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',1eE°��TY�o° C�'NSTRUCTION <br />evprett PERM IT <br />C�fY HALL 259�87d5 <br />E\E�7ET7, lYA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL <br />PERMiIT iV6. OHJ�S6 <br />❑ PLUMBING <br />01VREP MAILAD�RE55 CILY ZIP GHONf <br />William A. Feaster 9802 2nd Avenue Everett 252-3279 <br />FqCNtt[CTORDESiGNER MAILADDRF55 CIiY 2i� PIIONE <br />GCN6(i4L CANTRACi01i MAIL ApDRESS GiV ZIP PHONE LIGENSE � <br />Damage Repair Services Box 2045 Everett 98203 357-9222 <br />MECHANICAI CANiRACtOR MAIL AUpRE55 GiY ZIP PHONE LIGENSE � <br />DA MA GI 238D3 <br />PLUMBiNGCONiRAGiOP MP�LApDRE55 CiiV ZIP P�ION[ LICENSE� <br />CLA55 OF 1VOPK <br />❑NEW ❑ADDITION ❑ALTERATION }�REPAIR ❑DEMOUTION ❑FENCE GSb;N ❑GARAGE <br />VALWTION OF WORN <br />s 2,GJ0.00 <br />fepair fire damage to wall behind stove and redecorate <br />VAOPOSEO USE OF BWIDING <br />eingle family residence I HEREBY CERTIFY THAT I HAVE READ AND EXPMINED THIS AP- <br />�ecn�oeseaianallo�aacrearrrsNoweeiowoanrrnc�rouaeories� PLICATION AND KNO\N THE SAN�E TO BE TRU[ AM1D CORRECT. <br />4 3 Lowell Div. "A" ALL PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS <br />ior eiocrc_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />JOB NODRE55 <br />4802 2nd Avenue <br />PLUMBING <br />N0. TYPE OF FIXTUR <br />WATER CLOSET (iOILEiI <br />BAiHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASIIEF <br />IAUNORYTRAY <br />CLOTHES WASHER <br />WATER NEATER <br />URII�AL <br />URINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAD[RS <br />SINK ISERVICE — HAR ETC 1 <br />SIDE YARD SETBACK <br />ZONE <br />FIRE ZONE <br />STREET SEi�ACK <br />LOT AREA <br />BASEMENT <br />APPIiOVALS <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PlANS <br />3. FIRE HYDRANT <br />d. FIRE PNOT[CTION SYSTEM <br />5. GRADING <br />6. DRA.?.AGE <br />L EN\"RONMENTALIMPACTSTATEMENT <br />8. HEALTM DISTRICT <br />APPLICATION ACC. �Y PIANS CHECKED BY <br />REAR Y4RD SETBACK <br />VACANT oITL <br />i]YES i,NO <br />BY I DATE <br />APPR. FOfl ISSUANCE BY <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGNAtL�A[ O�F C�ONiRACT090R AUi1fOR12ED AG[Ni OAiE <br />i� C/In-ait- ��,�Lt_�t 1�.��.%�80 <br />MECHANICA , � � <br />REFRIGERATION U�ITS —LH.P EA <br />E3011ER5 — H P. EA. <br />GAS FIHEG A C. UNI75 — TONNAG <br />FORCF(1 AIR SVSTFldS — R T 11 <br />CNITLHEATERS—B.T.U. M <br />EVAFOPATIV[ COOLERS <br />HANGEHOOD <br />AIR HANDLING UNIT — <br />CHECK NUb1BER I PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />VALUATION I FEE <br />BUILOING I 5 Z p�p.Q�l 32 I 5� <br />PLUMBING <br />MECHANIC4L <br />OTHER <br />PENALiY U.BA. <br />SEC.303�a) <br />rora� I I 3 2 I 5 0 <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN THIS S O 5,F 2S IS Y�q PgRf�71T� O �� <br />US[ <br />� <br />� <br />, !.) � !2 : C; i: � i� <br />, : !'`,!`�:K YC U� <br />ADDRE55 FILE <br />I 7 �;��a 8 0 <br />