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d�e ErerFrecn "'. `_ N VT � u C�' O N <br />CITY OF r <br />e�erett PERMIT PERMIT NO. O84H5 <br />CITY HALL 259�8715 <br />EVERETf.WA 9J207 ❑ COMBINATIUN ❑ BUiLDING I�MECHANICAL ❑ PLUMBING <br />OWNER MAILAO�RE55 CITY ZIP PHON[ �-- <br />Peggy Hendrickson 3618 Rockefeller <br />nncHirEcr or, nEsicvea ranii nooncss crtr nr rHONE <br />GFNERALCONTRACTOR M4ILADDRE55 CIT' ZIP PHONE UCENSE� <br />Natural Gas Equipment 1611 East Grand F.verett 98201 258-2941 <br />MECMANICAICANTRNCTOR MAILAODRE55 LITY ZIP PHONE LIGENSEI <br />PLUMBINGCANiRAGWR MAI�RDDPESS QiY ZIP FHONE IICENSE/ <br />WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />OESGRIBF. WORK <br />USE OF <br />l[GAL OESCRIPTiON OF PROPEBiY IS�OW <br />LOT BL(:CK_OF _ <br />3618 Rockefeller <br />PLUMBIN6 <br />NO. TYPE OF FIXTUF <br />� � KITCHEN SINK 8 DISP. <br />OISHWASHER <br />i V.UWDRY TRAV <br />( CLOTHES WASHER <br />'1 WATER HEATER <br />URINAL <br />' DRINKING FOUNTAIN <br />� <br />1 <br />0 <br />VACUUM BREAKE <br />ROOf FRAINS — <br />SINK f:�ERVICE — <br />51DE VARD <br />SIZE OF BL <br />FIRE ZONE <br />I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />Fouacoaies� 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. TI1E GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AL'THORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNAIURE OF G ltRAGtOR �ORI2 �—� DAiF <br />x; ��t��.�,ce.�-,I /�%y/� <br />OR ITEM FEE NO. TYPE OF EC <br />AIR COND UNITS — HP I <br />REFRIGERATION UNITS — <br />BOILERS — HP EA <br />GAS FIREU A C. UNIiS — <br />FORC[D �IR SYSTFMS — <br />� Y:ALL HEATERS — � LU. <br />IINIT HFATFRS - 6.T.U. <br />STREET SE78ACK <br />OCCUPANCY GF� <br />NO. OF STORIES <br />� 1. LNVIRONMENTALCHECKLIST <br />2. BUILDING PIANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GNADING <br />6. DRAINAGE <br />L ENVIRONMENTAL IMPACT S1..TEMENT <br />8. HEALTII DISTRICi <br />APPLICATION ACC. BV PLANS GHECKEC� OY <br />REAR YARD SETBACN <br />❑YES ❑NO <br />NO.OF DWELLING <br />MAX. OCG. I.OAD <br />DATE <br />APPq. FOR ISSUANCE BY <br />VENTILATION F <br />RANGEHOOD <br />AIR HAN�LING <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />M <br />FEE <br />S <br />U.8 C <br />SEC.30}Ia) <br />M. <br />FEE <br />RECEIPT NO. <br />L� � P <br />� 1 � <br />FROPERLY VALIDAT[D (IN THIS SPACE) THIS IS �OUR PERMIT <br />9�61 $005.00 -- � <br />� <br />� <br />� ,��� R��.CEIPT o <br />'.l� YCU <br />