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IItcE�'cr,erecn � C7NSTRiJCTION - <br />CITY OF <br />�verett ° ���I� PERMIT NO.Og613 <br />cirv Hn�� zss s�as <br />Ever�err. �'an �eau� ❑ COMBINATION Q�B'IILDING ❑ MECHANICAL PLUMBING <br />OWNER M>IL PUDPE55 <br />cnr zia vHor+t <br />Everett 98206 339-3000 <br />The Daily Herald Co. P.O. Box 930 Z�� P„oNE <br />nRC��rtECT OR �LSIGNFa <br />M4R ADDRE55 CiIY <br />GEN[RAICOqTRFC10F <br />MAIL ADDRE: S CITY ZIP PHONE UCENSE � <br />Same <br />MCCNANiCALCONTRACtOR <br />MaL/.DDRE55 CITY ZIP PMON[ IiGENSE� <br />PLUMBING GONTRACTOF <br />IJ41L \C�RE55 CITY ZiN PHOt�E LIGENSE � <br />S <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ��EMOLITION ❑FEt�CE ❑SIGN ❑GARAGE <br />Demolish single family residence <br />ED USE OF HUILDING <br />L]-6n ocv <br />tpT BLOCY OF <br />�SEverett <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />�LL PROVISIONS OF LAWS AND ORDINANCES GOVERNItJG THIS <br />TYPE OF WORF: WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PtRM1T DOcS NOT <br />PaFSUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIC VS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CO ` U ION OR THE PERFORMANCE OF ^yONSTRUCTION. <br />SIGN� 1NE ONiPALiOR OP AUTHO�ED AGENi � OFi[ <br />JOC ADDRE55 I , <br />2716 Norton � <br />pLUMBING � <br />F <br />� <br />e <br />SIDE YARD SETBAGK <br />USE ZONE <br />TYPE OF CONST. <br />SI7E OF BLDG. <br />FIR[ ZONE <br />OF FIXTURE OR <br />STREEi SE7�P.CK <br />NO. <br />1. ENVIRONMENTAL CHECK IIST <br />2. BUILDING PIANS <br />3. RRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAG[ <br />�. ENVIRONMENT4LIMPACT STATEMENT <br />B. HEALTM DISTRICT <br />APPLICATION ACC. BY PLANS CNECKED BY <br />4'NICAL � ' <br />TYPE OF EOUIPN <br />AIR COND. UPIITS — HP. EA <br />REFRIGERATION UNITS — H.P. E <br />BOILERS — H P. EA. <br />G�5 PIRED A C. UNITS — TONW <br />FOPCED AIIi SYSTEMS — B T.U. <br />WALL HEAiERS — � T.U. <br />I INIT HEATGRS — B T.U. _ <br />FAN <br />AIR <br />REAR YAPD SETBACR r�� �"�-�^'' <br />VACANT SITE <br />�]YES ❑NO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX.00C.L04D <br />PLUMBING <br />FIHE SPRINKLERS MECHANICAL <br />RFOUIflED <br />I lYES '. iN0 <br />BY DATE OTHER <br />PENALTV <br />TOTAL <br />FEE <br />5 <br />M <br />U.B.C. <br />SEC.303(a) <br />M <br />8/5/81 <br />FEE <br />RECEIPi NO. <br />T VAUt�wuun <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR P(PMIT <br />� , i <br />APPR. FOfi ISSUANCE OY <br />ADDR[55 FILE <br />