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�hcG��crgmeri � CONSTRUCTION � �� <br />CITY OF <br />everett PERMI�' PERMIT NO.Og8O4 <br />CIiY HALL 259�8745 <br />eveaerr.wn eo2o� ❑ COMBINAT!ON ❑ BUILDING �XDCMECHANICAL ❑ PLUMBING <br />owNea Mnanooaess crtv zir r�wr+e <br />�. L. Perrigo 2421 Rockefeller Everett 98201 <br />ARCHItELt OR DESIGNCH MPIL ApDRE55 CIiY 21P PMONE <br />GCNEA��I CONIRRCTOR MAILADDRESS GIiV ZIP PNON[ UG[NSE � <br />MECNRNiCAL CONiRAGiOR MAIL AUDPESS dtY ZIP PIIONE UC[NSE I <br />Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br />PLUId81NGCONiRAGiOR MAILAODRE55 CITY 21P PHONE UCENSEI <br />CtA55Or WORK <br />❑NEW <br />b <br />L[GAL OESCRIPTION OP PPOPIN i� <br />l0T BLOC�_UF <br />JADDITION ❑ALTERATION ❑REPAIP ❑DEMOUTIOIJ ❑FENCE ❑SIGN ❑GAPAGE <br />I HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />eeiowoAnrrncNFouacoviesi 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 PERt�11T 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 CONSTRUCT19N. <br />SIGNAIIJHE OP CONiRRGiOR OP AUi110R12E� AGENT DPTE 1 <br />2421 Rockefeller <br />PIUMBING <br />NO. TYPE OF FI%TURE OH ITEM <br />WATER CLOSET (TOILEn <br />�ATHTUB <br />LAVATOR\ ,NFSH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISH\NASFIER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WNER HEFTER <br />URINAL <br />DPINKING FOUNTAIN <br />SINN <br />SIDE YARD SET�ACK <br />USE 20NE <br />TYPE OF CON57. <br />SIZE OF BLDG. <br />FIR[ ZONE <br />-�-� RAINLEADERS <br />— 6AR,ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAI FEE <br />STREET 5[Tl3ACK <br />LOT AREA <br />OCCUPANCY GPOUF <br />NO OF STORIES <br />L ENVIFONMENTAL CHECK LIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANi <br />4. FIRE PROTECT�ON SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTALIMPACT STATEMENT <br />B. HEALTH DISTRICi <br />APPIJ��IICN !�('C (11' �i n^�S fH[CKFO RV <br />T <br />ll <br />FEE NO. TYPE OF EQU <br />AIR COND UNITS — H P. EA. <br />nc[A�rrRAT�nu I�NITS — H <br />auaen. — n.r. cn. <br />GAS PIRED A.Q UNITS — <br />FOPCED AIR SYSTEMS — <br />WALL H[ATLRS — BT.U. <br />IJNIT H[ATERS — B T.0 <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIT — <br />STOVE <br />MEiAL FIR[PLACE 8 CHlldl <br />Water Heatez <br />REAR VARD SETOACK YLAfJ l:Htctt i <br />VACANT SITE <br />❑YES CNO <br />NO. OP DWELLING UNITS <br />BUI.DING <br />MA%.00C.LOAD <br />PLUMBING <br />FIRE SPRINKlEF5 MECHANICAL <br />RWUIFED <br />IlVES C7N0 <br />BY �ATE OTNER <br />PENALTV <br />qPPfi FOR ISSUANCE [lY <br />EA. <br />M <br />FEE <br />FEE <br />5 <br />UHC <br />SEC. 303 �a1 <br />CHECK FEE <br />RECEIPT N0. <br />FEE <br />12 �00 <br />PROPERLY VAL�DATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />: i i ' --o'l <br />� <br />� <br />� ;� <br />