDING <br />single family residence <br />LEGAL DESGRIPTION JF PqpP[R7Y �SHOW BEIOW OR AiTALN FOUR CAPIES� <br />�oT 3-4 Bid, 4K 96 oF Capitol Hill 2nd <br />PLUMlINQ <br />NO. <br />BATHTUB <br />SIDE YARD SEl <br />USE ZONE <br />TYPE OF CANS <br />SIZE OF BLDG. <br />FIRE 10NE <br />ugall <br />— MqIIVL[/U1CI�J <br />— BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />STREET SE70ACK <br />LOT AREA <br />OCCUPANCY GROUP <br />NO. OF STORIES <br />1. ENVIRONMENTAL CHECK L15T <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 />8. HEALTH DISTRICT <br />APP�ICATION ACC. BY PLANS CHECKFD BY <br />FEE <br />FEAF VARD <br />VACANT SIT <br />LVF.S ❑N <br />NO.OF DWI <br />MA%. OCC. 1 <br />FIRE SPRINi <br />APPq.FORISSUANCEDY <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 GFANTING OF A PERMIT DOES NOT <br />PRFSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE ?RO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONST CTION OR T PERFORMA�CE OF CONSTRUCTION. <br />SIGNF R OF fANIRALTO A LM E� I i OATE <br />X ill.�i ��/� 7/19/79 <br />MECNANICAL <br />NO. TYPE OF EOUIPMEI <br />AIR COND. UNITS — HP. EA. <br />REFHIGERATION UNITS — H.P. EA <br />BOILERS — H.P. E4. <br />GAS FIHED A.C. UNITS — TCNNALE <br />FORCED AIP 5�S1F.MS -- B 1�.U. <br />WALL HCATERS — B.i.U. <br />UNIT HEATERS — d'.U. <br />EVAPOPATIVE t;00LERS <br />CLOTHES DFYERS <br />VENTILATION FAN <br />aANGENOOD <br />AIR HANDLING UNIT — <br />STOVE <br />METAL FIflEPLACE & CHIMNEY <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECK NUMBER <br />_c <br />�F.ES VAL <br />M <br />QF.M <br />$700,00 <br />U.B.C. <br />SEC.303(a) <br />REI:EIPT NO. <br />� �� <br />� 1 � <br />i <br />PROPERLY VALIDATE� (IN THIS � tCE� ` IS IS � UR p[gylj.o �� ' <br />•3� �OT �� <br />� <br />M <br />Np�1 R REC.EI o ; <br />:..r,F�t�i1K Y1�J�7 <br />