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Uic Evecrgvee�o � �Q( �TRUCTI01� � � <br />everett �ERM IT <br />PEHMIT NO. O6g1O <br />CITY HALL 259�8745 <br />EVERETf. WA 9820� ❑ COMBINATION DsBUILDING L7 MECHANICAL ❑ PLUMBING <br />Uvr�ea e�nn ao[�A[ss cirr zia vr�on[ <br />Gerd Pedersen 3311 Rockefeller Everett <br />4RCVRECi OP pESiGNER MA4 A�ORE55 CIiY ZiP PIIONE <br />GENFRAL CONiRAG10R AIAq AD�RES$ CI1Y ZIP F.ON[ UCENSE � <br />Sno. County Home Improvement Lake Stevens 334-368 <br />MECMANICAI CONiRACiOR MAIL AD�RCS$ Git '<IP P110�1[ LICEN�C I <br />SN �H ��. I�..��80�i <br />PLUh101NG WNiRACTOR MAIL ApDRE55 CI71' ZIP P��ONE liC[NSC � <br />CLA55 OF \YOBK <br />❑NEW ❑ADDITION GALiERAT10N I�EPAIR ❑DE'AOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VPWATION OF 1VOAN <br />E 420�.0� <br />D[SCRIBE WORK <br />re-side residence <br />rRoaoseo use o= ow�oir+c <br />single family residence <br />LfGAL DESCRIPiiON OG FHO�ERiY iS��OW �ELOIV OR AifAC�' FOUR CAI <br />5-6 793 Everett Land Co. <br />LOT 9lOCK__Of <br />PLUMBING <br />N0. <br />BAiHTUO <br />LAVATORY�WASH <br />SHOWER <br />KITCHGN SINK 8 [ <br />�ISHWASHER <br />LAUNDFY TFiAY <br />CL07HE5 \V�SHEI <br />WATER HEATER <br />URINAL <br />ORINKING FOUNT <br />FLOOR DRAIN <br />VACUUM BREAKF <br />ROOF DRAINS — <br />ciniv rcaovirc _ <br />SiUE YARD SE7E3ACh <br />USE ZONE <br />T1'PE OF W NST. <br />SIZE OF BLDG <br />FIFlE ZONE <br />ler <br />oF <br />ETC <br />TOTAI FEE <br />Silif-E t Sf li'J,t <br />LOi AFEA <br />NO OF ST( <br />BASEMENT <br />t ENVIRONMENTAL CHECK LIST V <br />2 BUILDING PLANS <br />3. FlPE HYDRAN7 <br />1 FIRE PROTECiION SYST[h1 <br />5 GRADING <br />G. ORAiNAGE <br />Z GIJVIRONMENTAL IMPACT SiATEMENT <br />8 N6�LTH DISTRICT <br />qppUCATION ACC. 6V PLANS CMECKED BY <br />FEE <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 GOVERNRJG THIS <br />TYPE OF WORK `NILL BE COMPLIED WITH WHETHER SPECIFIED <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 PNY OTHER STATE OR LOCAL LANJ REGULATING <br />CONSTRUCTION,�HE PE RMANCE OF CONSTRUCTION. <br />sicuqs ��:.v��rl�rcu �� �ac:da �n;,un r+izbnnc[u, c,nt <br />„ ���/� - 'L.Ci47 11/5/79 <br />n.._.i • � <br />MECHANICAL <br />NO. TYPE OF E�UIP <br />Mfi CONO Utd1T5 — H R EA. <br />RFF71GEf�ATION Ut�ITS — HP. <br />801LEqS — H P. EA <br />GAS FlRED A C UNITS — TONI <br />FOHCED AIR SYST[IdS — 8 i l <br />\VAl L HEATERS — � T.U. <br />UNIT HEATERS — B7 U. <br />EVAPoRATIVE COOlCRS <br />CLOTH@5 DRYER$ <br />VENTILATION F4N <br />PANGEHOOD <br />AIR HANDLING UWT — <br />STOVE <br />MFTAI FIPFPIACE A CHIMNEY <br />REAR YARU SETUACH PLAN CHECK <br />VACNNT SITE <br />I _VES .:NO <br />NO. OF DWELLING UNITS <br />BUILDING <br />MAX O(:C. LORD <br />PLUMBING <br />f'IRE SPHINKLERS <br />RCOUIHED MECHANICAI <br />�YES �.'NO <br />BY I DATE OTHER <br />APPR.FORISSUANCE �Y <br />M11 <br />C r.M. <br />SUB TOTAL <br />PCRMIi <br />TOTALfEE <br />nL41� <br />Ff G <br />VALUATION <br />` 420�.�� <br />U.B.C. <br />SEC. 303 (a� <br />ret <br />r[[ <br />RECNPI ,O <br />32 100 <br />32 100 <br />PROPERLV VALIDATED �W THIS dPACE� THI$ IS YOUR PERA1IT <br />Oti15 �f��2.��"�"�. <br />� <br />%o <br />YC�IiR RECcIPTo <br />,'� �:.i:���� ���(�� <br />/�DGRESSFILE - 5 �tiOV /`% <br />